TORION 9 PORTABLE GCMS USAGE REQUEST FORM
Person Requesting:______________________________________________
Email Address:__________________________________________________
Location (where will be instrument be used)__________________________
______________________________________________________________
Date (s) Requested: from _________ to ________
Sampling Method
☐Solid Phase Microextraction (gas sample)
☐Direct insertion Solid Phase Microextraction (aqueous samples only)
☐Needle Trap (gas sample)
Sample collection and prep to be used:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________________________
Contact phone number (while instrument is in use): _________________
☐ I certify that the equipment will be secured while not in use
☐I certify that I have received appropriate training for this instrument
Signed:__________________________________ Date:______________
Please submit completed for the Office of the Dean of Science (DN228J)
For office use:
Approved by ______________________________ Date:_______________