> ![](media/image1.wmf){width="0.36944444444444446in" height="0.225in"}
> **LBNL eProcurement Requisition Worksheet**

**Fill-in this form and give it to an ePro Requisition Preparer to enter
into the eProcurement system.**

  ------------------- ------------------------ -- --------------- -------------
  **Request                                       **Procurement   
  Defaults**                                      Use Only**      

                                                                  

  **Requester Name:** **     **                   **Order No.**   **     **

                                                                  

  **Requisition Name  **     **                   **Requisition   **     **
  (Div Ref.):**                                   No.**           

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

**Settings (Requisition Defaults)**

  ----------------- ----------------- -- -------------- ---------- ------ ----------- ------
  **Line Defaults**                                                                   

                                                                                      

  **Vendor & Phone  **           **                                                   
  #:**                                                                                

                                                                                      

                    **PCard                                                           
                    Suggested**                                                       
                    (Check for                                                        
                    Requisitions \<=                                                  
                    \$10K that are                                                    
                    not restricted                                                    
                    items)                                                            

  **Buyer:**        **     **                           (Leave                        
                                                        blank                         
                                                        unless a                      
                                                        buyer                         
                                                        asked you                     
                                                        to enter                      
                                                        their                         
                                                        name)                         

                                                                                      

  **Ship To (other  **     **                                                         
  than 69):**                                                                         

                                                                                      

  **Location        **     **                                                         
  (Bldg/Rm):**                                                                        

                                                                                      

  **Due Date:**     **     **                                                         

                                                                                      

  **Category        **     **            **Unit of                        **     **   
  (default):**                           Measure                                      
                                         (default):**                                 

                                                                                      

  **Approver:**     **     **                                                         

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

  ---------------- -------------------------- ----------------------------------
  **Distribution                              
  Defaults**                                  

                                              

  **Project ID:**  **     **                  

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

  --------------- ------------------ --- ----------- ------------- -- ------------ --------------- -- -------------- -- --------------- --------------
  **Requisition                                                                                                                         
  Summary /                                                                                                                             
  Special Request                                                                                                                       
  (Item                                                                                                                                 
  Details)**                                                                                                                            

  **Sole Source                                      **Reason:**                   **Services:**                                        **GFP/SAP:**
  Flag**                                                                                                                                

  **1**           **Description:**                                                                                                      
                  (Enter item                                                                                                           
                  description,                                                                                                          
                  project splits,                                                                                                       
                  new vendor, vendor                                                                                                    
                  phone #, and other                                                                                                    
                  comments)                                                                                                             

                  **     **                                                                                                             

                  **Qty:**               **Unit                       **Unit of                       **DOE Tag /       **Category:**   
                                         Price:**                     Measure:**                      Custodian**                       

                  **     **              **     **                    **     **                       **/      **       **     **       
  --------------- ------------------ --- ----------- ------------- -- ------------ --------------- -- -------------- -- --------------- --------------

  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------
  **2**   **Description:**                                                         

          **     **                                                                

          **Qty:**               **Unit         **Unit of       **DOE Tag /        **Category:**
                                 Price:**       Measure:**      Custodian**        

          **     **              **     **      **     **       **/      **        **     **
  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------

  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------
  **3**   **Description:**                                                         

          **     **                                                                

          **Qty:**               **Unit         **Unit of       **DOE Tag /        **Category:**
                                 Price:**       Measure:**      Custodian**        

          **     **              **     **      **     **       **/      **        **     **
  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------

  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------
  **4**   **Description:**                                                         

          **     **                                                                

          **Qty:**               **Unit         **Unit of       **DOE Tag /        **Category:**
                                 Price:**       Measure:**      Custodian**        

          **     **              **     **      **     **       **/      **        **     **
  ------- ------------------ --- ----------- -- ------------ -- --------------- -- ---------------

6/17/08

[***Category Codes***](http://procurement.lbl.gov/categories.htm)

[Shaded]{.mark} categories may require EH&S or other approvals prior to
purchase

  ----------------------- -----------------------------------------------
  **Category Code**       **Description**

