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Submit your sample

WATlab Service Requisition (Form C)

User's Name

Email

Phone

Supervisor's name

Supervisor's email

Department/Affiliation

UWaterloo Work Order (10 digit)

Description of Service and/or Supplies Requested

Description of Sample***

***Please provide an accurate description of the sample. Any damage incurred due to any misinformation, intentional or otherwise, will be charged to the user's group. Please see terms of service below.

Hazards Associated with Sample

Acid

Caustic

Oxidizer

Flammable

Air Reactive

Water Reactive

Explosive

Poisonous

Carcinogen

Compressed Gas

Biohazard

Radioactive

Magnetic

Non-conducting

Porous

Non-Hazardous

Other…

Enter other…

MSDS attached

Safe Handling Procedures attached

Additional information about the service request and sample attached

Upload your files here

For sensitive files or files larger than 100MB total, please send your files to the WATLab manager at nheinig@uwaterloo.ca via SendIt (https://sendit.uwaterloo.ca).

Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

I have read and agree to the terms of service.

CAPTCHA

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University of Waterloo

University of Waterloo

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-80.544205

200 University Avenue West

Waterloo, ON, Canada N2L 3G1

+1 519 888 4567

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The University of Waterloo acknowledges that much of our work takes place on the traditional territory of the Neutral, Anishinaabeg, and Haudenosaunee peoples. Our main campus is situated on the Haldimand Tract, the land granted to the Six Nations that includes six miles on each side of the Grand River. Our active work toward reconciliation takes place across our campuses through research, learning, teaching, and community building, and is co-ordinated within the Office of Indigenous Relations.

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User agreement

*** The user agrees that the provided information about the sample is true and that the user and/or the user’s group will pay for any damage incurred due to any misinformation provided intentionally or otherwise. [Please put additional info on the back.]