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                  **NASA Ames Research Center**            

                  **Wind Tunnel Operations Division**      
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**[TEST REQUEST FORM]{.underline}**

**Test Title**: [     ]{.underline}

Requestor Information:

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  Organization: [     ]{.underline}

  Contact *(include name and title)*: [     ]{.underline}

  Address: [     ]{.underline}

  Telephone: Voice: [     ]{.underline} Fax: [     ]{.underline}

  E-mail: [     ]{.underline}
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Sponsor Information:

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| Organization *(Principle sponsor such as NASA, DoD, Air Force, Navy,  |
| Company, etc.)*:                                                      |
|                                                                       |
| [     ]{.underline}                                                   |
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| Contact *(include name and title)*: [     ]{.underline}               |
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| Address: [     ]{.underline}                                          |
+-----------------------------------------------------------------------+
| Telephone: Voice: [     ]{.underline} Fax: [     ]{.underline}        |
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| E-mail: [     ]{.underline}                                           |
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**Other Organizations Supporting the Test:**

*(Secondary organizations that will be supporting the test and what that
support is: staffing, money, equipment, etc. For example provide company
name, number of researchers, number of test engineers, and number of
model technicians)*

> [     ]{.underline}

**Program Affiliation:**

> [NASA Programs]{.underline} [Commercial or Military
> Program]{.underline}
>
> NASA Fundamental Aeronautics Subsonic
>
> CEV/CLV Supersonic
>
> High Performance Aircraft Rotorcraft
>
> Other: [     ]{.underline} Other: [     ]{.underline}

**Schedule:**

> Requested Test Section Occupancy Entry Date (M/D/Y)      
>
> Estimated (Test section occupancy hours)      
>
> Earliest date model can be delivered to facility (M/D/Y)      
>
> Latest date for test completion (M/D/Y)      

**Facility Preference (if known):**

**11 Ft. TWT** **9x7 Ft. SWT** **12 Ft. PWT**

General Description of the Test:

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Specific Test Objectives:

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**Model/Test Hardware:**

> Designation: [     ]{.underline} Scale: [     ]{.underline}

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  Description: [     ]{.underline}

  Size (key dimensions such as, wing area, span, length, blockage area,
  weight, etc. Minimum possible scale should also be included):
  [     ]{.underline}
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> Current Status: Concept definition Design Fabrication Ready for test
>
> Previously Tested
>
> Where tested [     ]{.underline}
>
> When tested [     ]{.underline}

**Type of Test (all that apply):**

> Aircraft/missile performance Inlet
>
> Aircraft/missile stability and control 2-D Airfoil
>
> Rotorcraft STOVL
>
> Forced oscillation Ground Effects
>
> Free flight Acoustic
>
> Propulsion
>
> Burning propulsion system Propulsion/airframe integration test
>
> Nozzle test
>
> HGI
>
> Fuels required (please list)
>
> Other test type - describe: [     ]{.underline}
>
> **Model/Configuration Changes:**
>
> Total number of changes:      
>
> Percent - Remove and re-install model:      
>
> Percent - Major model component change:      
>
> Percent - Control surface change:      
>
> Estimate of average time required to make changes (if known):
>
> Remove and re-install model:      
>
> Major model component change:      
>
> Control surface change:      
>
> Indicate time required for any changes that are significantly longer
> than the average.

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  [     ]{.underline}

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> **Type of Data Required:**
>
> Force and moment No. of data points [     ]{.underline}

Strain gauge Approx. \# of gauges [     ]{.underline} No. of data points
[     ]{.underline}

Pressures (ESP) Approx. \# of orifices [     ]{.underline} No. of data
points [     ]{.underline}

Model Deformation No. of data points [     ]{.underline}

> Dynamic No. of data points [     ]{.underline}
>
> Pressure sensitive paint No. of data points [     ]{.underline}
>
> Temperature sensitive paint No. of data points [     ]{.underline}
>
> Acoustic No. of data points [     ]{.underline}
>
> Skin Friction No. of data points [     ]{.underline}
>
> Off-body velocity (PIV) No. of data points [     ]{.underline}
>
> Flow visualization
>
> Type: Surface flow Off-body

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  Describe requirements: [     ]{.underline}

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  Other data requirements: [     ]{.underline}

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> Classification requirements:      

**Test Conditions:**

> Mach number schedule: [     ]{.underline} Reynolds number schedule:
> [     ]{.underline}
>
> Dynamic Pressure(s): [     ]{.underline} Angle of attack schedule:
> [     ]{.underline}
>
> Angle of side slip schedule: [     ]{.underline} Nozzle pressure ratio
> schedule: [     ]{.underline}
>
> Weight flow schedule (inlet): [     ]{.underline}
>
> Other: Include detailed test matrix as enclosure if known:
> [     ]{.underline}

**Instrumentation Requirements**

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| **Facility supplied:**                                                |
|                                                                       |
|                                                                       |
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| **User supplied:**                                                    |
|                                                                       |
|                                                                       |
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**Special Requirements:**

***High pressure air (pressure level and mass flow rate), exhaust
(vacuum level and mass flow rate), cooling (temperature, water or air
with mass flow rates), heating requirements, unique systems, additional
space, remote access control room, hydraulics, (pressure level and
flows), steam, special data reduction requirements (plotting, format,
etc.), know facility modifications required to accommodate test
apparatus, etc.***

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  [     ]{.underline}

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**Request Submitted (Date M/D/Y):**