Request No. ____/___

British Ocean Sediment Core Repository (BOSCOR)

Southampton Oceanography Centre, Empress Dock, Southampton, SO14 3ZH, U.K.

Tel: +44 (0)2380 596567/596561 Fax: +44 (0) 2380 596554 email:

SAMPLE REQUEST

Name* Page of

Email address* or Telephone number

Date of request Number of samples requested

Purpose of request *

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* Mandatory information if not follow-up of previous request

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CORE / Section / Interval
cm-cm / Volume
cc / Piece
No. / Comments

Continue overleaf

Important Additional Required Information (please complete all sections)

BOSCOR is required to report to NERC on a yearly basis, to allow NERC to evaluate how much BOSCOR is supporting its other activities and advise on the quality of the science being supported. Therefore please fill in the following information relating to the research behind your sample request. Many thanks.

NERC funding mode (please tick that applicable)

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Thematic Non-thematic Core Strategic Infrastructure Commercial/Repayment Non-NERC

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Funding type (please tick that applicable)

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StudentshipResearch Grant Reference No. (for NERC Grants and Studentships)

Alpha Grade of Grant Other funding type Have you used BOSCOR before and

completed your undertaking (see below) ?

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Science area of research (please tick that applicable)

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Biodiversity Environmental risks and hazards Global change Natural resource management

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Pollution and waste Follow-up of previous requestPathfinder/Pilot Study

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Name of PI (if not yourself) or Supervisor

User Satisfaction

Not happy Very happy

How happy were you with the service provided by BOSCOR ? 1 2 3 4 5

Please circle number according to scale 1 (not happy) to 5 (very happy)

Have you any comments on how we can improve our service, or on any other BOSCOR issues ?

Undertaking

I agree to sample cores carefully and to take the minimum sample needed to fulfil my analyses.

I agree to return to BOSCOR any unused samples

I agree to supply all factual results, and reports, obtained from samples taken, to BOSCOR within ...... months of taking the samples. BOSCOR will agree to hold the data in confidence for a period of ...... months after which they will become part of the BOSCOR database available to other enquirers.

I agree to supply BOSCOR with a reprint of any publication resulting from work on its cores, and to make a suitable acknowledgement to BOSCOR in any publication resulting from the study of these samples. A suggested wording is "The British Ocean Sediment Core Repository (BOSCOR) is thanked for supplying sediment samples".

Signature ______Position ______

Organisation ______

Address______

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For BOSCOR Use Approved by (print) ______

Signature ______Date ______

Request No. _____/___

British Ocean Sediment Core Repository (BOSCOR)

Southampton Oceanography Centre, Empress Dock, Southampton, SO14 3ZH, U.K.

Tel: +44 (0)2380 596567/596561 Fax: +44 (0) 2380 596554 email:

SAMPLE REQUEST (Continuation Sheet)

Name Page of

CORE / Section / Interval
cm-cm / Volume
cc / Piece
No. / Comments