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Engineering Phase 2 Supplies Request Form
Pending availability, the items will be delivered inside your lab ~3 business days from request.
Questions: Please contact Rolando De La Torre,
rolandd@uci.edu
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* Indicates required question
PI Last Name
*
Your answer
PI First Name
*
Your answer
Requester's name if different from PI
Your answer
Contact email
*
Your answer
Building and Room # for Delivery
*
Your answer
Jumbo paper towel roll
Jumbo paper towel roll
Choose
1
2
3
4
5
Box of 6
Chrome Paper Towel Upright Holder
Chrome Paper Towel Upright Holder
Choose
1
2
3
4
5
Liquid Hand Soap - 7.5 fl oz
Liquid Hand Soap - 7.5 fl oz
Choose
1
2
3
4
5
ES15 Disinfectant Cleaner (active ingredient: Dimethyl Benzyl Ammonium Chloride) - 1 quart (no spray trigger)
ES15 Disinfectant Cleaner (active ingredient: Dimethyl Benzyl Ammonium Chloride) - 1 quart (no spray trigger)
Choose
1
2
3
4
Box of 6
Spray Trigger for ES15 quarts (LIMITED)
Spray Trigger for ES15 quarts (LIMITED)
Choose
1
2
Ethanol 70% - 1 gallon (LIMITED)
Ethanol 70% - 1 gallon (LIMITED)
Choose
1
Clear Plastic Spray Bottle for Ethanol (labeled)
Clear Plastic Spray Bottle for Ethanol (labeled)
Choose
1
2
3
4
Reusable Cloth Masks (black) (3 recommended per person)
Reusable Cloth Masks (black)
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Protective Goggles (1 per person)
Protective Goggles
Choose
1
2
3
4
5
6
7
8
Nitrile Gloves (Very Limited) - 1 box only
Nitrile Gloves (Very Limited) - 1 box only
S (very limited availability)
M
L (very limited availability)
XL (very limited availability)
Vinyl Powder Free Gloves - 1 Box Only
Vinyl Powder Free Gloves - 1 box only
M
XL
Hand Sanitizer Gel - bottle
Hand Sanitizer Gel - bottle
Choose
1
2
3
4
5
6
Vinyl Tape (floor tape) - 1 roll
Vinyl Tape (floor tape) - 1 roll
Choose
1
2
3
Painter's Tape - 1 roll
Painter's Tape - 1 roll
Choose
1
2
3
4
Disposable Face Shield
Disposable Face Shield
Disposable Face Shield
Choose
1
2
3
4
5
6
7
8
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