**[Project Information]{.smallcaps}**

**[Perry Institute for Marine Science]{.smallcaps}**

# Lee Stocking Island, The Bahamas

Please complete the following form and return it by email to:
**missioncoordination@perryinstitute.org**, with [Project
Information]{.underline} in the subject line. In addition, if you have
not submitted a proposal to PIMS already, please submit a 1-2 page
summary of your project. If you have any questions or do not receive
confirmation of receipt of your email within 1 week, please contact
(561)-741-0192.

  -------------------------- ------------------ -------------- -----------
  **Principal Investigator                      **Phone:**          
  (P.I.) Name:**                                               

  **P.I. Institution:**                         **Fax:**            

  **Project Title:**                            **Email:**          

  **Dates Requested:**                          **No.               
                                                People:**      
  -------------------------- ------------------ -------------- -----------

***If you have not already submitted a proposal to PIMS, please attach a
1-2 page summary of your proposed project. The project Summary should
include background information, project objectives, methods or sampling
design, and expected results or outcome.***

Please list the name(s) of the agencies or organization funding your
project (no amounts please):

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# 

**[Project Personnel:]{.smallcaps}**

Please provide information on project personnel. [Please note that PIMS
requires all visitors to have insurance that will cover the cost of
emergency medical evacuations]{.underline} (e.g. DAN insurance).

+------------------+---------+----------------------------------------+
| ##### Name       | **[Re   | **[Institution]{.smallcaps}**          |
|                  | quested |                                        |
|                  | dates]  |                                        |
|                  | {.small |                                        |
|                  | caps}** |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+
|                  |         |                                        |
+------------------+---------+----------------------------------------+

# Laboratory Request

Please give a brief description of [all]{.underline} laboratory work you
will be conducting (e.g., filtering, nutrient analyses, dissection,
respirometry, core processing).

  -----------------------------------------------------------------------
  [     ]{.smallcaps}

  -----------------------------------------------------------------------

**For each laboratory area/facility, please list the dates requested,
number of people using facility, and the approximate area or volume of
space required where appropriate.** **[Please note that all facilities
at LSI are reserved on a first come, first serve basis]{.underline}.**

**[Main Biological Laboratory:]{.smallcaps}**

+-------------------+----------+---------+----+-----------------------+
| **[Facility/Ar    | **[Start | **[End  | *  | **[Area /             |
| ea]{.smallcaps}** | dat      | date]   | *[ | Volume]{.smallcaps}** |
|                   | e]{.smal | {.small | No |                       |
|                   | lcaps}** | caps}** | .] |                       |
|                   |          |         | {. |                       |
|                   | **[(     | **[(mm/ | sm |                       |
|                   | mm/dd/yy | dd/yy)] | al |                       |
|                   | )]{.smal | {.small | lc |                       |
|                   | lcaps}** | caps}** | ap |                       |
|                   |          |         | s} |                       |
|                   |          |         | ** |                       |
+-------------------+----------+---------+----+-----------------------+
| Regular lab/bench | [        | [       | [  | [     ]{.smallcaps}   |
| space             |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Live-only         | [        | [       | [  | [     ]{.smallcaps}   |
| lab/bench space   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Office Desk Space | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Fume Hood         | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Refrigerator      | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Regular Freezer   | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Ultra-Low Freezer | [        | [       | [  | [     ]{.smallcaps}   |
| (-40C)            |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Salt/Freshwater   | [        | [       | [  | [N/A]{.smallcaps}     |
| sink              |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Other:            | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+

