Structural info: Phone: Storage Conditions: E mail: Sample Type: Other Analysis Please circle as appropriate: Technique Details Comments Temp °C Concentration g/100ml Solvent: Optical Rotation* ▼ Please supply a minimum of 500mg per analysis Sulphated Ash▼ *Please note the default running conditions for Optical Rotation are 25°C, 1 g/100ml in Methanol where customer has not specified specific conditions. If type of analysis required is not listed below please complete the Please circle analyses required. box indicated “other”. Conditions required e.g. specific Technique Type Of Analysis Comments solvent requirements EI/CI ESI MALDI-TOF High Mass Spec♦ Resolution Accurate Mass 1H 13C 31P 14N 19F 11B NMR♦ 29Si TGA♦ DSC♦ GC IC HPLC Chromatography♦ IR♦ Other MSDS Enclosed Y/N Please list any other important safety considerations or physical properties of your sample that will require special treatment Structural Information: Please include any important structural info if known or molecular formulae Office Use Only EAI ID Comments Received No. of Booked Checked techniques: in by: by: Report Signed: Checked: Date:
Structural info: Phone: Storage Conditions: E mail: Sample Type: Other Analysis Please circle as appropriate: Technique Details Comments Optical Rotation* ▼ Temp °C Concentration g/100ml Solvent: Sulphated Ash▼ Please supply a minimum of 500mg per analysis *Please note the default running conditions for Optical Rotation are 25°C, 1 g/100ml in Methanol where customer has not specified specific conditions. If type of analysis required is not listed below please complete the box indicated “other”. Please circle analyses required. Technique Type Of Analysis Conditions required e.g. specific solvent requirements Comments Mass Spec♦ EI/CI ESI MALDI-TOF High Resolution Accurate Mass NMR♦ 1H 13C 31P 14N 19F 11B 29Si TGA♦ DSC♦ Chromatography♦ GC IC HPLC IR♦ Other MSDS Enclosed Y/N Please list any other important safety considerations or physical properties of your sample that will require special treatment Structural Information: Please include any important structural info if known or molecular formulae Office Use Only EAI ID Comments Received No. of techniques: Booked in by: Checked by: Report Signed: Checked: Date:
WF004v12_Data_Form.docx