Summerlee Science Complex Rm 1401,
University of Guelph
488 Gordon Street
Guelph, Ontario, Canada N1G 2W1
Phone: 519-824-4120 ext. 58357
Fax: 519-767-1656
Email: genomics@uoguelph.ca
Website: https://www.uoguelph.ca/aac/
facilities/genomics
Real Time PCR Request Form
Client Name Lab Position
Email Phone
Department Supervisor
Supervisor Signature (required): _____________________________
Billing Information GL Coding (26 digits)
Fund (3) Unit (6) Grant (6) Project (6) Object (5)
64251
RNA Description:
No. Sample
Name
Tissue/cell
Source*
Conc. Vol.
(µl)
No. Sample
Name
Tissue/cell
Source*
Conc. Vol.
(µl)
1 7
2 8
3 9
4 10
5 11
6 12
RNA samples must be free of genomics DNA contamination.
Please identify which sample should be used as the Calibrator:________________________
Perfor
m No Amplification controls? Yes ( ) or No ( )
(
Determines presence of DNA contamination of RNA sample)
Information of Target and Endogenous control Primer:
Gene
Name
Primer Sequence Tm Concentration Endogenous
gene ?
click to sign
signature
click to edit
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Gene
Name
Primer Sequence Tm Concentration Endogenous
gene ?
Special Requirements: ____
___________________________________________________________________
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