Date: ___________________________________________________
Requestor: ___________________________________________________
P.I.: ________________________________________________________
Dept: _______________________________________________________
Phone: (_____)_________________ Fax: (_____)____________________
Recharge #: __________________________________________________
Sample: _____________________________________________________
Sample Description:
| synthetic peptide | _______ |
| synthetic DNA oligomer | _______ |
| other (describe) | _______ |
| concentration (pmol/µl) | _________________ |
| expected # of components | _________________ |
| approx. Mol wts | _________________ |
| sample buffer/solvents | _________________ |
_________________________________________________________
_________________________________________________________
| Send request to: Beckman Center B065 SUMC Palo Alto, CA 94304 |