ࡱ> JLI &bjbj 00bP>aa8MD*r T)))))))E,.)QJ"JJ)aaM*JRa88)J)rB(T)Ph^()c*0*(z//))/2)>,?$c))*JJJJ/ ': San Jose State University Institutional Animal Care and Use Committee Abbreviated Protocol for the Use of Non-living Animal Tissues Type and return completed form to University Animal Care at extended zip 0100. Upon submission, attach copies of any necessary permits or IACUC approval notices if you are completing section 3. 1. Principal Investigator:  FORMTEXT       Department:  FORMTEXT       Co-Investigator:  FORMTEXT       Phone:  FORMTEXT       Email:  FORMTEXT       Project Title:  FORMTEXT       2. Species from which tissues are obtained:  FORMTEXT       Description of tissues (i.e., blood, brain, feathers):  FORMTEXT       Indicate the volume or quantity of tissues to be used for project:  FORMTEXT       3. From what source were the tissues obtained? (e.g., slaughterhouse, research facility, park) Name and Location: FORMTEXT       If samples are obtained from another research institution, complete Section 3: P.I. & phone with above Institution: FORMTEXT       IACUC Approved Protocol #: FORMTEXT       Sample collection dates: FORMTEXT       4. Purpose of study and procedures to be conducted with samples:  FORMTEXT       Location and Personnel to conduct procedures:  FORMTEXT       How and where will the samples be disposed of:  FORMCHECKBOX  Red GIU^K L N Q Z g h i j t u   & ( * , @ B D N P R p ɺɮɴɮxhxXxThvjhNzCJUmHnHujthNzhZCJUjhNzCJU hvCJjhz^hZCJUhz^hNzCJjhz^hNzCJU hCJ hNzCJ heqCJh#5CJ\ h#CJ h#CJ h#5 h]qxCJ h#CJ h#CJ h#CJ$jh#UmHnHu GHIK L R  T z 4 NdhgdNzdhd`h dh]gdz^dh$a$#$d%d&d'dNOPQ$a$ $&dPa$p r t v  , . 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I certify that the above information is complete and accurate, and hereby assure the SJSU IACUC that live animals have and will not be directly handled, sampled or purchased to support the scientific objectives as described herein. Signature of Principal Investigator:_____________________________ Date:  FORMTEXT       7. 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