W.M. Keck Biotech at Yale - Order form: Protein Sequencing

W.M. Keck Foundation Biotechnology Resource Laboratory at Yale University

Protein Sequencing Sample Submission Form

(Radioactive Samples Will Not Be Accepted Without Prior Approval of Kathy Stone)

Name: Date:
Department: P.I.:
Yale Cancer Center Member? (Circle one):    YES         NO Telephone:
Institution: FAX:
Shipping Address:

 

(City, State, Zip):

 Billing Address (Required):

 

(City, State, Zip):
Email: Charge No:

(If HHMI enter HHMI and HHMI cost center number, otherwise enter Yale charge number, purchase order number or PHS record of call.)

Description of Samples

'Sample #mple Sample

11

2

3

4

'Sample Name Sa ' '

'

 '
Biological Source (if appropriate) ' ' ' '
Estimated Total Amount (µg) ' ' ' '
Estimated Total Amount (picomole) ' ' ' '
Total Volume (µl) ' ' ' '
Monomer Mass (Da) ' ' ' '
Form (PVDF, solution or dry) ' ' ' '
Radioactive? ' '

'

 '
Isotope/cpm ' ' ' '
Biohazard? (If yes, explain below) '' ' ' '

Requested Services (check all services requested on each sample)

Amino Acid Sequencing ' ' ' '

Number Cycles

 ' '' '' '


To indicate whether the sample should be recorded in positive or negative ion mode, please indicate the proposed structure or compound type for each sample:
















If samples are submitted in solution please give the solvent/buffer - use a separate form if different samples are in different solvents.

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If samples are submitted dry please give the method of precipitation or the volume/composition of the buffer/solvent that was dried:

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