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Institute for Quantum Computing
TQT Equipment Repairs, Maintenance, and Parts Order Form
Equipment repairs, maintenance and consumables requests are to be completed by the individual responsible for the equipment. For direct research materials and supplies purchase order requests, please complete the
TQT Research Materials, Supplies, and Small Equipment Order Form
.
Note: Eligible equipment repairs and maintenance is limited to TQT shared infrastructure (accessible to all UW researchers).
Name
*
First
Last
Email
*
Equipment (Tool) Name
*
If equipment is not listed below, select 'Other' and specify the name of the equipment that the R&M or consumables are for.
select
AJA
Agilent-Sig Analyzer
Bruker ESR
D8 Venture X-Ray Diffraction
Haas-CNC
Janis 12T
Keithley-Param. Analyzers
LeCroy-Scope
Liquid Helium Recovery System
Machine Shop
Olympus Optical Microscope
OMICRON-LT-STM
Omicron Cluster
Oxford 20T
PFEIFFER- Leak Checker
Scope Tek-DPO
Si Nanowire Growth
Turbo Cart (Edwards & Varian)
Vision Optical Microscope
VNA - Agilent & HP
VSM
Waterjet
WESTBOND-Wirebond
Zeiss Optical Microscope
Other
Specify Equipment Name
*
Type of Purchase
*
select
Equipment Repairs & Maintenance
Spare Parts
Chemicals
Gas
Other consumables
Vendor
*
Order Details
*
Attach additional documentation below. For orders greater than $10,000 please include two quotes or a
sole source form
, per
UW Policy 17
.
Backup Documentation Upload
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 100 MB.
Cost of Order
*
Currency
*
Select Currency
CAD
USD
EUR
Other
Currency
*
Enter currency if not listed in dropbox above
Additional Information Required:
Your purchase request exceeds $5,000. To avoid delays in processing your request, please ensure you have attached two additional quotes or a
sole source form
above.
Cost of Shipping (if known)
Lab Location
Note: All orders will be delivered to RAC2 for pickup
Order needed by (enter date if applicable)
MM slash DD slash YYYY
Hidden
For TQT Administration Use Only