EcoLab Space Request
Anonymous Login Code:
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First and Last Name
-- Please Select --
Faculty Advisor/Supervisor (For post-docs, staff, and students)
Requested Start Date of Use
Anticipated End Date of Use
First and last name of other people in your group who will use the EcoLab during this reservation
Requested facilities and equipment
If using the fume hood, list your chemical inventory and hazmat disposal plan for each chemical. Mark N/A if you will not use the fume hood.
Special considerations (e.g. isotopically labeled samples, invasive species, potential toxic contamination, or anything that may impact other users)
I certify that I have completed a recent laboratory safety training course at UW and that I understand the Health and Safety Protocols for the EcoLab (electronic signature)
I certify that I read and understand the EcoLab Rules and Policies and accept that any breech in rules may result in termination of my reservation. (electronic signature)