High Field NMR Spectrometers Service Request Form

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High Field NMR Spectrometers Service Request Form

This form is to be used only if you want to submit a sample to be run by a technician. If you are an authorized instrument operator, please use the Scheduling Request form for the appropriate instrument to reserve time on the spectrometer. Please contact a member of the NMR staff for help in sample preparation or in deciding what data to request.

Submission Date:

Month Date Year

Applicant:

Your e-mail Address:

First name: Last name:

Organization/Institute/Company:

Please enter the billing address that you'd like us to use for your NMR service.

Street Address:

City/Town: State/Province: (if within USA or Canada) Zip Code:

Country: Phone (Day Time):(Note: You will only be called for order-related issues.)

Research Director:

First name: Last name:

Account#/PO#:

Nuclei to be observed and decoupled:

¹H¹³C{¹H}³¹P³¹P{¹H}Other nuclei (Specify)

Temperature (°C):

Specify:

Sample Tube Diameter (mm):

Sample Identification:

This identification must appear on the submitted sample and will appear on all spectra and be contained in all machine readable data files (Please use alphanumerics only with no subscripts or superscripts.)

Ordinarily a well documented 300 MHz spectrum is required before a sample will be considered as a service sample on the high field spectrometers.

In certain cases this requirement may be waived by the instrument manager. If you are not submitting a 300 MHz spectrum give as much information as possible about your sample that will help the instrument operator to get the data you want, e.g. structure, concentration, molecular weight, etc.

Additional Information

of the Sample:
e.g. structure, concentration, molecular weight, etc.

Do you want to present when this sample is run? Yes No

If yes, give any applicable scheduling restrictions. Please make as few restrictions as possible. If your time cannot be scheduled under restrictions given below, you will be called at the number given above; if you are not available to discuss scheduling, this request will be returned to you at the address given above. You may then resubmit it for later scheduling, if you wish. Your time may be scheduled at any time not specifically excluded below. You may give preferences for time of day to start the time block.

Time and Date Convenience to Your Presence:

Are there any unusual safety hazards associated with this sample? Yes No (Specify if yes)

Radioactive samples are not used in NMR labs.

If you need to submit multiple samples, please press the button and change any information from the previous sample data.

Submit the new information again by pressing the submit button.

Chemistry Department Home

Athena Webster
Copyright © 2001 [University of Utah]. All rights reserved.
Revised: August 21, 2001.