Looking for the Metabolomics Sample Submission form?
UCD Mass Spectrometry Lab
Proteomics Sample Submission Form
Customer Number:
PO Number:
Investigators 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 Name:
Project Description:
Type of Analysis Required:
Sample Preparation
Protease Inhibitor Cocktail
Desalting Column
Methanol/Chloroform Precipitation
Dialysis
Buffer Exchange Column
Differential Centrifugation
No Preparation
Nuclear / Cytoplasmic Extraction
Protein Concentration Determination
Hard Tissue Homogenization / Freeze Fracture
Bradford
2-D Clean-Up Kit
BCA
Concentrator Tube
2-D Quant Kit
Speed Vac
No Preparation
Gel Options
Protein Identification: Sample Preparation
2 Dimensional Gel
11cm
17/18cm
24cm
Other:
Protein in Solution Digest
Protein in Gel Digest
C - 18 Cleanup
IMAC
Precast Gel
Poured Gel
Poured Low Fluorescence Gel
Protein Identification: Mass Spectroscopy
Acrylamide percentage
MALDI Trap
Nano-LC Trap
ESI-TOF
MALDI-TOF
1 Dimensional Gel
Gel Staining Options:
Protein Identification: Mass Spectroscopy
IPG Strips:
pH 3-10 (NL0)
pH 3-6
pH 4-7
pH 5-8
pH 7-10
Coomassie
Sypro Ruby
Pro-Q Diamond
Silver
MALDI Trap
Nano-LC Trap
ESI-TOF
MALDI-TOF
Sample Information
Sample Storage Requirements:
Room Temp:
4 deg.:
-20 deg.:
-80 deg.:
Other:
On Completion:
Dispose of Sample
Save and Return to Requester
Sample Number
Sample Name
Sample Type
Analysis Requested
Comments
Confirm and Send
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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.