### [Analytical Laboratory]{.smallcaps}

+-------------------+----------+---------+----+-----------------------+
| **[Facility/Ar    | **[Start | **[End  | *  | **[Area /             |
| ea]{.smallcaps}** | dat      | date]   | *[ | Volume]{.smallcaps}** |
|                   | e]{.smal | {.small | No |                       |
|                   | lcaps}** | caps}** | .] |                       |
|                   |          |         | {. |                       |
|                   | **[(     | **[(mm/ | sm |                       |
|                   | mm/dd/yy | dd/yy)] | al |                       |
|                   | )]{.smal | {.small | lc |                       |
|                   | lcaps}** | caps}** | ap |                       |
|                   |          |         | s} |                       |
|                   |          |         | ** |                       |
+-------------------+----------+---------+----+-----------------------+
| Lab/bench space   | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Office Desk Space | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Fume Hood         | [        | [       | #  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma | ## |                       |
|                   | allcaps} | llcaps} | ## |                       |
|                   |          |         | ## |                       |
|                   |          |         |  N |                       |
|                   |          |         | /A |                       |
+-------------------+----------+---------+----+-----------------------+
| Refrigerator      | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Regular Freezer   | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Ultra-Low Freezer | [        | [       | [  | [     ]{.smallcaps}   |
| (-80C)            |    ]{.sm |  ]{.sma | N/ |                       |
|                   | allcaps} | llcaps} | A] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Centrifuge        | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Saltwater         | [        | [       | [  | [N/A]{.smallcaps}     |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+
| Other:            | [        | [       | [  | [     ]{.smallcaps}   |
|                   |    ]{.sm |  ]{.sma |    |                       |
|                   | allcaps} | llcaps} |  ] |                       |
|                   |          |         | {. |                       |
|                   |          |         | sm |                       |
|                   |          |         | al |                       |
|                   |          |         | lc |                       |
|                   |          |         | ap |                       |
|                   |          |         | s} |                       |
+-------------------+----------+---------+----+-----------------------+

Some equipment and consumable supplies (e.g., chemicals, vials,
syringes, Petri dishes, pipettes, collection jars) may be in stock at
LSI and available for general use. Please list any other equipment and
supplies that you anticipate needing (e.g., compound and dissecting
microscopes, electronic balance, spectrophotometer, GC, HPLC, vacuum
pump, drying oven).

  -----------------------------------------------------------------------
  [     ]{.smallcaps}

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**Please list any equipment or supplies that you will be bringing or
shipping to LSI for your project. Please indicate whether you will be
bringing each item with you or if you wish to ship them as cargo. All
cargo being shipped to LSI must be coordinated through your Project
Coordinator (561-741-0192). List any special requirements for the
operation of each item (e.g. 220V).** Please note that all equipment and
shipped to and/or stored on LSI will be subject to all applicable
shipping and storage fees (see LSI Rates section for details).

  -----------------------------------------------------------------------
  [     ]{.smallcaps}

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**[Wet Laboratory Request:]{.smallcaps}**

There are two wet lab facilities available on LSI and several large
flow-through seawater tanks and ponds. Please request the facilities
that most closely suit your needs.

"Main Wet Laboratory:"

-   Located outdoors (near Main Laboratory)

-   Various sizes of wet tables, small raceways, and aquaria

-   Filtered and unfiltered seawater available to the flow-through
    systems.

-   Freshwater

"Lobster Laboratory:"

-   Climate-controlled indoor lab (near the lagoon)

-   50-gallon (189 l) aquaria are available on unfiltered seawater
    flow-through systems.

-   Air and water temperature and lighting (standard fluorescent) can be
    controlled. If you will be controlling these types of variables,
    please list the details in your description of laboratory work at
    the beginning of this section.

-   Central aeration system.

-   Freshwater

"Production Area"

-   5.5 m Diameter x 1.25 m deep (24,040 l) fiberglass circular tanks
    (four total)

-   11m x 8m x 1.25 m deep (79,490 l) in-ground ponds with plastic
    liners (four total)

-   Only unfiltered seawater available to these facilities at this time

Please indicate the number of tables or aquaria you will need and the
dates needed.

