Chem 265 – Gamma Spec Analysis Request Student #1 Name(Required) First Last Student #1 Email(Required) Student #2 Name First Last Student #2 Email Samples are for which Chem 265 Experiment?(Required) Chem 265, Experiment #5 Chem 265, Experiment #6 Chem 265, Experiment #7 Chem 265, Experiment #8 Chem 265, Experiment #9 Number of SamplesWas sample irradiated?(Required) Yes No Sample InformationFill our as much sample information as possible. If URGENT sample, some information may not be available at the time of form submission.Sample Category(Required) Food & Everyday Radioactive Items Neutron Activation Analysis (NAA) Samples Decontamination Samples Sealed Sources Other Type of Samples(Required) Bananas Ground Coffee Butter Beans Peanut Butter Brazil Nuts Lantern Mantles Concrete Brick Other Mass of Sample (grams)(Required)Irradiation InformationIrradiation Data Log (IDL) Number, if availableSample name(s) Irradiation Start Date MM slash DD slash YYYY Irradiation Start Time Irradiation End Date MM slash DD slash YYYY Irradiation End Time Reactor Position of Irradiation(Required) D8 E8 D9 E9 C8 C9 F8 F9 AIIF1 AIIF2 AIIF3 H2 H3 H4 H5 H6 H7 Z2 Z3 Other Sample Type(Required) Rotator Lexan Rotator Tuna Can Other Reactor Power of Irradiation(Required) 1 MW 100 kW 10 kW Other CommentsInclude any analysis procedures or anything else that would be helpful. Δ