Sun, Nov 22, 2009	Design & Construction Space Request Requester Name (First & Last Name) Requester's Email Resolve Email Director's Name (First & Last Name) Dean-Vice Chancellor (First & Last Name) Department Phone Mail Slot Reason(s) for the need of space: Healthcare Inpatient Healthcare Outpatient Education Research Administrative Residence The need is: Temporary Permanent Type of Location: New Space Existing If exisiting space: (Complete only if you selected Existing for the type of location) Building Name Floor Room ----- Select Building from list ----- Admin West Building Adult Psychiatry Clinic Arkansas BioVentures Barton Research Behavior Medical Sciences Biomedical Research Center I Biomedical Research Center II Book Store Central Building Chenal AM. Surgery CHRP Building 2 CHRP Building 3 CHRP Building 4 CHRP Building 4A CHRP Building 5 CHRP Building 5A CHRP Building 6A College of Public Health Community Women`s Clinic Computing Services Cottage 3 Building CT - PET Trailer Distribution Center E Wing Educational Building South Educational II Family & Preventive Medicine Freeway Medical Tower Hospital I. Dodd Wilson Education Building Institute on Aging Jones Eye Institute Magnetic Resonance Imaging Medicaid (OB) Trailer Mediplex Apartments Otolaryngology Clinic Outpatient Care Center Outpatient Diagnostic Center Parking Deck 1 Parking Deck 2 Parking Deck 3 Parking Lots (UAMS Campus) PET Building PET Trailer Physical Plant Power Plant Psychiatric Research Institute Radiology/Oncology Building (CARTI) Rental Housing Residence Hall (Admin Bldg) Residence Hall (North Bldg) Residence Hall (South Bldg) Rockefeller Cancer Institute Shorey Stephens Spine and Neuroscience Inst Substance Abuse Treatment Center (SATC) Trailer 1 Trailer 2 Trailer 3 Trailer 4 Trailer 5 Trailer 6 Trailer 7 UAMS NW Arkansas East Tower UAMS NW Arkansas Parking Deck UAMS NW Arkansas Student Activities Buil UAMS NW Arkansas West Tower UAMS NW Construction Building UAMS NW IT Building Victory Bldg West Central Energy Plant Westmark x-(New Building Not Found in List)-x Is this space currently occupied? Yes No Dept / Division currently occupying this space: Please give a description and justification for the need of space: (example: Number of offices, laboratories, classrooms, conference room, etc.) Errors Found! Please correct errors indicated in RED and resubmit.

University of Arkansas for Medical Sciences
Design & Construction, Slot 605
Physical Plant Building, First Floor, Room # M1/400
4301 W. Markham St., Little Rock, AR 72205

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