+-------------------+---------+---------+---------+---------+--------+
| **[Facili         | **[Main | #####   | **[Prod | ##      | ##     |
| ty]{.smallcaps}** | Wet]    | Lobster | uction] | ### Sta | ### En |
|                   | {.small |         | {.small | rt Date | d Date |
|                   | caps}** | **[Labo | caps}** |         |        |
|                   |         | ratory] |         | [(m     | [(mm/d |
|                   | **[Labo | {.small | *       | m/dd/yy | d/yy)] |
|                   | ratory] | caps}** | *[Area] | )]{.sma | {.smal |
|                   | {.small |         | {.small | llcaps} | lcaps} |
|                   | caps}** |         | caps}** |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Tables (\~132 x   |         | N/A     |         |         |        |
| 71 x 25 cm)       |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Raceway           |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Aquaria: 189 l    |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| : 37 l            |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| : 19 l            |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Circular Tanks    | N/A     | N/A     |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| In-ground Ponds   | N/A     | N/A     |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Fresh Water (Y/N) |         | N/A     |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Filtered Seawater |         |         | N/A     |         |        |
| (Y/N)             |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+
| Unfiltered        |         |         |         |         |        |
| Seawater (Y/N)    |         |         |         |         |        |
+-------------------+---------+---------+---------+---------+--------+

**[Hazardous Materials:]{.smallcaps}**

**List all chemicals and dangerous substances that you plan to use at
LSI (in the lab or in the field). Describe any special needs for
handling or use of the substances, and any special storage or disposal
requirements (e.g., requires refrigeration). [Be advised -- FAA
regulations prohibit the transport of certain materials in personal
luggage.]{.underline} You are required to provide a Material Safety Data
Sheet (MSDS) for each chemical or substance. You are responsible for the
disposal of all chemicals and waste in accordance with PIMS policy. If
you plan to leave used or unused chemicals at LSI, you will be charged a
storage or disposal fee. Be advised that shipping of chemicals to LSI
must be coordinated through your Project Coordinator (561-741-0192)**
and will require significant lead time to ensure proper delivery.

+------------+-----+----------------+----------------+----------------+
| **[Che     | *   | **[Special     | **[Sto         | **[How shipped |
| mical]{.sm | *[W | Handling/Use]  | rage/Disposal] | to             |
| allcaps}** | eig | {.smallcaps}** | {.smallcaps}** | PIMS?]         |
|            | ht/ |                |                | {.smallcaps}** |
|            | ]{. |                | **             |                |
|            | sma |                | [requirements] |                |
|            | llc |                | {.smallcaps}** |                |
|            | aps |                |                |                |
|            | }** |                |                |                |
|            |     |                |                |                |
|            | **[ |                |                |                |
|            | Vol |                |                |                |
|            | ume |                |                |                |
|            | ]{. |                |                |                |
|            | sma |                |                |                |
|            | llc |                |                |                |
|            | aps |                |                |                |
|            | }** |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+
|            |     |                |                |                |
|            |     |                |                |                |
+------------+-----+----------------+----------------+----------------+

# Field Sampling

**[Permits:]{.smallcaps}**

Any collections (even collecting species for release at a later time)
require a collection permit to be issued by the Bahamas Department of
Fisheries. **There are to be NO collections of any kind within ½ mile of
LSI.** Please note Bahamian regulations regarding the collection of
various species. Special permits are required for any activities that:

-   Use illegal gear for the collection of specimens (e.g. scuba gear
    for collection of conch, lobster and other regulated fishery
    species, netting for bonefish)

-   Involve the capture of undersized fisheries species (including
    juvenile fish, lobster and conch)

-   Involve sampling protected species (e.g., coral)

-   Involve sampling animals during the closed season (e.g., March 31 --
    August 1 for lobster)

-   Are conducted within national parks or other protected areas (e.g.,
    Exuma Cays Land and Sea Park)

-   Involve the export of species protected under **CITES** (Convention
    on International Trade in Endangered Species of Wild Fauna and
    Flora)

**Please list each organism you wish to sample, the number of
individuals to be collected and/or the approximate amount to be
collected**. Describe the disposition of your samples and sample storage
or transportation needs. Please contact your Project Coordinator
(561-741-0192) if you have any questions about any regulations or if you
require permits from the Bahamian government. PIMS will assist in
obtaining permits from the Bahamian government (1-2 months required for
all permits), but [it is the P.I.'s responsibility for obtaining all
appropriate permits]{.underline}. [PIMS will not allow any collections
without the appropriate permits]{.underline}.

