Sample Submission Forms
Sample Submission Forms
Sample Submission Forms
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
DIGESTION/SEPARATION<br />
HARVARD MICROCHEMISTRY FACILITY<br />
SAMPLE NAME: __________________________________<br />
(This should match tube)<br />
YOUR NAME: ____________________________________<br />
DATE SUBMITTED: ___________________________<br />
PHONE(s): ___________________________<br />
FAX: ___________________________<br />
‣ Billing and <strong>Sample</strong> Information Must Be Completed Before <strong>Submission</strong> Of The <strong>Sample</strong>. Please Do Not Leave Any<br />
Information Blank. Indicate estimated values with a tilde (~) or a range (e.g. 5Kd - 15Kd or ~80 µl). <strong>Sample</strong>s should be<br />
provided salt, buffer and detergent free. Any other conditions should be discussed before submitting sample.<br />
Billing Information:<br />
PRINCIPAL INVESTIGATOR:<br />
Instititution:<br />
Billing Address:<br />
Purchasing Agent Phone #:<br />
Harvard/Affiliate's 33-digit Account #: _ _ _ - _ _ _ _ _ - _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ _ _ - _ _ _ _ - _ _ _ _ _<br />
Non-Harvard User's P.O. Number:<br />
MOLECULAR WEIGHT: kD ESTIMATED WEIGHT: µg<br />
VOLUME: µl % ACRYLAMIDE:__ BUFFER: ESTIMATED AMOUNT: pmol<br />
ORGANISM, TISSUE SOURCE:<br />
ESTIMATE METHOD:<br />
PVDF: NC: Gel*: * Solution: TOTAL SURFACE AREA: mm²<br />
*If sample is in gel, what stain was used ____CBB____silver stain____copper stain____sypro red. Brand ____________<br />
‣ Please comment on the purpose of the analysis and review any special instructions. N.B. In the absence of any<br />
instructions below this sample will be digested with trypsin or lysylendopeptidase and peptides separated by microbore<br />
HPLC.<br />
‣ Radiolabelled samples are restricted to less than 2000 DPM of 3 H or 14 C. Such samples will not be accepted without<br />
prior clearance with the facility, proper yellow radiolabel tape, on the tube and a printout of the measured DPM.<br />
(For Lab Use Only)<br />
Observed Staining __________ Other Noted Characteristics __________________________________________________<br />
<strong>Sample</strong> Volume or Surface Area Used ___________µl mm²<br />
Percent of Original <strong>Sample</strong> Used __________%<br />
Digestion Volume ________µl Buffer __________________ Enzyme ____________ E/S Ratio ________<br />
Alkylation _________________ Digestion Time __________h<br />
Ready Volume ______µl Ready Date ____________<br />
William S. Lane 16 Divinity Avenue Cambridge MA 02138 (617) 495-4043 FAX (617) 495-1374<br />
(5/20/2003 Digestion Separation Form.doc)