UNIVERSITE DE GENEVE Faculty of Sciences, SMS Plateform, Sciences Mass Spectrometry Dr. Sophie Michalet, Tel : 022 379 63 37 [email protected] http://www.unige.ch/sciences/sms/index_en.html MASS SPECTROMETRY ANALYSIS request form Molecular structure Sample origin Name : Surname : Company : Tel : Email : Dispatch date : Receipt date : Sample name : Elementary formula : Solubility : CH2Cl2 Comments on solubility : Molecular weight : CH3CN MeOH Acetone CHCl3 Water Way of purification : Storage : Buffer composition : Buffer concentration : Salts composition : Salts concentration : The sample doesn’t contain neither strong acid/base nor radioactive constituent : Toxicity : Comments : Signature :
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