Fillable Chris-data-request-form - CHRIS Data Request Form 6-20-13 proposed

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Chris-data-request-form - CHRIS Data Request Form 6-20-13 proposed

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California Historical Resources Information System
CHRIS Data Request Form
1of3
8-8-13 Version
ACCESS AND USE AGREEMENT NO.:________________
____________________________________________________________________
I
:
C FILE NO.:______________________
To Information Center
Print Name: ____________________________________________________
_________________________________________________________________________________
Date: _____________________
Affiliation:
Address:
________________________________________________________________________________
City: ________________________________________ State: ________________ Zip: __________________
____________________________________
: ____________________________________________________________ e)
Phone: __________________ Fax: __________________ Email:
Billing Address
(if different than abov
___________________________________________________________________ Project Name / Reference:
______________________________________________________________________ Project Street Address:
__________________________________________________________________________________ County:
Township/Range/UTMs: _
____________________________________________________________________
________________________________________________________________________ USGS 7.5’ Quad(s):
PRIORITY RESPONSE (Additional Fee): yes / no
TOTAL
FEE NOT TO EXCEED: $___________________________
Special Instructions:
Information Center Use Only
Date of CHRIS Data Provided for this Request: ___________________________________________________
Confidential Data Included in Response: yes
/ no
Notes: ___________________________________________________________________________________
_________________________________________________________________________________________
California Historical Resources Information System
CHRIS Data Request Form
2of3
8-8-13 Version
Include the following information (mark as necessary) for the records search area(s) shown on the attached
map(s) or included in the associated shapefiles. Shapefiles are the current CHRIS standard format for digital
spatial data products.
NOTE:Alldigitaldataproductsaresubjecttoavailability‐checkwiththeappropriateInformationCenter.
1. Map Type Desired: Digital map products will be provided only if they are available at the time of this request.
Regardless of what is requested, only hard copy hand-drawn maps will be provided for any part of the requested
search area for which digital map products are not available at the time of this request.
There is an additional charge for shapefiles, whether they are provided with or without Custom GIS Maps.
Mark one map choice only

CustomGISMaps Shapefiles HardCopyHand‐DrawnMapsonly CustomGISMapsandShapefiles
Any selection below left unmarked will be considered a "no. "
2a. Within project area Within ______radius
ARCHAEOLOGICAL Resource Locations
+
yes
NON-ARCHAEOLOGICAL Resource Locations yes / no yes / no
Report Locations
+
yes / no yes / no
Resource Database Printout* (list) yes / no yes / no
Resource Database Printout* (detail) yes / no yes / no
Resource Digital Database Records (spreadsheet)
+
yes / no yes / no
Report Database Printout* (list) yes / no yes / no
Report Database Printout* (detail) yes / no yes / no
Report Digital Database Records (spreadsheet)
yes / no yes / no
+
ARCHAEOLOGICAL Resource Record copies
+
* yes
PDF
NON-ARCHAEOLOGICAL Resource Record copies* yes /
no yes /
no
PDF
Report copies
+
*: yes / no yes / no
PDF
Only directory listing Associated documentation
OHP Historic Properties Directory**
within project area
within ____________
yes / no yes / no
yes
/
no yes / no
OHP Archaeological Determinations of Eligibility
+
within project area
within
yes / no yes / no
yes / no yes / no
California Inventory of Historical Resources (1976):
within project area
within ____________
yes
/
no yes / no
yes
/
no yes / no
+ In order to receive archaeological information, requestor must meet qualifications as specified in
Section III of the current version of the California Historical Resources Information System Information
Center Rules of Operation Manual and be identified as an Authorized User under an active CHRIS
Access and Use Agreement.
* These documents may be supplied as PDF files, if available
** Includes, but is not limited to, information regarding National Register of Historic Places, California Register of
Historical Resources, California State Historical Landmarks, California State Points of Historical Interest, and
historic building surveys.
mi radius
____________ mi radius
mi radius
/ Hard Copy
/ Hard Copy
/ Hard Copy
/ no yes / no
/ no yes / no
California Historical Resources Information System
CHRIS Data Request Form
3of3
8-8-13 Version
2b. Listed below are sources of additional information that may be available at the Information Center. Indicate if a
review and documentation of any of the following types of information is requested.
Caltrans Bridge Survey yes
Ethnographic Information yes
Historical Literatu
re yes
Historical Maps yes
Local Inventories yes
GLO and/or Rancho Plat Maps yes
Shipwreck Inventory yes
Soil Survey Maps yes / no
/ no
/ no
/ no
/ no
/ no
/ no
/ no
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Chris-data-request-form - CHRIS Data Request Form 6-20-13 proposed

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Completed 23 February 2020

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