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Student Locker Inventory Checklist

The following list is comprehensive of every item you should have in your assigned locker.

Students taking 1135,1142, 2150, 2130, or 3410 chemistry labs should fill this form out twice for each lab they are in: once at the start of the semester and once at the end of the semester. It is to ensure you have all the equipment you need, as well as to keep track of any lost or damaged items.

When you initially get your assigned locker, if you have broken or missing items, go to the stockroom to get replacements before submitting this form.

All forms submitted for the first time at the start of the semester must have all items accounted for. You are responsible for getting these items from the stockroom to have a complete inventory in your locker. You will not be charged for items that were not in your locker when you initially got your locker assignment.

At the end of the semester, if any items are lost or damaged that were assigned to you, you will be responsible for paying for those items.

 

Complete this form and submit below.

1135/1142 LOCKER INVENTORY:

TOTAL COST FOR ALL ITEMS: $348.00

QTY

Item

 Price

 

QTY

Item

    Price

1

400 mL Glass Beaker

$ 20.00

 

1

Plastic Wash Bottle

$ 12.00

2

250 mL Glass Beaker

$ 30.00

 

2

Watch Glass

$ 18.00

1

30 mL Glass Beaker

$ 6.00

 

1

Stainless Steel Micro Spatula

$ 17.00

1

400 mL Plastic Beaker

$ 20.00

 

1

Metal Scoopula

$ 4.00

2

100 mL or 150 mL Plastic Beaker

$ 16.00

 

1

Glass Stir Rod

$ 3.00

1

250 mL Erlenmeyer Flask

$ 30.00

 

1

Black Sharpie

$ 2.00

3

125 mL Glass Erlenmeyer Flask

$ 42.00

 

12

13 mm X 100 mm Glass Test Tube

$ 12.00

1

100 mL Glass Graduated Cylinder

$ 30.00

 

1

Test Tube Rack

$ 30.00

1

10 mL Glass Graduated Cylinder

$ 25.00

 

2

Test Tube Clamp

$ 8.00

1

Plastic Fill Funnel

$ 7.00

 

1

Combination Lock

$ 10.00

 

2150 LOCKER INVENTORY:

TOTAL COST FOR ALL ITEMS: $400.00

QTY

Item

Price

 

QTY

Item

Price

1

600 mL Glass Beaker

$ 20.00

 

2

Watch Glass

$ 18.00

1

400 mL Glass Beaker

$ 20.00

 

1

Stainless Steel Micro Spatula

$ 17.00

3

250 mL Glass Beaker

$ 45.00

 

1

Metal Scoop Spatula

$ 4.00

2

150 mL Glass Beaker

$ 20.00

 

1

Plastic Stir Rod

$ 10.00

2

50 mL Glass Beaker

$ 14.00

 

1

Black Sharpie

$ 2.00

1

250 mL Filter Flask

$ 30.00

 

36

13 X 100 mm Test Tube

$ 36.00

1

50 mL Plastic Graduated Cylinder

$ 22.00

 

1

Test Tube Rack

$ 30.00

1

10 mL Glass Graduated Cylinder

$ 25.00

 

2

Test Tube Clamp

$ 8.00

1

Ceramic Buchner Funnel

$ 47.00

 

1

Plastic Ruler

$ 3.00

1

Plastic fill Funnel

$ 7.00

 

1

Combination Lock

$ 10.00

1

Plastic Wash Bottle

$ 12.00

 

 

 

 

2130 LOCKER INVENTORY:

TOTAL COST FOR ALL ITEMS: $409.00

QTY

Item

Price

 

QTY

Item

Price

1

400 mL Glass Beaker

$ 20.00

 

1

Plastic Wash Bottle

$ 12.00

2

250 mL Glass Beaker

$ 30.00

 

3

Watch Glass

$ 27.00

2

150 mL Glass Beaker

$ 20.00

 