+----------------+------+------+---------+---------+-------+-------+
| ##### Organism | **   | #### | ##### S | ###     | **[St | [**To |
|                | [No. | # Am | ampling | ## Disp | orage | Be    |
| [(List size    | Sa   | ount |  Method | osition | ]{.sm | Expor |
| and other      | mple |  (we |         |         | allca | ted** |
| details if     | s]{. | ight |         | [(Ali   | ps}** | (Y/   |
| possible       | smal |  or  |         | ve/Dead |       | N)]{. |
| )]{.smallcaps} | lcap | vol) |         | /]{.sma | **[N  | small |
|                | s}** |      |         | llcaps} | eeded | caps} |
|                |      |      |         |         | ]{.sm |       |
|                |      |      |         | [Pr     | allca |       |
|                |      |      |         | eserved | ps}** |       |
|                |      |      |         | in      |       |       |
|                |      |      |         | )]{.sma | [(Y/  |       |
|                |      |      |         | llcaps} | N)]{. |       |
|                |      |      |         |         | small |       |
|                |      |      |         |         | caps} |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+
|                |      |      |         |         |       |       |
|                |      |      |         |         |       |       |
+----------------+------+------+---------+---------+-------+-------+

# Waterfront Request

**[Boat Request:]{.smallcaps}**

**Please provide the following information to assist us in reserving the
appropriate boats for your project.** **All boat drivers must
demonstrate sufficient competence in boat handling and complete a boat
checkout with PIMS staff before they will be allowed to drive PIMS
vessels.**

+-----+-----------+-------+--------+------+---------+--------+------+
| **[ | #####     | *     | #####  | *    | *       | #####  | **[D |
| No. | Boat Size | *[No. |  Full  | *[No | *[Start |        | rive |
| ]{. |           | Boats | or Hal | .]{. | Date]   | ##     | r]{. |
| sma | [(17',    | ]{.sm | f Days | smal | {.small | ### En | smal |
| llc | 20')]{.s  | allca |        | lcap | caps}** | d Date | lcap |
| aps | mallcaps} | ps}** |        | s}** |         |        | s}** |
| }** |           |       |        |      |         |        |      |
|     |           |       |        | **   |         |        | *    |
| **[ |           |       |        | [Day |         |        | *[Ne |
| Peo |           |       |        | s]{. |         |        | eded |
| ple |           |       |        | smal |         |        | ?]{. |
| ]{. |           |       |        | lcap |         |        | smal |
| sma |           |       |        | s}** |         |        | lcap |
| llc |           |       |        |      |         |        | s}** |
| aps |           |       |        |      |         |        |      |
| }** |           |       |        |      |         |        | [(Y  |
|     |           |       |        |      |         |        | /N)] |
|     |           |       |        |      |         |        | {.sm |
|     |           |       |        |      |         |        | allc |
|     |           |       |        |      |         |        | aps} |
+-----+-----------+-------+--------+------+---------+--------+------+
|     |           |       |        |      |         |        |      |
|     |           |       |        |      |         |        |      |
+-----+-----------+-------+--------+------+---------+--------+------+
|     |           |       |        |      |         |        |      |
|     |           |       |        |      |         |        |      |
+-----+-----------+-------+--------+------+---------+--------+------+
|     |           |       |        |      |         |        |      |
|     |           |       |        |      |         |        |      |
+-----+-----------+-------+--------+------+---------+--------+------+
|     |           |       |        |      |         |        |      |
|     |           |       |        |      |         |        |      |
+-----+-----------+-------+--------+------+---------+--------+------+

**[SCUBA Diving and Snorkeling:]{.smallcaps}**

Describe the tasks you wish to perform while SCUBA diving or snorkeling
and the location of all dive/snorkel sites you plan to visit.

