Looking for the Proteomics Sample Submission form?
Looking for the Proteomics Sample Submission form?
UCD Mass Spectrometry Lab
Metabolomics Sample Submission Form
Customer Number:
PO Number:
Investigator's Information
Business Information
Name:
Business Name & Department:
Title:
Business Address:
Address:
Business Address2:
Address 2:
Business City:
City:
Business State:
State:
Zip:
Business Zip:
Phone:
Business Phone:
Email:
Business Email:
Project Information
Project/Experiment Name:
Project Description:
Type of Analysis Required:
Amino Acid
Fatty Acids
Glucose-Glycerol
Lactate
CO
2
Enrichment
Doubly Labeled Water
Other:
Sample Composition:
Plasma
Urine
Tissue
Other:
is the Sample Light Sensitive?:
Yes
No
is the Sample Heat Sensitive?:
Yes
No
On Completion
Dispose Of Sample
Save and Return the Sample
Additional Comments and Instructions:
Number of Samples:
Number of Replicates:
Sample Information
Sample Storage Requirements:
Room Temp:
4 deg.:
-20 deg.:
-80 deg.:
Other:
Sample Number
Sample Name
Concentration (mg/mL)
Volume (uL)
Sample Preparation
Options
Comments
Confirm and Send
R
E
A
D
By clicking "Send My Order" and submitting this form,
you are agreeing to the following terms:
I understand that experiment results are often dependant upon the sample provided and that the success of an experiment is not apparent until the experiment has been completed.
Regardless of the experiment's outcome, I agree to pay the incurred fees as set forth on the price sheet I have been provided.
I understand that such payment, or confirmation of arrangements for such payment, must be made within 30 days of my receipt of the payment invoice. I also understand that a late fee of 10% of the total invoice will be assessed in the event of payments not received in within 30 days of receipt of the invoice.
