Genomics Core Facility
Sample DNA/RNA Form
The Wistar Institute
Louise Showe
Date:
lshowe@wistar.org
Room 372E OVQ
380 S. University Avenue
Philadelphia PA 19104
215-898-3902
Wistar_____ External_____ Adjunct_____
Name (P.I. and Sample Provider):
Address:
City, State, Zip Code:
Email:
Billing Information:
Contact:
Address:
Email:
Grant/PO number:
Phone:
Phone:
Please answer the following questions and provide the specified documents listed below:
Note: Please also provide all information clearly on the DNA/RNA sample tubes.
1. Species of isolated DNA/RNA 2. Number of samples 3. Stored at 4. RNA Sample (check one) ___Total RNA
___DNAse treated Total RNA
5. Concentration of DNA/RNA (ng/ul, pg/ul) Total volume (ul) 6. Please provide a gel image of all DNA/RNA samples
7. One Paragraph summary of Project
8. Comments/Specific Instructions:
Please contact Bioinformatics Facility (bioinfo@wistar.org) for data analysis