ADMIRE利用申込书

APPLICATION FOR FEEMA PROJECT

Applicant Full Name e-mail Affiliation Division Address Phone @ ※FEEMA Project Office Only ID: Date Supervisor in OASIS/Muroran I. T. (You DON’T need to fill following blank If you use FEEMA FACILITIES ONLY) Name

１．Title of Proposal

２．Category

□standard □trial usage □unknown

３．Facilities Needed

□Environmental Tolerance Test System under High-Temperature and High-Pressure Water □Mechanical Property Evaluation System under Sub/Super-Critical Water Environment □Warm Isostatic Pressing Machine(WIP) □Slow Strain Rate Miniature Testing Machine □Micro Impact Testing Device (Drop tower) □Miniature tensile testing machine □High Temperature Nano Indenter □High Temperature Creep Tester □Universal Testing Machine (AG-50kNG, 50kN)

□Field Emission Transmission Electron Microscope (FE-TEM) □Focused Ion Beam Processing Device (FIB) □Scanning Electron Microscope (SEM) □Field Emission Scanning Electron Microscope(FE-SEM)

□Non-contact Precision Surface Shape Measurement System □Precision Surface Condition Analysis System □Oxygen/Nitrogen Combustion Analyzer (EMGA) □Carbon/Sulfur Combustion Analyzer (EMIA) □Surface Precision etching system

□Hot Press □Micro Pick-up □Electrolytic Polisher □Ion Milling System □Very-High Temperature Furnace with Environmental Control System □Nano-scale green ceramic film production line (Prototype) □High Vacuum Furnace with Gas Analysis Capability □Hot Isostatic Pressing Machine(HIP) □CVI(Chemical Vapor Infiltration) Continuous Furnace

□Unknown □Others（ ）

４．Machine Time for Your Proposal

Name of Equipment days/hours etc.

５．Visiting Schedule (If you have)

６．Name and Affiliation of Anticipates

７． Sample Description

7-1 Limited Materials/Experiments

You need permission for safety if your application needs following materials or experiments （ ）No Correspondence （ ）International Controlled Substance （ ）Radioactive Materials （ ）Micro-Biological Experiments （ ）Recombinant DNA Experiments

7-2 Animal Use

（ ）Yes

7-3 Details of Specimens

Describe specimens for the prevention of disruption and hazard. Material１ Form２ Qt３ Properties４ Purpose Storage or Treatment５ Safety Measure 1) Full Name including chemical composition 2) Describe forms; powder, plate, disk, bar, liquid, etc 3) Unit needed 4) Describe properties related to possible hazards and safety; Radioactivity, toxicity, flammability, virulence etc 5) Describe if your specimens need some special storage way or treatments 7-4 Bringing Equipment

Name of Equipment Details6 Safety Measure 6) Voltage, current, pressure, temperature etc

８．Background and Detail of Proposal (approximately 1000 words)

９．Experimental Procedure