Contact: Email: shead@scripps.edu or philo@scripps.edu
Phone: (858)784-9941 or 2263, ask for John, Jessica, Steve or Phil.
TSRI Next
Generation
Sequencing
Facility – Sample
Submission Form
Send samples to:
OR
Attn: John Shimashita
3215 Merryfield Row. MEM-250
San Diego, CA 92121
Drop at:
nd
250 MEM. (2 floor)
http://www.scripps.edu/california/research/ngs/MEMmap.pdf
Sample submission date:______________
Researcher Name:
P.I. name:
Email contact:
Phone no.:
(TSRI customers only)
Admin. Email:
Scripps Acct.#:
Add
(non-TSRI customers)
Institution/Company name:
P.O. number:
Sample Type:
DNA:
__ gDNA
__ Plasmid
__ Cosmid/Fosmid
__ cDNA
__ BAC
__PCR product
__ Other (explain):_____________________________________________________________
RNA:
__ total RNA
__ polyA RNA
__Other (explain):________________________________
Sample Buffer: ____________ Have Samples Been Purified? _____ YES
_____NO
Method used: ___________________________________________
Sequencing Type:
HiSeq2000
__Single Read: __1X100
MiSeq
__2 X75
__Paired-End: __2X100
__2X300
__Other (explain):_________________________________________________________________________________________________
Type of sample you are working with (species)?: _______________________________________________
Sample Information: Please fill out the following table with appropriate information:
Sample Archive Disclaimer: If you would like to archive your sample(s) and/or prepped library(s), please pick them up from the facility. We do not retain
samples after 6 months from run completion.
Sample Name
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5
Sample 6
Sample 7
Sample 8
Sample 9
Sample 10
Sample 11
Sample 12
Sample 13
Sample 14
Sample 15
Sample 16
Sample 17
Sample 18
Sample 19
Sample 20
Sample 21
Sample 22
Sample 23
Sample 24
Sample
concentration
Volume
Comments