+----------------------+------+-----+-------------+-------+-----------+
| **                   | **[  |     | ####        | ####  | ##        |
| [Task]{.smallcaps}** | Mark |     | # Locations | # Hab | ### Dates |
|                      | one  |     |             | itat  |           |
|                      | or   |     | [(if        |       |           |
|                      | both |     | known)]{    | [(    |           |
|                      | b    |     | .smallcaps} | e.g., |           |
|                      | elow |     |             | reef, |           |
|                      | as   |     |             | se    |           |
|                      | n    |     |             | agras |           |
|                      | eede |     |             | s)]{. |           |
|                      | d]{. |     |             | small |           |
|                      | smal |     |             | caps} |           |
|                      | lcap |     |             |       |           |
|                      | s}** |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      | *    | **  |             |       |           |
|                      | *[Sn | [SC |             |       |           |
|                      | orke | UBA |             |       |           |
|                      | l]{. | ]{. |             |       |           |
|                      | smal | sma |             |       |           |
|                      | lcap | llc |             |       |           |
|                      | s}** | aps |             |       |           |
|                      |      | }** |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+
|                      |      |     |             |       |           |
|                      |      |     |             |       |           |
+----------------------+------+-----+-------------+-------+-----------+

**Please provide the details regarding your dive plan and dive support
requirements (if snorkeling *[only]{.underline}* disregard):**

+-----+----+-----+------------------+--------+------+-----+--------+
| **[ | *  | *   | **[List any      | #####  |      |     |        |
| No. | *[ | *[M | specialty        |  Dive  |      |     |        |
| ]{. | To | ax. | dive             | Suppor |      |     |        |
| sma | ta | ]{. | s]{.smallcaps}** | t Requ |      |     |        |
| llc | l] | sma |                  | ested  |      |     |        |
| aps | {. | llc | [(e.g., cave,    |        |      |     |        |
| }** | sm | aps | Nitrox**         |        |      |     |        |
|     | al | }** | )**]{.smallcaps} |        |      |     |        |
| **[ | lc |     |                  |        |      |     |        |
| Div | ap | **  |                  |        |      |     |        |
| ers | s} | [De |                  |        |      |     |        |
| ]{. | ** | pth |                  |        |      |     |        |
| sma |    | ]{. |                  |        |      |     |        |
| llc | *  | sma |                  |        |      |     |        |
| aps | *[ | llc |                  |        |      |     |        |
| }** | No | aps |                  |        |      |     |        |
|     | .] | }** |                  |        |      |     |        |
|     | {. |     |                  |        |      |     |        |
|     | sm | [(f |                  |        |      |     |        |
|     | al | t)] |                  |        |      |     |        |
|     | lc | {.s |                  |        |      |     |        |
|     | ap | mal |                  |        |      |     |        |
|     | s} | lca |                  |        |      |     |        |
|     | ** | ps} |                  |        |      |     |        |
|     |    |     |                  |        |      |     |        |
|     | *  |     |                  |        |      |     |        |
|     | *[ |     |                  |        |      |     |        |
|     | Di |     |                  |        |      |     |        |
|     | ve |     |                  |        |      |     |        |
|     | s] |     |                  |        |      |     |        |
|     | {. |     |                  |        |      |     |        |
|     | sm |     |                  |        |      |     |        |
|     | al |     |                  |        |      |     |        |
|     | lc |     |                  |        |      |     |        |
|     | ap |     |                  |        |      |     |        |
|     | s} |     |                  |        |      |     |        |
|     | ** |     |                  |        |      |     |        |
+-----+----+-----+------------------+--------+------+-----+--------+
|     |    |     |                  | **[Nit | **[N | ### | **[D   |
|     |    |     |                  | rox]{. | itro | ##  | ive]{. |
|     |    |     |                  | smallc | x]{. | Sta | smallc |
|     |    |     |                  | aps}** | smal | ff  | aps}** |
|     |    |     |                  |        | lcap |     |        |
|     |    |     |                  | **[Cou | s}** | [(  | **[    |
|     |    |     |                  | rse]{. |      | No. | Equipm |
|     |    |     |                  | smallc | **[  | d   | ent]{. |
|     |    |     |                  | aps}** | Dive | ive | smallc |
|     |    |     |                  |        | s]{. | s)] | aps}** |
|     |    |     |                  | [(No.  | smal | {.s |        |
|     |    |     |                  | di     | lcap | mal | [      |
|     |    |     |                  | vers)] | s}** | lca | (Y/N)] |
|     |    |     |                  | {.smal |      | ps} | {.smal |
|     |    |     |                  | lcaps} | [(N  |     | lcaps} |
|     |    |     |                  |        | o.)] |     |        |
|     |    |     |                  |        | {.sm |     |        |
|     |    |     |                  |        | allc |     |        |
|     |    |     |                  |        | aps} |     |        |
+-----+----+-----+------------------+--------+------+-----+--------+
|     |    |     |                  |        |      |     |        |
|     |    |     |                  |        |      |     |        |
|     |    |     |                  |        |      |     |        |
+-----+----+-----+------------------+--------+------+-----+--------+

