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Sample Submission Form
Contact Information:
Name
Email
Department ( and address if of campus)
PI
Grant/Funding No.
Sample Information
Sample Information
Sample Name and Type
Sample Name and Type
Physical State (Lyophilized powder or Solution)*
Sample Name and Type
Concentration and Volume
Sample Name and Type
Number of samples
Sample Name and Type
Expected m/z or Molecular Weight:
Sample Name and Type
*If the samples are in powder form, please indicate the solubility and purity. When in solution, list all components (buffer, salt, detergents) and their corresponding concentrations.
Molecular Formula/Structure/Sequence (attach file below)
Drop files or click here to upload
Specify any modification
Required Sample Processing
Desalting
Protein Digestion
Hazardous Sample?
Yes
No
If yes, please state the nature of the hazard.
Preferred Storage
Indicate any special handling requirements
Type of Analysis
Molecular Weight Determination
Peptide Fingerprinting
PSD
Ionization Mode
Pos(+)
Neg(-)
Mass range of Interest
Do you want your sample back after analysis?
No
Yes
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