Fillable Agilent Bioanalyzer Analysis Request Form - AAC BioAnalyzer Request Form

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Agilent Bioanalyzer Analysis Request Form - AAC BioAnalyzer Request Form

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Science Complex Rm 1401, University of Guelph
488 Gordon Street
Guelph, Ontario, Canada N1G 2W1
Email: genomics@uoguelph.ca
Phone: 519-824-4120 ext. 58357
Fax: 519-767-1656
AAC BioAnalyzer Request Form (07/25/07)
Agilent BioAnalyzer Analysis Request Form
Client Name
Lab Position
Department
Phone
Email
Supervisor
Supervisor Signature (required): _______________________________________
Billing Information GL Coding (26 digits)
Fund (3) Unit (6) Grant (6) Project (6) Object (5)
64251
(Unless otherwise requested, results will be sent to submitter and will be charged to specified account by journal entry)
RNA Description:
No
.
Sample
Name
Tissue/cell
Source*
Isolation Method Approximate
Concentration*
*
Vol.
(µl)
1
2
3
4
5
6
7
8
9
10
11
12
* Please identify if eukaryotic or prokaryotic RNA
**Quantitative range for analysis is 25-500ng/ul for total RNA or 25-250ng/ul for mRNA
Special Requirements:
Lab Use Only:
Rec’d: By: _____________ Date Received: ______________
Delivered By: __________________________________
Run complete: _______Journal entry date:______________
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Agilent Bioanalyzer Analysis Request Form - AAC BioAnalyzer Request Form

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Completed 3 May 2020

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