Fillable Growth Facilities Request-standard-1 Request form for Plant Agriculture Growth Facility for Plants

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Growth Facilities Request-standard-1 Request form for Plant Agriculture Growth Facility for Plants

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PLANT AGRICULTURE GROWTH FACILITIES
Request Form for Growth Facility Space Use
NOTE: One form is required for each Growth Facility space request
You must complete and submit this form to a Growth Facilities Technician in advance of your
experiment start date. The account to charge must be obtained from the supervising faculty member
and entered below:
Line 1
Line 2 - if 2 accounts
Fund #
Unit #
Trust Fund #
Project #
If you require assistance in completing this section consult with Plant Ag. Office Staff or your department Office Staff.
Does your project involve work with PNTs or Microorganisms & Pathogens?
(check one of the
following)
Yes PNTs or
Microorganisms
or Pathogens
(complete this form & Appendix 1) PNTS
(complete this form & Appendix 2) –
Microorganisms & Pathogens
No
(complete this form ONLY)
Location Requirement:
(check one of the following locations)
Crop Science:
Greenhouse
Crop Science:
Growth Room
Bovey:
Greenhouse
Bovey: Outside Space
Crop Science: Growth Chambers:
S m l
Me d
L
g
Bovey: Growth Chambers:
Sm l Med L
g
Experiment Details:
Plant species involved in this experiment:
What is the nature/purpose of the experiment to be conducted?:
Start date:
_______________
Estimated date for material removal:
_______________
(YYYY / MM / DD)
(YYYY / MM / DD)
Environmental Requirements:
Temperature:
Heating:
Day
____
°C
Night
____
°C
Cooling:
Day
____
°C
Night
____
°C
Lighting:
Time on:_____
am
pm
Time off: _____
am
pm
Total Day/Night Length: ______ (in hrs)
Pest Management: (Note: Biological controls will be used as a preventative measure unless directed
otherwise; Pest scouting is the responsibility of the user)
Pest Control (check one of the following):
As Needed
(by Greenhouse Staff)
After Consulting
Greenhouse User
Do NOT S pra y
Do NOT use Biocontrols
Additional Special Requirements/Comments:
(E.g. irrigation, photoperiodic control, humidity etc.):
Contact Information:
User(s) Name(s):
Principal Investigator/Faculty Name:
Work Tel#:
Home Tel#:
Work Tel#:
Home Tel#:
Bldg:
Rm#:
Bldg:
Rm#:
Department:
Department:
Course Name/#:
(if applicable)
Course Name/#:
(if applicable)
User(s) Signature(s):
Faculty Signature
Date:
Date:
The user(s) and Faculty Supervisor have read and understand the “Services provided and the User
Responsibility” document for the Plant Growth Facilities, and have attended a Growth Facilities Orientation
Session presented by a Growth Facilities Staff Member.
Office Use Only: Growth Fac. Allocation
Zone allocated: Greenhouse ________ Growth Room ________ Growth Cabinet ____________
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Growth Facilities Request-standard-1 Request form for Plant Agriculture Growth Facility for Plants

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Completed 11 April 2020

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