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Analytical Services Submission Form
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Our compound recertification service includes a comprehensive Certificate of Analysis and all supporting documentation prepared under GLP conditions. Standard certification includes HPLC Purity Analysis, Mass Spectrometry Analysis, and NMR Analysis.
Minimum 5 mg of compound required unless prior arrangements have been made.
Please complete this form, print the confirmation page and include with your sample.
Name (*)
Required Field
Company (*)
Required Field
Email (*)
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Phone (*)
Required Field
Fax
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Purchase Order #
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Date Needed
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Sample ID(s) (*)
Required Field
Multiple sample IDs can be included on the same submission as long as all the information below is the same.
Controlled Substance (*)
No
Yes
Required Field
If yes, DEA Registration Number
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Send Certificate of Analysis via (*)
Email PDF file
Fax
Mail
Required Field
Service Level (*)
Same-Day $1,400 (Sample must be received by 11 am)
2-3 Business Days $995
Required Field
NMR Solvent (*)
Please Select...
Not Applicable
CDCl3
D2O
Acetone-d6
Methanol-d4
Toluene-d8
DMSO-d6
CD3CN
CD2Cl2
Required Field
Return NMR Sample (with solvent in sealed ampoule) (*)
No
Yes ($25 charge plus actual return shipping cost)
Required Field
Add-on Services
13
C NMR
Karl Fischer
Karl Fischer with duplicate run (additional sample required)
Optical Rotation
Elemental Analysis (not available with same-day service)
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See pricing and minimum sample quantities.
Hazardous (*)
No
Yes (please specify)
Required Field
No Radioactive and/or Bio-Hazardous Samples
Hazardous Properties
Toxic
Flammable
Carcinogen
Skin Irritant
Explosive
Other (please specify in comments)
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SpecialHandling
Store in -30C Freezer
Store in Refrigerator
Air Sensitive
Light Sensitive
Stench
Acid Sensitive
Decompose in Solution
Other (please specify in comments)
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Comments
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Enter the Text Below
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Please print the confirmation page after submitting and include with your sample.
By accepting this analytical services request, I agree to Chemtos’
Terms & Conditions
, unless otherwise agreed upon in writing.