Cost Activity Adjustment Request Please fill out the following form to request a correction to our records to make sure that you are not billed incorrectly for lab activities. Must be submitted within one week of the charge in question. Full Name * Please enter your full name UNID * Email Date of Activity Time of Activity 12:00 AM 12:30 AM 01:00 AM 01:30 AM 02:00 AM 02:30 AM 03:00 AM 03:30 AM 04:00 AM 04:30 AM 05:00 AM 05:30 AM 06:00 AM 06:30 AM 07:00 AM 07:30 AM 08:00 AM 08:30 AM 09:00 AM 09:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 01:00 PM 01:30 PM 02:00 PM 02:30 PM 03:00 PM 03:30 PM 04:00 PM 04:30 PM 05:00 PM 05:30 PM 06:00 PM 06:30 PM 07:00 PM 07:30 PM 08:00 PM 08:30 PM 09:00 PM 09:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM Lab Equipment * ALD Fiji [Eric] CEE Spinner (specify 100, 200-1800, 200-9200) [Brian] Denton Sputter (specify 18, 635) [Andrew] E-beam [Eric] Dicer (specify 3220 or 641) [Andrew] Tube Furnace CTR (specify poly, nitride, etc.) [Eric] Heidelberg MicroPG (specify 101, .9um, 2.5um) [Brian] DWL 66 [Joe] Keyence Microscope [Brian] Oxford 100 [Joe] Oxford 80 [Joe] Profilometer (specify 10, 20) [Brian] Parylene-C Coater [Eric] Technics PE II-A DESCUMM O2 Plasma [Eric] TMV Super [Joe] Xenon Difluoride Etcher [Andrew] Surface Lab Tool [Brian V][Paulo][Randy] Other Specify Equipment * Tool Owner Email (please choose one) * eric.fluckiger@utah.edu bbaker@eng.utah.edu joseph.jacob@utah.edu andrew.hurlbut@utah.edu Description Please let us know the reason for this request and your proposed resolution.