Instrument Name Applicant Name Class Project Name Supervisor Phone E-mail Project Backgound Specimen Information Application Type Purpose Planned working hours （monthly） Related equipment use experience Composition： Sample Status： Magnetism：□Yes □No Volatilization：□Yes □No □Operation Training □Administrator Service 1. The applicant and his supervisor must obey the Regulations of CAMP-Nano； 2. Fees for using the instrument will be charged according to the Charge Standard of CAMP-Nano or XJTU； Service Regulations 3. Any damage due to wrong operation caused by the applicant must be covered by the applicant and his supervisor. Applicant Sign： Supervisor Sign： Date: Approve Notes
□Yes □No Administrator Signature
化学实验室安全制度