**All divers must submit all required documentation and complete a
checkout dive with the Diving Safety Officer before they will be allowed
to dive.** Your Project Coordinator will provide you with the diver
information packet.

#  

# 

# Other PIMS Services

**[PIMS Staff Support:]{.smallcaps}**

PIMS staff members are available to provide field and research
assistance (at a rate of \$25/person/hour for non-water related support
and \$35/person/hour for in-water support) for services beyond normal
operations. These services include such things as boat driving (beyond
initial site orientation tour), follow-up fieldwork after your
departure, assisting with lab work specific to your project, or being a
dive buddy. If you will require assistance, please describe the type of
support you will need and the amount of time you will need it.

  -----------------------------------------------------------------------
  [     ]{.smallcaps}

  -----------------------------------------------------------------------

**[Storage:]{.smallcaps}**

There is limited storage space available for samples, equipment and
supplies you expect to use during a future trip. **Describe what you
plan to store, the amount of space it will occupy, the type of storage
space required, and how long you expect to store it.** A fee will be
charged (see rate sheet) for material stored after completion of a
project. Small items must be stored in a plastic container provided by
the P.I.

<table>
<colgroup>
<col style="width: 16%" />
<col style="width: 9%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 11%" />
<col style="width: 9%" />
<col style="width: 7%" />
<col style="width: 9%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="2"><p><strong>Item or</strong></p>
<p><strong>Container Contents</strong></p></td>
<td rowspan="2"><h5 id="no.">No.</h5>
<h5 id="months">Months</h5></td>
<td rowspan="2"><h5 id="l">L</h5>
<p>(cm)</p></td>
<td rowspan="2"><h5 id="w">W</h5>
<p>(cm)</p></td>
<td rowspan="2"><h5 id="h">H</h5>
<p>(cm)</p></td>
<td colspan="6"><strong>Mark one of the following:</strong></td>
</tr>
<tr class="even">
<td><p><strong>Out-</strong></p>
<p><strong>side</strong></p></td>
<td><h5 id="inside">Inside</h5>
<p><strong>A/C</strong></p></td>
<td><p><strong>Inside</strong></p>
<p><strong>Ambient</strong></p></td>
<td><strong>Refrig.</strong></td>
<td><h5 id="freeze">Freeze</h5></td>
<td><strong>-40 Freezer</strong></td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td>    </td>
<td>    </td>
<td>    </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="even">
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<td>     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>     </td>
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<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="even">
<td>     </td>
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</tr>
<tr class="odd">
<td>     </td>
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<td>     </td>
</tr>
<tr class="even">
<td>     </td>
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<td>     </td>
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<td>     </td>
</tr>
<tr class="odd">
<td>     </td>
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<td>     </td>
</tr>
<tr class="even">
<td>     </td>
<td>     </td>
<td>    </td>
<td>    </td>
<td>    </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td>    </td>
<td>    </td>
<td>    </td>
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<td>     </td>
<td>     </td>
<td>     </td>
</tr>
</tbody>
</table>