U.S. Geological Survey, Woods Hole Science Center

Archival Policies and Collections Database for the Woods Hole Science Center's Marine Sediment Samples 2007, Version 1.0

Outgoing Loan Agreement Form

Sample Number: _____________

Collecting Scientist: __________________

Field Activity Number: ______________


Description of Sample:

 

 

Purpose for Sampling:

___

research

___

identification

___

other: ___________________________________________________

 

Length of Loan: ________________________________________________

Loan is to:

Name, title

___________________________________________

Institution

___________________________________________

Address

___________________________________________

City, State, zip

___________________________________________

Phone

_____________________

Email

___________________________________________


Loan Approved by:

_________________________________________________________________________________
Core Curator Signature and Date
_________________________________________________________________________________
Chief Scientist Signature and Date
_________________________________________________________________________________
Borrower Signature and Date


Loan Returned by:

_________________________________________________________________________________
Core Curator Signature and Date
_________________________________________________________________________________
Chief Scientist Signature and Date
_________________________________________________________________________________
Borrower Signature and Date


Description of analyses, tests and all alterations made to the sample(s):

 

 

U.S. Geological Survey
Woods Hole Science Center
384 Woods Hole Road
Woods Hole, MA 02543