For X-ray use only - School of Chemistry, University of Leeds

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X-Ray Diffraction Facility
Room G31
School of Chemistry
University of Leeds
0113 34 36536
www.chem.leeds.ac.uk/school/facilities/x-ray
Dr. Helena J. Shepherd
Room G61f
School of Chemistry
University of Leeds
0113 34 33556
h.j.shepherd@leeds.ac.uk
Sample Submission Form
Please complete the following and submit this form and the labelled sample to Helena Shepherd
Your Name
e-mail
Sample Code
Account Number
Lab./Office No.
Is the sample air sensitive?
Submission Date
Telephone
Solvent dependant?
Hazards of the Sample
Expected Structure, solvents of crystallisation etc
Other details e.g. porosity, phase transitions, unusual properties etc
Supervisor
name & signature
X-ray facility signature
For X-ray use only
Date Received
Date collected
Temperature (K)
Dataset No.
Notes
Sent cif?
Sent tables?
Archived?
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