  ARCH                    Architect - Engineer Services

  [BIOAG]{.mark}          Biological Agents

  [BIOTX]{.mark}          Biological Toxins

  [BCAM]{.mark}           Biosafety Cabinet

  BLDGM                   Building Materials

  [CHEMC]{.mark}          Chemical Storage Cabinet

  CHEMN                   Chemicals, Non-restricted

  [CHEMR]{.mark}          Chemicals, Restricted

  CLOTH                   Clothing

  COMPH                   Computer Hardware

  COMPS                   Computer Software

  [COMPC]{.mark}          Computer, CPU

  CNSTR                   Construction

  CONTN                   Containers, Packaging

  [DRUG]{.mark}           Drugs/Precursors

  ESUPP                   Electrical Supplies

  EEQIP                   Electronic Equipment

  ETRNS                   Electronic Supplies

  FAB                     Fabrications

  FSTNR                   Fasteners

  [GFSTR]{.mark}          Fasteners, Graded

  FOOD                    Food/Water/Feed

  FUEL                    Fuel/Lubricants

  [FHOOD]{.mark}          Fume Hoods

  [FURN]{.mark}           Furniture/Furnishings

  [GASC]{.mark}           Gases Storage Cabinet

  [GASH]{.mark}           Gases, Hazard/Toxic

  GASN                    Gases, Non-Restricted

  [GBOX]{.mark}           Glove Boxes

  HDWR                    Hardware/Abrasives

  HVAC                    Heat/Ventilation/Air C (HVAC)

  [ISTOP]{.mark}          Isotopes/Radioactive

  JANTR                   Janitorial Supplies

  LABEQ                   Laboratory Equipment

  LABSP                   Laboratory Supplies

  [LHOOD]{.mark}          Laminar Flow Hood

  LAND                    Landscape/Site Maintenance

  [LASER]{.mark}          Laser Equipment

  LOWN                    Lease To Own

  PRPTY                   Lease, Real Property

  LEQIP                   Lease, Equipment

  [SPCMN]{.mark}          Live Specimens

  MMATL                   Maintenance Materials

  MMECH                   Maintenance Mechanical

  [MWAVE]{.mark}          Microwave

  OFCEQ                   Office Equipment

  OFCSP                   Office Supplies/Forms

  PAINT                   Paint/Coatings

  BOOKS                   Periodicals, Books

  [PHOTO]{.mark}          Photo, Xerox, graphic

  PLANT                   Plant Equipment

  PLUMB                   Plumbing Supplies

  [PMTLS]{.mark}          Precious Metals

  [PRINT]{.mark}          Printing/Bindery

  PROJM                   Project Management - PMR

  RAWM                    Raw Material Stock

  [RFRGT]{.mark}          Refrigerants, Ozone depleting

  [FRIG]{.mark}           Refrigerator/Freezer

  RANDD                   Research and Development

  [SAFEE]{.mark}          Safety Equipment/Supplies

  ADVRT                   Services, Advertising

  CNSLT                   Services, Consultant

  CTRLB                   Services, Contract Labor

  CRCTR                   Services, Contract Recruiter

  EMPAG                   Services, Employment Agency

  FRT                     Services, Freight

  MED                     Services, Medical/Dental/Vet

  MISC                    Services, Miscellaneous

  TELCM                   Services, Telecommunication

  UCLBR                   Services, UC Labor

  PSA                     Srvs-Personal Srvs Agreement

  STORE                   Stores

  SRPLS                   Surplus/Excess

  TOOLS                   Tools

  ULECT                   Utilities, Electric

  UOTHR                   Utilities, Other

  VEHIC                   Vehicles/Parts

  [XRAY]{.mark}           X-Ray Equipment
  ----------------------- -----------------------------------------------

  ------------- -------------------------------------------------------------------
  ***Sole       
  Source        
  Reasons:***   

  1             Unique Capability

  2             Compatibility with equipment

  3             Follow-on work

  4             Unusual or compelling urgency

  5             Industrial mobilization

  6             Authorized or required by statute or International Agrmnt.

  7             Leader in its field (for R&D work)

  8             National Security / public interest

  9             Unique bonding, insurance, or indemnification required

  10            Expert or neutral person for litigation or dispute
  ------------- -------------------------------------------------------------------

  ----------------- --------------------------------------------------------------------
  ***Services:***   

                    No Services

                    Off-Site Services

                    On-Site Services, Hands-On Work

                    On-Site Services, No Hands-On Work
  ----------------- --------------------------------------------------------------------