CIE Micro and Nano Fabrication Clean Room
Request to
Introduce a New
Material
User Name:
________________________
email:
_____________________________
Department:
________________________
Phone:
____________________________
Advisor’s
Name: ____________________
Date
of Request: ____________________
Name of material as it appears on MSDS:
_______________________________________________________________________
Manufacturer:
___________________________________________________________
Storage location for material:
_____________________________________________
Tools in which material will be used:
_______________________________________
Processes for which material will be
used: ___________________________________
Waste disposal method:
__________________________________________________
Signatures of Requestors:
____________________________________ ___________________________________
User
Advisor
Approval Signatures:
____________________________________ ___________________________________
Equipment Engineer
Process
Engineer
____________________________________ __________________
MNCR Management
Date
Submit
this
form to the MNCR Manager with a copy of the MSDS.
Materials
may
not be introduced into the MNCR until all approval signatures have been
obtained.
Rev.
1.0 9/01
|