Document 6533170

Sample Analysis Service with Bioanalyzer
In:
Out:
Functional Genomics Laboratory, 255 Life Sciences Addition MC-3200, Berkeley, CA 94720-3200
Please contact [email protected], Tel: (510) 642-1165, or Fax: (510) 642-1219
Date___/ ___/____
User Information
*UC Funding
Code/PO#:
Fund Manager Information
Name
Email
TEL
Name
Email
Dept./Inst.
P.I.
TEL
Possible
biohazard
Yes** / No
Sample name
Nucleic
Acid
total
[ ] Prokaryotic
4
[ ] Eukaryotic
5
[ ] mRNA
6
[ ] small RNA
7
RNA pico
(>3.0ul)
DNA-1~50ng/ul
DNA HS-0.05~3ng/ul
2
DNA
FGL’s
Volume
RNA-0.5~5ng/ul
1
Human/Mouse/Rat
or _____________
Used method to estimate
concentration________________
Origin
RNA
Info about Chip
User’s
[ ] DNA
[ ] Other_________
samples
Info about your
[ ] RNA
Conc.***
3
RNA
[ ] 1000
8
[ ] 7500 / 12000
9
[ ] High sensitivity
0
Notes:
1
Used Date
DNA HS ($10)
x___=
RNA pico ($8) x
RNA
DNA
DNA 1K or 12k($7)x___=
___=
Small RNA ($9)x ___=
*Please note that we will not process without this info. ** Please contact FGL before submitting
your samples if your samples are potentially bio-hazard. ***Please note that Nanodrop tends to overestimate low concentration samples (<100ng). Please note that RNA & DNA-HS chips hold only 11
samples/chip but DNA chips (1000 or 12K) holds 12
For Office Use Only~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Send request to:
Functional Genomics Laboratory/QB3
Recharge account -
Attention: Y. Justin Choi
UC Berkeley
255 LSA MC-3200
Berkeley, CA 94720
On-campus rate:
__________
Off-Campus Rate: Affiliate x 7.53% =__________
Non-UC x 1.70% =_________
Total:
__________
Financial Journal #____________date______
BIOANL
.
Sample ID
#
User
*Conc. [ng/ul] of
ds-cDNA
FGL
Volume
(>3.0ul)
Other info.