NMRCENTRE
UNIVERSITY OF GUELPH
c/o Department of Physics
Guelph, Ontario, Canada
N1G 2W1
Fax: (519) 836-9967
Sample Submission Form - Internal
Name: Date:
Supervisor: Phone:
Department: Lab/Office:
Sample
ID(s):
Email:
Special
Handling:
(I.e. toxic, stench, light sensitive, air sensitive, temp. sensitive, etc.)
Billing Information (GL Coding - 26 digits):
Fund (3) Unit (6) Grant (6) Project (6) Object (5)
Structure(s) (Molecular Formula):
Nucleus:
1
H Solvent: Acetone-d
6
Methanol-d
4
13
C Chloroform-d DMSO-d
6
31
P D
2
O Acetonitrile-d
4
Other
(please specify):
Other
(please specify):
Experimental Specifications (I.e. JMOD, COSY, HSQC, etc.)
Results:
Return Sample: Data Storage*:
*Normally electronic data will be removed within one month of work completion!
NMR Centre Use Only
Date received: Date Completed:
Operator: Filename:
Time: Cost:
Yes
No
Yes
No
Email .pdf
Email data
CD/DVD
Pickup
65373