I M an Academic Researcher. How Do I Request Access to the Response Area to Do Research?

I’m an academic researcher. How do I request access to the response area to do research?

Research Request Form

Research requests must be submitted on this form to be considered. Allow 3-5 working days for a response. If you want to make changes to your request, e-mail , and allow an additional 3-5 days for a response.

An additional scientific research and collecting permit is required for most scientific activities conducted within the California State Park System that pertain to natural resources, including, but not limited to, field work, specimen collections, and the collection of data. If you intend to collect specimens, data, and/or produce a written document of your findings, such
as a dissertation, thesis, academic paper, report, or professional publication, a permit
is required. See Scientific Research and Collecting on State Park System Lands, at
http://www.parks.ca.gov/?page_id=21557

This form must be completed fully before your research request can be considered.

First Name:

Last Name:

Title:

Organization:

Email Address:

Contact Number:

Where will the research be done? (Select all that apply.)

On shore O

On water O

Dive operations O

Aerial O

List full names and contact numbers of any other participating staff members. If you are sole researcher input "NA". Use additional sheets if necessary.

Will you provide your own personal protective equipment?

Yes O No O

Will you rely on the Unified Command to decontaminate your equipment?

Yes O No O

Do you have liability coverage through your academic institution?

Yes O No O

Are all your staff HAZWOPER certified?

Yes O No O

List equipment and/or supplies you’ll need from the Unified Command. Or put "None".

Do you expect to be paid by the Unified Command? If so, provide an estimate. If not, put "No".

Describe the vehicles/boats you will use. Include identifying markings, if any.

If your research is approved you will need to provide photo identification.

I understand and I can provide credentials.

I do not have photo ID or credentials.

If your research is approved, you must attend a safety briefing and comply with the site safety plan.

I will comply with the site safety plan and attend a safety briefing.

I won’t comply with the site safety plan or attend a safety briefing.

Give a detailed explanation of the research you wish to do.

What date(s) will you be on site and at what time of day?

Proposed 1st day on scene:

Proposed last day on scene:

When do you expect your research project to be complete?

How do you expect to use your research?

What is your thesis and/or the proposed outcome of your research? Please be as detailed as possible.

Encl 2012: Research Request 1 of 3 Region IX, Regional Contingency Plan 2014