Single Crystal Submission Form

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The YSU-S&CIF X-Ray Facility, Ward Beecher Science Hall, Room 5026, (330) 941-7105
Single Crystal Submission Form
Please carefully fill in all the fields and include a printout with your labeled sample.
For easy archiving please also send a copy of this word document to mzeller@cc.ysu.edu
Sample Code:
Date:
Submitting Person:
e-mail:
Research Group:
e-mail:
YSU Room # or
Non YSU Address
Phone:
Air Sensitive?
Moisture Sensitive?
Radiation Sensitive?
Temp. Sensitive?
Cryst. Solvents:
Solvent Loss Possible?
Exp. Molec. Formula:
Exp. Moiety Formula:
Purity (%) or
Other Charac.
Elemental Anlaysis:
Methods:
Microsoft Word Summary and Ortep plots required (upon request only)?
Chemdraw Sketch of Synthetic Procedure (include all reagents and solvents used):
Chemdraw Sketch of Proposed Structure
(3D drawing of expected isomer for chiral compounds):
Other Notes:
Copies of this form can be downloaded at
http://www.as.ysu.edu/chem/scic/SingleCrystalSubmissionForm.doc,
http://www.as.ysu.edu/chem/scic/YSU-Users.html, or http://www.as.ysu.edu/chem/scic/Contact.html
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