ࡱ> OQNc 1bjbj *6ObObnPJ6 6 8N<<-0$`|@1-3-3-3-3-3-3-$/1W-Qv"W--"""^81-"1-""r]+T9,lj+--0-+z2Y29,29,>Z,"$W-W-!-26 B x: San Jose State University Institutional Animal Care and Use Committee Abbreviated Protocol for Observational Animal Studies Type and return the completed form to the IACUC Coordinator, University Animal Care, campus zip 0100. 1. Principal Investigator:  FORMTEXT       Department:  FORMTEXT       Co-Investigator:  FORMTEXT       phone:  FORMTEXT       email:  FORMTEXT       Project Title:  FORMTEXT       2. Common name of animal(s) to be observed: FORMTEXT       Genus and Species:  FORMTEXT       (Attach list if multiple animals) Are any animals considered a species of concern, threatened or endangered?  FORMTEXT       3. List all localities where the observations will be made (note if public or private):  FORMTEXT       Briefly describe methods and equipment used to monitor study areas:  FORMTEXT       Is permission required to deploy monitoring equipment in or access study areas?  FORMTEXT       Permitting Agency Permit Holder Permit Reference # Period Valid  4. List all personnel involved, their affiliation, and role in project:  FORMTEXT       Requested IACUC Approval Period (3-year max):GHT]~        & ( * , @ B D N P R p r t 溴溪洄溪tplhhZh}hOjthh}CJU hOCJjhCJUmHnHujhh}CJUjhCJU hCJ hZCJh}5CJ\ h'CJ h}CJ h}5 huCJ h}CJ h}CJ h}CJ$jh}UmHnHu&GH~R " h T 2dhgd3Bd hd^hgd3Bdhgd"dh LL]L^Lgd'$a$#$d%d&d'dNOPQ$a$ $&dPa$t v     " @ B V X Z d f h ֭l`h"h">*CJaJ(jhh"CJUaJmHnHu#jDhhTCJUaJhh"CJaJjhh"CJUaJh"h"CJaJjh}Uj\h}UhZh2h}jhUmHnHujh}UhjhU%h l   2 4 6 @ B D v , . B D F P R T X ۫۠񑍑zl^hh}5CJ\aJjhUmHnHujh}UjhUhh}h3Bh}B*phh3BhB*phj.hh}CJUjhCJUmHnHujhh}CJU hCJjhCJU h3BCJ h}CJh}5CJ\ X ^    "$.02>øÑÉzrncrUrJFhhh3BCJaJjh3BUmHnHujh3BUh3Bjh3BU h3Bh3BhCJaJhCJaJ(jhhCJUaJmHnHu#jhh}CJUaJhhCJaJjhhCJUaJhZCJaJh3Bh3BB*phh{<_B*phh3BCJaJhh}CJaJdxPXh$FHptvDzDzDzǫp`jhCJUmHnHujhh}CJU hCJjhCJU h8CJ h}CJ h0CJh}5CJ\ h8h h)eh{~CJOJPJQJaJh8h{~hh5jhUmHnHujh}UjhUhhh[%$$b&`#$/Ifa$gd)egd{~hd^h`gd{~?,,,$$b&`#$/Ifa$gd)ekdx$$Ifl\: DN$W x x b t 6`b0644 lap(yt)e,kdG$$Ifl\: DN$W x x b t 6`b0644 lap(yt)e$$b&`#$/Ifa$gd)e,$dgd8kd$$Ifl\: DN$W x x b t 6`b0644 lap(yt)e$$b&`#$/Ifa$gd)e^*J.L./|/0t0x0000000000T1V1d^`gd3BdhdXgdu 0d]0gd[h^h h^h` >d]>gd3Bdgd******(***.*6*8*L*N*P*Z*\*^*b*****++H+Z++,--H.L.....ܿwjhuUhu hCJ hOCJ h'CJh[h}>*CJ hoCJ h}CJh}5CJ\jh.Uhjh.UmHnHuj[h.Ujh.UU h.5\ h5\h3Bh.h}+  FORMTEXT       to  FORMTEXT       5. I hereby assure the IACUC the above information is complete and accurate, and that no animal will be handled or disturbed to support the scientific objectives herein. I recognize that it is my responsibility to halt observations and promptly notify the SJSU IACUC if activities described herein adversely impacts animal welfare or behavior. Where applicable, all animal work shall be conducted in accord with all necessary permits and will not commence until all necessary permits are approved. Signature of Principal Investigator:____________________________ Date:  FORMTEXT       6. SJSU IACUC Approval _______________________ ______________________ ________________ Chairperson Signature Date     #_________________ IACUC USE ONLY ../ / //>/t/z/|/000020t0v0x000000000000V1X1Z1^1l1t111111111ȿڹڍډډڭ~ڍ h}>* h{~CJh{~hjhUh3Bh}5>*CJ\ h3B>*CJ h}CJ h}CJ h}CJhu5CJ\h.5CJ\h}5CJ\h}jhuUmHnHujhuUjG h}U)V1X1Z111111d^`gd3B(/ =!"#$% tDText1tDText2tDText3tDText4tDText5vDText16tDText6tDText7tDText8vDText12vDText10vDText10$$If!vh#v #v #v :V l t 6`b065W 5x 5b p(yt)e$$If!vh#v #v #v :V l t 6`b065W 5x 5b p(yt)e$$If!vh#v #v #v :V l t 6`b065W 5x 5b p(yt)evDText11vDText18vDText19vDText15s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 Normal_HmH sH tH >@>  Heading 1$dh@&CJF@F  Heading 2$hd@&^hCJDA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 0>@0 Title$a$58B@8 Body Text$a$CJ4@4 Header  !4 "4 Footer  !<P@2< Body Text 2dhCJC {~ Table Grid7:V0CJOJPJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< I IL 6 OOOOORt h X .1 V11 '39LX^iu{ ,2#)u &-9? FFFFFFFFFFFFFFFF@ @H 0(  (  P   "? B S  ? $tText1Text2Text3Text4Text5Text16Text6Text7Text8Text12Text10Text11Text18Text19Text15&Kh .  :_|3*'@ kkkk    9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType npqstvwyz acnpqstvwyz 33HH]]%&:;JK_aah|~ 3*@6LLNNRmnpqstvwyz HH%;Jaa~6LLNNmnnpqqstvwyz OY<:`Yj_*~  Un;hh^h`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.OYj_*` U                           32OO=q [3B'ovp!<(.?02NG7b;$BH HrJ[{<_Kx .k7DocumentSummaryInformation8FCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q