NMRCENTRE
UNIVERSITY OF GUELPH
c/o Department of Phys
ic
s
Guelph, Ontario, Canada N1G 2W1
Fax: (519) 836-9967
Sample Submission Form External
Company:
Date:
Address:
Phone:
Contact
Name:
Email:
Sample
ID(s):
Special
Handling:
(i.e. toxic, stench, light sensitive, air
sensitive, temp. sensitive, etc.)
Purchase Order Number:
Structures / Molecular Formulae: (please
use back of page if necessary)
Experiments:
1D:
1
H
13
C {
1
H decoupled}
13
C JMOD
19
F
31
P
Other experim
ents / details:
Solvent:
Acetone-d
6
Acetonitrile-d
4
Chloroform-d DMSO-d
6
D
2
O Methanol-d
4
Other:
Temperature: Enter “RT” for room temperature: ~20-25 °C. Extra charges may apply for other values.)(
Data Processing/Handling: (please note the NMR Centre makes no guarantees of data backup/retention)
E-mail raw NMR dat
a
E-mail raw N
MR dat
a wit
h processed PDF spectra
** Samples left with the NMR Centre for longer than four weeks will be disposed of as chemical waste.
NMR Centre Use Only
Date receiv
ed:
Completed:
Operator: Filename:
Time: Cost:
Rev 2018.2