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THE SVEDBERG LABORATORY (TSL)                 Beam time request 
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1. Submission date:
 
2. Status of request:
(x) definitive request
( ) draft/query/letter of intent

3. Project code (for earlier registered project):

4. Project title:

5. Project leader:
   - Title and name:
   - Affiliation:
   - Department or workgroup (optional):
   - Postal address:
   - E-mail address:
   - Office phone:
   - Cell phone (optional):

6. Other project members (optional):                         Affiliation:

7. (x) I/we will be present at TSL during our beam time.
   ( ) I/we will NOT visit TSL but will send the object(s) to be irradiated.

8. I/my company request beam time at the following TSL faciliti(es)
(please indicate your choice with a cross):
 (x) The ANITA facility (Atmospheric-like neutrons from Thick Target)            
 ( ) The QMN facility (Quasi-Monoenergetic Neutrons)
 ( ) The proton irradiation facility 
 ( ) The heavy ion irradiation facility. Specify ions: 

9. Duration of the requested user's beam time (in hours, 8-hour shifts,
or working days; for multi-beam request, specify the duration separately
for every beam/energy): 

10. Preferred dates. Choose one or several alternatives:
 (x) As soon as possible, starting from the date: _______                                   
 ( ) From date: ______________ until date: ______________
 ( ) From calender week: _____ until calender week: _____
 ( ) From month: _____________ until month: _____________
 ( ) Weekdays: __________________________________________
 ( ) Other: _____________________________________________

11. Unacceptable dates, if any. Choose one or several alternatives:
 ( ) From date: ______________ until date: ______________
 ( ) From calender week: _____ until calender week: _____
 ( ) From month: _____________ until month: _____________
 ( ) Weekdays: __________________________________________
 ( ) Other: _____________________________________________

12. Requested mode of irradiation. Choose one or several alternatives:
 ( ) Daytime, from 9:00 until 18:00
 (x) Daytime + evening, from 9:00 until 22:00
 ( ) Round-the-clock acceptable, but not preferred
 ( ) Round-the-clock preferred
 ( ) Other: 

13. Time needed for preparation and removal of the setup 
at the beam user area, and space/resources needed there:

14. Time needed in the counting room before and after the 
irradiation, and space/resources needed there:

15. Requested particle energi(es) (MeV or MeV/nucleon):

16. Requested beam intensity. Choose one or several alternatives:
 (x) As high as possible intensity/flux density/acceleration factor.
 ( ) Intensity (microA, nA, particle/s):
 ( ) Flux density (particle/cm^2/s):
 ( ) Acceleration factor:
 ( ) Accumulated fluence (particle/cm^2):
 ( ) Variable-on-demand intensity/flux density/acceleration factor. 
     Specify the range or the factor of variation, if known:
 ( ) Other:

17. Requested shape of the beam spot:
 (x) circular. Diameter (cm): 
 ( ) rectangular. Width (cm):     Height (cm):
 ( ) other

18. Requested spatial profile of the beam:
 (x) uniform (specify the tolerance for non-uniformity in %, if applicable)
 ( ) other

19. What kind of technical support is requested from TSL, in addition to
providing the beam? (monitoring/dosimetry, electronics, expert personnel...)

20. Compatibility/incompatibility with other experiments, if known:

21. Other boundary conditions or requests, if any:

22. Short project summary (optional):

23. The beam time costs will be covered:
   (x) directly by my company/institution. 
       TSL pricing policy applies, as available at
       http://www.tsl.uu.se/documents/Pricing_policy.pdf
   ( ) by a programme. (Specify the programme title.)
   ( ) in another way. (Attach a description.)

24. Payment documents
   (x) Please send me a quotation/offer for the beam time costs.
   (x) A Purchase Order will be sent to TSL upon reception of the offer.  

25. Preferred currency for the beam time costs:
   (x) EUR      ( ) USD       ( ) SEK      ( ) Other (specify)

26. Protection of information:
   (x) I/my company agree that a short description of the project can
       be made available at publicly available TSL web pages.
   ( ) Only the project code and project leader’s name shall be seen 
       at publicly available TSL web pages.
   ( ) The equipment to be brought by my company to TSL shall not be 
       photographed, filmed, or inspected without prior consent.
   ( ) My company has, or needs, a Non-Disclosure Agreement with TSL.
   ( ) Other:

27. I/my company agree that the project is governed by "General
regulation for commissioned activities at Uppsala University":
   (x) as available at 
       http://www.tsl.uu.se/documents/General_regulation.pdf
   ( ) with the following complementing terms (specify).

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     PLEASE SUBMIT YOUR REQUEST BY E-MAIL TO: beams@tsl.uu.se

             With questions, please contact:

Bjorn Galnander, Ph.D.               Alexander Prokofiev, Ph.D.
Laboratory Director                  Irradiation Facilities Manager 
bjorn.galnander@tsl.uu.se            alexander.prokofiev@tsl.uu.se
Office:  +46 (0)18 471 3873          Office:  +46 (0)18 471 3850
Cell:    +46 (0)701 67 9367          Cell:    +46 (0)703 26 3866

       Postal address: TSL, Box 533, S-751 21 Uppsala, Sweden
       Fax: +46 (0)18 471 3833.     WWW: http://www.tsl.uu.se