CHEMICAL USE? yes no If yes, list substances (separate by comma) and complete a hazard form(s) for each substance.
Substance(s)
Common Name(s)
Chemical Formula(s)
Total Amount(s)
Form (solid, liquid, gas, powder)	Please select one solid liquid powder gas
NANOSCALE MATERIALS USE? yes no If yes, will there be open manipulation of nanoscale material samples at SSRL? yes no If no, how are the samples contained? If yes, a safety plan must be submitted to the SSRL Safety Office for approval. See CDC/NIOSH website for guidance. http: //www.cdc.gov/niosh/topics/nanotech/safenano/ BIOHAZARDOUS MATERIALS USE? yes no If yes, what type and what is the materials NIH classification? HUMAN OR ANIMAL SUBJECT USE? yes no If yes, what type? *Please contact SSRL Safety Office for further guidance. RADIOACTIVE MATERIALS USE? yes no If yes, what is the materials specific activity? *Radioactive substances may not be brought directly to SSRL. They first must be shipped or taken to Operational Health Physics, Bldg. 24, MS 84, 2575 Sand Hill Rd., Menlo Park, CA 94025; please contact Carol Morris at 650-926-3023 or Jim Allen at 650-926-4064. LASER USE    yes   no If yes, please fill out all of the fields in this section. ANSI classification Wavelength Total Power Laser hazard controls you will apply. HAZARDOUS EQUIPMENT/ELECTRICAL EQUIPMENT?    yes no If yes, describe any hazardous/electrical equipment you will be bringing to SSRL. Indicate if it is a commercial product and if it has been altered in any way. Electrical equipment brought with you for use at SSRL must be certified by a Nationally Recognized Testing Laboratory. If your equipment is not certified, please contact the SSRL Safety Office for guidance on obtaining certification for your equipment under SLAC's Electrical Equipment Inspection Program (EEIP). If applicable, have you made provisions to secure your equipment against 0.75G lateral acceleration (earthquake bracing) while at SSRL?   yes  no X-RAY SUPPORT Contact: Bart Johnson, bart@slac.stanford.edu, 650-926-3858 X-ray Energy:  keV Monochromator calibration edge (i.e., Cu, Mg, etc.) Special Requests: SAMPLE PREPARATION LABORATORY Contact: Cindy Patty, cpatty@slac.stanford.edu, 650-926-3925 Ultracentrifuge Stereomicroscope Spectrophotometer Fume Hood Glove Box (SMB) Ultrapure Water Bench Space Cold Room Anaerobic Chamber (MEIS) Other: Please be sure to indicate which members of your group will need access to one of our Sample Preparation Laboratories by clicking on the checkbox in the collaborator section above. For SAXS Experiments on BL1-4  Contact: John Pople, pople@slac.stanford.edu, 650-926-5214 If you are experimenting on BL1-4 please answer the following: What q range is appropriate for your experiments? Please number in sequence of intended use if more than one range applies and enter "NA" for those that don't apply. Be aware SAXS to WAXS changeover ~1.5 hrs; WAXS to SAXS or SAXS changeover ~4 hrs.  SAXS: 0.03 nm-1 < q < 0.4 nm-1  SAXS: 0.07 nm-1 < q < 0.9 nm-1  SAXS: 0.10 nm-1 < q < 1.2 nm-1  SAXS: 0.18 nm-1 < q < 2.2 nm-1  WAXS: 1.2 nm-1 < q < 12.5 nm-1 (qmax dependent on sample holder) What sample environment do you hope to use? Please number in sequence of intended use if more than one environment applies. Enter "NA" if not applicable.  X-Y drivable positioner for foils  X-Y drivable positioner for fluids  Oven (25 C < T < 450 C)  Goniometer for reflection geometry  Tensile tester  Other or own (please specify)  FOR STRUCTURAL MOLECULAR BIOLOGY (SMB) SAXS SUPPORT ON BL4-2 Note: New SAXS users are required to obtain a WindowsNT account. If you have questions or need assistance, Contact: Hiro Tsuruta, tsuruta@slac.stanford.edu, 650-926-3104 1)  Type of measurement:    Solution scattering (Gas detector or Image Intensified CCD)      Fiber/lipid/membrane diffraction (Image Intensified CCD or MarCCD)      Single crystal diffraction at very small angles (MarCCD) 2)  Sample Data: Expected Radius of Gyration (Å) in case of solution scattering Temp. for Data Collection Lowest Angular Scale Desired Highest Angular Scale Desired 2*sin(q)/l                    4*pi*sin(q)/l Å-1                    nm-1 3)  Sample Cells Required:      Standard polycarbonate solution cell      In-vacuum capillary solution cell      Capillary holder with goniostat      Stopped-flow ans syringe mixer      No support required (own equipment) VACUUM SUPPORT Contact: Ken Culler, culler@slac.stanford.edu, 650-926-2099 Do NOT list the biotech pump for use with the biotech cryostat. Turbo Pump Cart - Do you need this item before your beam time starts? Yes No Roughing Pump - Do you need this item before your beam time starts? Yes No SOFTWARE SUPPORT  Contact: Ellie Fazli, fazli@slac.stanford.edu, 650-926-3038 What software will you use: XAScollect SUPER Own Do you need training on this software? YES, provide specifics below NO COMPUTER NETWORK SUPPORT Contact: M$network@ssrl.slac.stanford. edu.edu, Hector Prado, 650-926-4697 Note: Access to the SSRL internal network is no longer allowed. However, we have provided several red 10baseT cables at each beam line for users who need an internet connection. By attaching a computer to one of these red cables, users will automatically be assigned a temporary IP address (requires that your PC be configured for DHCP). If you have any questions or need assistance, please send an email to : M$network@ssrl.slac.stanfrod.edu or contact Hector Prado at 650-926-4697. Do you intend to attach a computer to the network? YES (answer question below) NO Do you need help in configuring your computer? YES NO WATER COOLING Contact: Joe Leonard, leonard@slac.stanford.edu, 650-926-3863, or Glen Kerr, kerr@slac.stanford.edu, 650-926-3049 Do you need a chiller? YES NO Heat load (in watts, BTU/hour, or Kcal/hour): Note: If you get the message "Error: Blank Fields" upon submittal of this form, click the back button on your browser rather than the Fill Out Form link to modify data entry instead of starting over. SSRL Welcome Page |  Beamlines  |  Safety Office Last Updated: 02 AUG 2008 Content Owner: C. Knotts Page Editor: L. Dunn