Request No: PUR_______ UCSF Monoclonal Antibody Core Antibody Purification Request Form Today’s Date: Principle Investigator: Department: Contact Name: Contact Phone Number: Contact Email: Hybridoma Name: Ab Specificity: Species: Isotype: Volume to be Purified: Supernatant Source: Antibody will be used: Tissue Culture In vivo Celline (Bioreactor) In vitro Functional Desired final concentration (if any): FACS Ascites ELISA mg/mL Note: Ab will be provided sterile in PBS with NO azide Any other special requirements or requests? Protein Column Used: Supe Source: Run Date: Total Volume: Total No. Runs: Total mg’s Purified: UCSF Monoclonal Antibody Core, S-1126, 415-476-4558 Other