Fillable Submission Form High Res LC-MS MW 2018 Request for High Res LC Mass Spectrometry Analysis

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Submission Form High Res LC-MS MW 2018 Request for High Res LC Mass Spectrometry Analysis

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Mass Spectrometry Facility
Advanced Analysis Centre
Science Complex Rm. 1205
Tel. 519-824-4120 ext. 58649
dbrewer@uoguelph.ca
Request for High Res LC Mass Spectrometry Analysis
Date Submitted:
E-mail:
Submitted By:
Phone Number:
Post-doc
PhD
MSc
UnderG
Tech
Faculty
Other
Supervisor:
Department:
Please indicate if you want the rest of your sample returned
Sample Code: Please use separate sheet or
reverse if space is not enough
Number of Samples:
Molecular Weight Range to Acquire:
Molecular Formula:
Approximate Concentration:
Ionization Polarity: Pos Neg
LC-column:
Poroshell C18
BioMap peptide
Other:
For price information please visit https://www.uoguelph.ca/aac/facility/mass-spectrometry
I approve payment for this work within a 10% variance of estimated amount quoted at
https://www.uoguelph.ca/aac/facility/mass-spectrometry and I authorize the Mass Spectrometry Facility and
CBS Clerical Unit Staff to charge my
Trust Fund# _____________ - _____________ - _____________ - ______________ - ____64251____
Please provide full coding
Signature: ______________________________________________________________
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Submission Form High Res LC-MS MW 2018 Request for High Res LC Mass Spectrometry Analysis

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Completed 28 March 2020

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