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Precious Metal Source Request/Return Form
This form is used to request (check-out) a precious metal source or to return (check-in) a source.
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* Indicates required question
Name
*
Your answer
Badger Email Address
*
Your answer
Budget Number
*
Your answer
Advisor / Company Name
*
Your answer
What is the current or desired location for the precious metal source?
*
PAN cubby/bin
Keller-Hall cubby/bin
Other (please provide more details in the "Additional Comments" box at the end of this form)
What is your bin number (for example, "Blue 42")?
*
Your answer
Precious Metal Source Type
*
Gold-Palladium Alloy (Au/Pd)
Palladium (Pd)
Platinum (Pt)
Silver (Ag)
Gold 5N / 99.999
Are you checking out this source, or checking it back in?
*
Check-Out ("I want to use it")
Check-In ("I want to return it")
If you are returning the source, please enter the starting weight of the source (in grams). If you are checking out this source, you can simply enter "0".
*
Your answer
If you are returning the source, please enter the ending weight of the source (in grams). If you are checking out this source, you can simply enter "0".
*
Your answer
Additional Comments (or delivery preferences)
Your answer
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This form was created inside of University of Minnesota Twin Cities.
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