CLS_Worksheet

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BIDMC - Animal Worksheet

1. Principal

Last Name

First Name

M.I.

2. Department:

3. Current Location (Bldg/Room #):

4. Species:

Mouse

Rat

5. Colony size: Number of cages:

6. Number of Lines:

7. Number of lines commercially available:

8. Do animal studies include surgery?

Yes

9. Does surgery require the use of specialized equipment?

Yes

If "Yes" please describe below:

10. Please describe any special requirements for studies (DEXA, behavioral, reverse light/dark, swimming, hypoxia, swivel/tether, oxygenation, Imaging, CO exposure etc):

13. Please use the following page to list the number of Mouse ONLY breeder pairs per line to be relocated to CLS:

11. Will you need to use an irradiator with your protocols?

Yes

12. Please describe any other factors to your animal program that may be relevant to the move into CLS.

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Investigator:

Line Description

Number of Breeder Pairs

Commerically Available?

Yes