Analytical Instrumentation Center
School of Pharmacy

Mass Spec Sample Submission Form

Samples submitted to our facility should be accompanied by either a printable Sample Submission Form or the Online Submission Form.

Printable/Fillable Submission Forms:
Protein/Polypeptide Sample Submission Form (doc)   |   Small Molecule Sample Submission Form (doc)

Online Small Molecule Sample Submission Form

 

"*" indicates required fields

Client Information

Name*

General Sample Information

Please use "^" to denote superscript numerals and "~" to denote subscript numerals. Example: Barium bromate - dihydrate would be Ba(BrO~3)~2·2H~2O.
Please enter a number from 0 to 100.

For Dry Samples

Units
Solubility

For Wet Samples

Units

Safety Considerations

Please check all conditions that apply to your sample.
Note: No radioactive samples will be accepted for analysis.
Safety considerations

Special Handling Requirements

Special handling requirements

Analytical Information

Samples for MW determination (high-resolution/accurate mass) may be dropped off outside the MS Labs. For all other analyses please contact Cameron or Molly to arrange sample drop off.
Type of analysis
Ionization technique
Spectrum type
Ionization mode
Would you like your results emailed to your?
Structure Submission*