Sample Form Submit

Submit By *: Email *: Date *: Organization *: Tel *: Fax: Address *: PO# :

Sample Files:
Sample Toxicity Level: Highly ToxicityToxicitySafe
Sample Quantity:
For Solid (>50ug): mg
Suitable Solvent: H2OMeOHCHCL3AcetoneDMSO
For Liquid (>50ul at conc.~100ug/ml or higher):
concentration: mg/ml Volume:mlDissolved in: Possible Cation(K+,Na+,etc.):
Analysis Request：ElectrosprayLCMSMAIDI-TOF
Scan Mode Required: PositiveNegativeBoth
Other Request(optional)

Control ID : File Name : Solvent Used ：Print and SIGN the generated PDF and ship with your samples.

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