PASSCAL Instrument Request Form
Project Name:
Todays Date:
PI/Institutions:
PI/Institution
Title:
Short description of project:
Is Experiment Currently Funded?
YES
NO
Funding agency:
Date equipment needed in field:
Date equipment will leave field:
Location of field work:
Equipment
Number and type of instruments:
Number and types of sensors:
Power Supply:
PASSCAL Field Batteries (13 AH)
Solar Panels
Deep Discharge Batteries (furnished by PI)
Commercial Power
Field Computer Support Needed:
YES
NO
PASSCAL field personnel:
YES
NO
Ancillary equipment:
Approximate amount of data:
Environmental conditions expected in the field:
Latitudes and longitudes of a box enclosing field area:
Contact:
Name and Mailing Address
Email:
Phone:
Fax: