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MACROMOLECULAR CRYSTALLOGRAPHY BEAM TIME REQUEST FORM

Spokesperson:		Proposal No:
Institution:
E-mail Address:
Work Phone:
Citizenship:
GERT Certification: If coming to SSRL	Yes No If yes, which lab?

Are you interested in establishing a collaboration with a member of the SSRL staff?	Yes No
	(check any that apply)
	unusual experimental setup/technique inexperience with requested technique other

Are you planning to use SSRL's automated screening/data collection system?	Yes No
Do you have a SSRL unix user account?	Yes No
If yes, what is your account name?

Beam Line Configurations - SPEAR3 @ 100 mA (x = 1.4x10¹⁰ P/S)
Beam Line	11-1	9-2	9-1	1-5
Relative Intensity	60X	60X	15X	10X
Experiment	MAD	MAD	MAD	MAD
Wavelength Range (Å)	0.82-1.2	0.62-2.1*	0.73-0.99	0.77-2.1
Energy Range (keV)	10-15	5.9-20	12.5-17	5.9-16
Detector Readout (sec)	1	1	1	10
Detector Size (mm)	315	315	315	315

*	Wavelengths between 0.8 and 0.6 are available only if requested in advance, please use Other Scheduling Comments field provided below.

Experiment(s):		Beam Line Choices:		No. of 8-hr shifts requested per trip:
	MAD / SAD	1st Choice:	2nd Choice:	Max Min
	Element(s):
	Energies:
	Monochromatic	1st Choice:	2nd Choice:	Max Min
	Ultra High Resolution (< 1.0 Å)	1st Choice:	2nd Choice:	Max Min

How would you prefer shifts to be scheduled?	Contiguously Concurrently on two beam lines Split
List desirable dates:

List dates during this scheduling period when you CANNOT accept beam time:

Do you want to collect data remotely?	Yes No
If yes, do you have a cassette kit?	Yes No
Approximately how many crystals will you be screening?

Other scheduling comments:

List ALL Collaborators Coming to SSRL Note: Citizenship and radiation training/GERT information is not required if previously provided to us.
	Name	Email Address	Country of Citizenship	GERT* Y or N	Which Lab?
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
* Please indicate whether or not collaborators have received GERT certification at another U.S. DOE national laboratory, and if so, which lab.

SMB Sample Preparation Lab Equipment Required:
Ultracentrifuge	EPR	Spectrophotometer	Wetlab Bench Space
Glove Box	Glove Bag	Fume Hood	Cold Room
Auxillary Crystallographic Equipment Required:
Variable Temp. Cryostat	Xe/Kr (flash freeze)	Xe/Kr Cell (RT)
MSC Cryo-Xe/Kr-Siter	Kappa Geometry

Other Equipment:

Check this box if shipping a liquid nitrogen dewar. When shipping, use the
Shipping Dewars to SSRL form.

Safety Concerns:
YES NO	Are you bringing heavy atom solutions or any other hazardous substances to SSRL? (A hazardous material includes anything ignitable, corrosive, toxic-including carcinogens, reactive-including gases, and radioactive)
	If yes, list all substances and quantities and please indicate whether the crystals are soaked or are in stock solution.
YES NO	Are you bringing Biohazards to SSRL? (infectious/pathogenic agents; viruses, toxin producing agents, r-DNA, etc.) If yes, list biohazards, quantities and NIH classifications: (ONLY CLASS 1 & 2 BIOHAZARDS MAY BE BROUGHT TO SSRL)

YES NO	Are you bringing hazardous equipment to SSRL (e.g. lasers, high voltage, high pressure, cryogenic apparatus, etc.)?
	If yes, please list:
	If answered yes to any of the above, please complete a hazard form.

YES NO NA	Have you made provisions to earthquake brace your equipment (against 0.75G lateral acceleration) while at SSRL?

YES NO	Will human subjects or laboratory animals be used in this experiment?
	If yes, please contact SSRL Safety Officer, Ian Evans, 650-926-3110

NO Changes	Please state ALL CHANGES to original proposal (if any) to avoid on-line delays. (Samples, safety issues, use of propane and/or ethane gas, etc.)