1 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: ____________________________ Address: _______________________________________________________________ ________________________________________________________________ Telephone: ____________________________ Fax: ____________________________ Email: ____________________________ Type of Analysis: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________________________________________ Reason for Analysis: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ______________________________ Analyses currently in Agouron database that complement or duplicate proposed research: _______________________________________________________________________________ _______________________________________________________________________________ __________________________________________________________ please turn over 2 Sample Description Lithology: ________________________________________________________ Weight per sample: ________________________________________________ Number of samples: _______________________________________________ Is the analysis destructive? _________________________________________ Core depths, if known: _____________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ __________________________________________________________ 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.