UCSD Department of Chemistry and Biochemistry Small Molecule

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Request for HR-MS Sample Analysis
UCSD Chemistry & Biochemistry Mass Spectrometry Facility
NAME:
SUBMISSION
DATE:
PHONE:
E-MAIL ADDRESS:
5-digit/letter SAMPLE ID
CODE
SOLUBILITY: (check all that
apply)
----CH3OH
----THF
----Isopropanol
----Acetone
----Other:
NAME OF PI:
ADVISOR
PHONE:
INDEX NO.:
PROPOSED STRUCTURE & FORMULA, AND
EXACT MASS: (molecular structure is ESSENTIAL,
hand-drawing or cut-and-paste from ChemDraw)
---- CH3CN
---- n-Propanol
---- CH2Cl2
TYPE OF SAMPLE
Predissolved samples are preferred. Refer to MS facility website
for sample preparation guides:
( http://chem-tech.ucsd.edu/Recharges/MassSpec/)
-----NEAT SOLID
----NEAT LIQUID
CONFIDENCE: ----Confident ----Confirmed by ___________
PURITY: -----Fairly pure -----Very Pure
SOLUTION: Dissolved in _____________ at ____mg/ml
PROPOSED FORMULA:
SPECIAL HANDLING: (check all that apply)
----Acid Sensitive
----Light Sensitive
----Heat Sensitive
----Air Sensitive
EXPECTED EXACT MASS:
----Moisture Sensitive
----Toxic
----Biohazards
----Radioisotopes
----OTHER (describe):
ADDITIONAL INFORMATION: (any information that is helpful)
ANALYST’S COMMENTS: (will be filled by MS operator)
-----ESI
-----EI
-----CI
-----FAB (Matrix:
------M
-----M+H
-----M-H
-----M+Na
Theoretical Mass:
ANALYST:
Reference:
-----Other:
Measured Mass:
RUN-NAMES:
)
Error:
ANALYSIS
DATE:
Formula:
HOURS:
CHARGES:
$_______________
Please acknowledge the UCSD Chemistry and Biochemistry Mass Spectrometry Facility in your publications.
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