Sampling Request Form

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Sampling Request: Agouron Transvaal Drillcores
Please complete the form and send it to:
Dawn Y. Sumner
E-mail: sumner@geology.ucdavis.edu
Fax: +1-530-752-0951
Megan Murphy
E-mail: megmurphy@ geology.ucdavis.edu
Geology Department
University of California, Davis
1 Shields Ave
Davis, CA 95616, USA
Name:
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Address: _______________________________________________________________
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Telephone: ____________________________
Fax:
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Email:
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Type of Analysis:
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Reason for Analysis:
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Analyses currently in Agouron database that complement or duplicate proposed research:
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Sample Description
Lithology: ________________________________________________________
Weight per sample: ________________________________________________
Number of samples: _______________________________________________
Is the analysis destructive? _________________________________________
Core depths, if known: _____________________________________________
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Note: Submission of this form signifies that you:
1. accept the conditions of sampling as articulated on this website,
2. will return any unused sample within one year of receipt,
3. will post all analytical results on the Agouron website within one year of sample receipt,
4. will acknowledge the Agouron Institute in any publication resulting from these analyses.
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