1

Micro Spatula

$ 17.00

1

30 or 50 mL Glass Beaker

$ 7.00

 

1

Metal Scoop Spatula

$ 4.00

1

250 mL Filter Flask

$ 30.00

 

1

Plastic Stir Rod

$ 10.00

1

250 mL Glass Erlenmeyer Flask

$ 10.00

 

1

Black Sharpie

$ 2.00

2

125 mL Glass Erlenmeyer Flask

$ 28.00

 

36

13 X 100 mm Test Tube

$ 36.00

1

100 mL Plastic Graduated Cylinder

$ 23.00

 

3

18 X 150 mm Test Tube

$ 6.00

1

10 mL Glass Graduated Cylinder

$ 25.00

 

1

Test Tube Rack

$ 30.00

1

Ceramic Buchner Funnel

$ 47.00

 

2

Test Tube Clamp

$ 8.00

1

Plastic fill Funnel

$ 7.00

 

1

Combination Lock

$ 10.00

3410 LOCKER INVENTORY:

TOTAL COST FOR ALL ITEMS: $1,431.00

QTY

Item

             Price

 

QTY

Item

             Price

2

50 mL Glass Beaker

$ 14.00

 

1

250 mL Volumetric Flask

$ 60.00

2

150 mL Glass Beaker

$ 20.00

 

1

500 mL Volumetric Flask

$ 75.00

2

250 mL Glass Beaker

$ 30.00

 

2

Watchglass

$ 18.00

4

400 mL Glass Beaker

$ 80.00

 

1

Stainless Steel Scoopula

$ 4.00

1

600 mL Glass Beaker

$ 20.00

 

1

Glass Funnel

$ 20.00

1

1500 mL Glass Beaker

$ 22.00

 

2

Glass Stir Rod w/rubber policeman

$ 8.00

4

250 mL Glass Erlenmeyer Flask

$ 40.00

 

2

Buret

$320.00

2

500 mL Glass Erlenmeyer Flask

$ 20.00

 

1

Complete Dessicator

$245.00

1

10 mL Glass Graduated Cylinder

$ 25.00

 

2

Glass Weigh Bottle w/ Lid

$ 60.00

1

50 mL Glass GraduatedCylinder

$ 30.00

 

1

Polypropylene 1L Bottle

$ 16.00

1

10 mL Volumetric Pipet

$ 22.00

 

1

Clear Glass 1L Bottle

$ 20.00

1

25 mL Volumetric Pipet

$ 43.00

 

1

Amber Glass 1L Bottle

$ 20.00

1

50 mL Volumetric Pipet

$ 47.00

 

1

125 mL Plastic Wash Bottle

$ 12.00

1

Pipet Bulb

$ 12.00

 

1

110°C Thermometer

$ 25.00

1

50 mL Volumetric Flask

$ 46.00

 

1

Black Sharpie

$ 2.00

1

100 mL Volumetric Flask

$ 45.00

 

1

Combination Lock

$ 10.00

I have all items listed here in my assigned locker *

If you selected no, STOP, do not submit this form. Go to the stockroom and ask for replacements.

BY SUBMITTING BELOW, I UNDERSTAND AND ACCEPT:

That I have thoroughly inspected my locker for both the correct quantity of items listed and that all items in the locker are in good condition. I will agree to and comply with all conditions listed in the Release and Indemnity and Student Acceptance of Financial Responsibility Agreements. I will be charged for any items broken or lost AFTER INITIAL CHECK IN, including damaged or missing items not noticed during initial inspection. Lost or broken items will only be replaced with department approved items through the stockroom. Items purchased from alternative sources is strictly prohibited. In addition to a $50 fee, any persons found replacing items purchased from an alternative source will be charged the full price of the missing or broken items. It is the student’s responsibility to thoroughly inspect the locker.

I must check out on or before the specified day with my IA. If I do not check out on time, I may be subject to a $50 fee and any charges associated with checking out of my locker.