Instrument Application | Center for Transformative Environmental Monitoring Programs

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Instrument Application

Please complete the form below for your Instrument Request. The "Title" field is the name for the request itself, which can be the experiment name if desired.

Title

Request/experiment title:

Contact Information

First name:

Last name:

Phone #:

Phone Ext:

Fax #:

Mobile #:

Email address:

Institution:

Department:

Address:

City or Town:

State:

Zip code:

Country:

Your role:

Additional PIs:

Experiment information

Short name:

Enter an acronym for the experiment

Long name:

Enter the full name of the experiment

Estimated date equipment will ship from CTEMPs:

Estimated date equipment will return to CTEMPs:

Experiment longitude:

Use + for East, - for West, and decimal notation. Example W 105º30'30" would be entered as -105.508333

Experiment latitude:

Use + for North, - for South, and decimal notation. Example S 35º30'30" would be entered as -35.508333

Experiment description (limit 500 words):

Environment:

Additional comments (limit 500 words):

Funders and Sponsors

Funding Agency:

Is the experiment funded?

Yes No

Funding program:

Proposal number:

Funding comments (limit 500 words):

Experiment Support

Distributed temperature sensor (DTS) type:

DTS quantity:

Wireless sensor quantity:

Wireless sensors check:

Wind speed Precipitation RH/T Soil moisture Solar radiation Other (please specify below)

Fiber-optic cable quantity (in meters):

0 denotes you will purchase separately

Fiber-optic cable type:

Data transmission:

Describe wireless/LAN service:

Power supply:

Solar AC Power Note: Deep discharge batteries must be furnished by the PI

Describe power environment:

Do you need calibration baths and an independent temperature logger?

Yes No I don't know (please describe below)

Leave field blank :

Do you require CTEMPs field support?

Yes (please describe below) No

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