| Manitoba Chemical Analysis
Laboratory (MCAL) |
| Room 318, Dept. Chemistry
Phone: 204-474-6110 |
| U of
Manitoba, Wpg. R3T 2N2 |
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E-mail: tom.ward@ad.umanitoba.ca |
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| Instrument Use / Analysis Request Form |
Date: |
Submitted: |
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Analysed: |
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| Name: |
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Room / Phone: |
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| Address / Dept: |
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Grant / PO#: |
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| Researcher: |
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FOAP# |
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| Sample(s)
ID: |
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Lab. Sample # (s): |
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| Sample formula: |
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Structure: |
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Mol. Wt. |
Conc: |
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| Notes
/ special instructions / solvent / toxicity: |
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| Instrument |
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Cost |
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Cost. |
Total |
| Samples |
per sample |
Hours |
per hour |
cost |
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| GC |
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| MS (probe) |
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| GC-MS |
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| ICP-OES |
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| LC |
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| LC-MS |
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| MS-ESI |
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| Spec-UV-VIS |
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| Spec-Fluor |
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| Electrophoresis |
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| ESI |
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PST: |
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| Analyst: |
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GST |
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Total Cost: |
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| Comments: |
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