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Report Lab Equipment Issues
Name:
Classroom:
Select one
PHYS 1.104
PHYS 1.103
PHYS 1.108
PHYS 1.113
PHYS 1.121
PHYS 1.123
PHYS 1.125
PHYS 1.127
PHYS 1.129
PHYS 1.135
SCIE 3.138
SCIE 3.144
Other
Course:
Select one
ASTR 1401
ASTR 1402
GEOL 1401
GEOL 1402
PHYS 1401
PHYS 1402
PHYS 2401
PHYS 2402
PHYS 2411
PHYS 2412
PSCI 1421
PSCI 1422
Other
Please check all that apply(Specify type/quantity where appropriate):
Low on Consumable Supplies:
Select one
Carbon Paper
Chalk - Assorted Colors
Chalk - White
Chemical/Substance - Alcohol
Chemical/Substance - Hydrochloric Acid
Chemical/Substance - Lead Nitrate
Chemical/Substance - Magnesium Sulfate
Chemical/Substance - Phenolphthalein
Chemical/Substance - Silver Nitrate
Chemical/Substance - Sodium Chloride
Chemical/Substance - Sodium Hydroxide
Coffee Filter
Copy Paper
Copper Shavings
Crayons - Blue
Crayons - Green
Crayons - Orange
Crayons - Red
Crayons - Violet
Crayons - Yellow
Dry Erase Eraser
Dry Erase Marker
First Aid Kit
Hand Soap
Lab Handouts
Litmus Paper - Blue
Litmus Paper - Red
Paper Towels
Staples
String
Tape
Toner Cartridge (Please Leave Empty Near Printer)
Zinc Pellet
Other
Burned Out Bulb:
Select one
Light Bulb - Celestial Globe (PSCI)
Light Bulb - Clamp Lamp
Light Bulb - Microscope
Light Bulb - Ray Tracing Lamp
Spectrum Tube - Argon
Spectrum Tube - Helium
Spectrum Tube - Hydrogen
Spectrum Tube - Iodine
Spectrum Tube - Krypton
Spectrum Tube - Mercury
Spectrum Tube - Neon
Spectrum Tube - Nitrogen
Spectrum Tube - Unknown #1 (Neon)
Spectrum Tube - Unknown #3 (Hydrogen)
Spectrum Tube - Unknown #4 (Nitrogen)
Spectrum Tube - Unknown #5 (Mercury)
Spectrum Tube - Water Vapor
Spectrum Tube - Xenon
Thomson Tube
Other
Malfunctioning Equipment (Describe malfunction in additional information section):
Select one
Cart Launcher
Centripetal Force Apparatus
Collimating Slit
Compass
Decade Resistance Box
Digital Caliper
Diode Laser
Force Sensor
Function Generator
Harmonic Oscillator/Driver
Helmholtz Coil
Light Sensor
Magnetic Object
Meter - Ammeter
Meter - Clamp Meter
Meter - Galvanometer
Meter - Milliammeter
Meter - Multimeter
Meter - Voltmeter
Meter - Other
Microscope
Milkyway Galaxy Model
Motion Sensor
Overbeck Mapping Apparatus
PASCO Interface
Photogate Head
Power Supply (Please Specify)
Rheostat
Rotary Motion Sensor
Spectrophotometer
Temperature Probe
Other
Missing Equipment (Non-Consumable):
Select one
Aligator Clip
Digital Caliper
Hardware (Screw, Nut, Washer, ect) (Please Specify)
Resistor (Please Specify)
Rock/Mineral Sample (Please Specify)
Ruler
Steel Ball
Unknown_Salt_Solution (Supersaturated Epsom Salt)
Other
Broken/Visibly Damaged Equipment(Non- hazardous):
Select one
Banana Plug Wire
Celestial Globe
Centripetal Force Cable
Compass
Drawing Compass
Graduated Cylinder
Laws of Resistance Board Wire #1
Laws of Resistance Board Wire #2
Laws of Resistance Board Wire #3
Laws of Resistance Board Wire #4
Pith Ball
Porcelain Cup
Porcelain Scratch Plate
Resistor (Please Specify)
Rock/Mineral Sample (Please Specify)
Spring
Table Clamp
Other
Broken/Damaged Equipment (Hazardous):
Select one
Beaker
Bulb
Chemical Vial with Dropper
Electrical Appliance Cord
Electroscope
Glass Scratch Plate
Mercury Spectrum Tube
Mirror
Test Tube
Thermometer
Watch Glass
Other
Other (Please specify in additional information section):
Additional Information:
