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Green Labs Certification Survey:

Tell us a little about your lab so we may better assist you during your Certification process. By completing this survey, you will receive credit for item E-6 on the Certification Form.

Name

Email Address

What is your position in the lab?

Undergraduate
Graduate Student
Post-doc
Research Associate
Lab Manager
Lab Specialist
Principle Investigator
Other

Principle Investigator or Lab Supervisor's Name

Department

Lab Location (building and room number)

Cold storage inventory: How many cold storage units (refrigerators and freezers) are in your lab and what are their temperature set-points?

Select the kinds of materials being stored in freezers in your lab (-20 to -90C).

DNA
cDNA
RNA
Proteins
Enzymes
Lysates
Bacteria
Competent Cells
Yeast or Fungi
Viruses
Physiological fluids (blood, urine, fecal, saliva samples)
Swabs
Plant tissue
Preserved animal tissue samples / animal specimens
Dried tissues / extracts
Aqueous / buffer suspensions
Glycerol suspensions
Reagents / Extraction kits
Chemicals / Flammables
Other

How many chemical fume hoods are in your lab and how would you describe use frequency of each (rarely, occasionally, frequently used)?

Please select the category of the most frequently discarded (not recycled) material utilized in your lab space.

Lab gloves (nitrile or latex)
Hard plastics / plastic film
Cardboard
Mixed paper
E-waste
Non-municipal Hazardous waste via UVA Environmental Health & Safety Office (434.982.4911)
Glass
Animal care waste (i.e. bedding, food)
Expanded polystyrene ("styrofoam)
Other

Do you consider the environmental impact of your lab operations?

Yes
No
Occasionally