Analysis Order Form - Fillable

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Received:
updated 05/05/2015
Analysis Order Form
Mail samples to:
UC Davis Stable Isotope Facility
Dept. Plant Sciences – Rm 1210 PES
One Shields Avenue
Davis, CA 95616
USA
Phone: 530-752-8100
Fax: 530-752-4361
E-mail: sif@ucdavis.edu
OFFICE USE ONLY
Please include this form with any samples shipped to the Stable Isotope Facility. E-mail a copy to sif@ucdavis.edu
SLog
LProj
LTemp
AdTT:
G#
MS:
Stds:
Run:
Data:
Date:
Invoice:
Principal Investigator:
Researcher Name:
Shipping Address:
City:
IRREPLACEABLE
State:
E-mail:
E-mail:
Phone:
Fax:
Country:
Zip:
Billing Information (the person or department issuing payment):
Billing Contact:
Billing Address:
City:
State:
Name of Institution:
PO Required Before Invoicing?
I intend to pay by:
Check
Billing E-mail:
Billing Phone:
Billing Fax:
Zip:
Country:
Department:
Yes
No - Purchase Order #:
Bank/Wire Transfer (EFT)
Credit Card (DO NOT supply CC info)
Invoices are delivered by e-mail from ekngo@ucdavis.edu. Please check box if you require a hardcopy by mail:
Terms & Conditions: The university, its officers, employees, and agents shall not be accountable for any loss,
expense (including attorneys’ fees), damage, or liability of any kind resulting from or arising out of services provided
hereunder unless caused by negligent or willful acts or omissions by the university, its officers, employees, or agents.
Mail
I have read and accept these
terms (initial here):
Sample information - Please also complete a Sample List, and e-mail a copy to sif@ucdavis.edu
Tray/Project name(s):
Total # Samples:
Analysis Requested – (select one)
Solid Sample Analysis
13C
natural abundance only
15N
natural abundance only
18Oxygen
13C
Enriched only
atom%
15N
Enriched only
atom%
Dual (13C & 15N) Enriched
15N
atom% 15N
Wood (Tree-Ring)
34Sulfur
D/H Hydrogen in solid
18Oxygen
Water Sample Analysis
in solid
D/H &
in water
18O
‰
in water
‰D +
‰18O
NO3 in water, plus bacteria prep –
Select: Select NO3 isotope(s)
13C
in DOC - Freshwater
‰
Dissolved Gas Preparation
Select: Click to select an item
Estimated concentration range
Enrichment
atom%
Preservation method
* Prices are available on our website. Additional charges may apply.
Brief Description of Material:
Notes:
Gas Sample Analysis
15N
‰
D/H Hydrogen in water
Dual (13C & 15N) natural abundance
atom% 13C &/or
Please print a separate Analysis Order Form for each analysis ordered
of N2 gas
Select N2O isotope(s)
of N2O gas
Select N2+N2O isotope(s)
13C
of CO2
gas
Select isotope
of CH4 gas
of N2 & N2O gas
Client Prepared DIC
13
C of DIC, client prepared,
headspace in 12mL Exetainer w/H3PO4
Compound Specific Isotope Analysis
Fatty Acid Methyl Esters
Amino Acids – Select: Click to select
Other CSIA –
Check box if samples are IRREPLACEABLE
(this option will delay analysis)
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