Bugs Sample request form

Please fill in this form before sending a sample to Boulby Underground Screening.

* indicates a required field

To send samples please use the following postal address:
FAO Beth Green
Boulby Underground Laboratory
Dark Matter Building
Boulby Mine
Staithes
Cleveland
TS13 4UZ

Email address*

Would you like email updates during the process?

Yes

No

We will only use your email to inform you about your sample, and we'll never give it to anyone else. By submitting this form you consent to us keeping your email address until your sample assay is complete.

If there are any other interested parties who would also like email updates about this sample, please enter their email addresses here, separated by commas if there are more than one:

Your name*

Your institution*

Sample name*

Project name

If your sample is associated with a larger project, please enter the project name

Sample description, including manufacturer and container information/marinelli size

For XIA samples, please include sample dimensions

For ICP-MS samples, please include details of the materials to be assayed

Please enter either a mass in grams or a quantity in units for your sample:*

Mass (g)
Units

What type of detector do you require?

BEGe
COAX
SAGe
XIA
Radon emanation
ICP-MS
Any

Date analysis required

Where does the sample need to be returned to?*

For ICP-MS, which is a destructive assay, enter an address if there is any additional sample material to be returned, or mark as not applicable

Preparation instructions (cleaning required, triple bagged, ready to load)

Does the sample require specific COSHH or SDS information?

Yes

No

If yes, please upload the file below:

Will the sample be accompanied by a member of your team for loading?

Yes

No

Do you want to add an image of your sample?

If so, please upload the image below: