Good Liquid Handling Request for Service
By providing details helps us better serve you
Name
*
First Name
Last Name
Title/Role
*
Company
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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Isle of Man
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Zambia
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Other
Country
E-mail
*
What type of Service do you think you need?
*
Calibration (Precision/Accuracy)
Upgrade
Install Qualification
Operational Qualification
Volume Verification
Preventative Maintenance Check
Routine Service Call
Emergency Call
Optimization of Liquid Class
Method Development
Validation
Compliance check
Process review
Quality Assurance check
Quality Control Testing
Part Replacements
Other
Is your equipment needing repair out of service contract?
*
Yes
No
Is this an immediate need?
*
Yes
No
What do you prefer?
*
Bundled service contract with training, development, and do it yourself calibration kits ( max savings)
Multi yr service/repair contract
1 yr service/repair contract with quick scheduling and 24 hr support
Hourly time, materials, and travel only
Which Liquid Classes do you work with
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Thick or highly viscous solutions
Moderately viscous (DMSO)
Thin or running solutions (Alcohols or Acetyl Nitrile)
Salt or buffer solutions
Aqueous solutions
Bubbly or foamy solutions (Blood, Soap or surfactants)
Aerosols
Volatile or Easily Evaporating
Clot forming (Blood, particles)
Hazardous or harsh acids (TFA)
Sticky solutions
Organic solutions
Other
Type of Lab
*
Clinical
Forensics
Research
Chemistry
Drug Discovery
Testing Lab
Other
My Lab is
*
FDA Regulated
CLIA Laboratory
Must Follow Lab Compliance 21 CFR Part 11
ISO Certified
GMP Certified
GLP Certified
Must be NIST Traceable
Other
Liquids Used
Buffers
Serums
DMSO
Organic Solvents(DMF,DCM,DCE)
Acids(TFA)
Aqueous
Oils
Magnetic Beads
DNA Extracts
RNA Extracts
Alcohols
Acetyl Nitrile
Blood Serum
Other
Dispensing
Performing Accurate Dispensing
Performing Multi-Dispensing
Performing Bulk Dispensing
For Sample Preps
For Plate Reformating
Biomarkers
Screening Assays
Tissue
Solid beads
Clot sensitive samples
Other
Automated Steps Performed
Incubating
Thermocycling
Mixing
Chilling
Heating
Lidding
Stacking
Plate shuttling
Spinning
Filtering
Extracting
Evaporating or Hooding
Pick and Placing
Washing
Other
Tips used
*
Primarily Disposable
Mainly Fixed tips
both depends
Labware used
*
96 well plates
384 well plates
1 dram vials
2 dram vials
Conical Tubes
Falcon tubes
Test tubes
Mini vials
Custom Labware
Volumes to verify
*
List the volume(s) you need verified on each piece of equipment
Which equipment do you need to calibrate or service?
*
Rows
nl
ul
ml
Fixed
Disposable
Gripper Arm
Single Channel
Span4
Span8
Span16
Span24
96 Channel
384 Channel
Not Used
Agilent Vprep
Agilent Bravo
Beckman FX
Beckman NX
Beckman Biomek 2000
Beckman Biomek 3000
Beckman Biomek 4000
Beckman Multimek
BioDot
Dynamic Devices Lynx LM700
Dynamic Devices Lynx LM900
Dynamic Devices Lynx LM1200
Dynamic Devices Lynx LM1800
Dynex DS2
Dynex DSX
EDC BioSystem
Eppendorf EP Motion
Gilson
Hamilton Nimbus
Hamilton Starlet
Hamilton Star
Integra
LabCyte Echo
Leap
LetsGo LGR BioRaptr 2
LetsGo LGR LiquiP!CK
LetsGo LGR Precision Drop II
Perkin Elmer Miniprep
Perkin Elmer Janus
Perkin Elmer Packard Multiprobe
Perkin Elmer Caliper Sciclone
Opentron
Stojadinovic Smartbot
Tecan Fluent
Tecan Freedom Evo
Tecan Evo 75
Tecan MCA
Tecan Miniprep
Tecan Fliper
Tecan TeMo
Tecan Genesis Freedom
Tecan Genesis RSP
TomTec
TTP Labtech Mosquito
Other not listed
Which readers are used in your Volume Verification?
*
Rows
Absorbance
Fluorescence
UV
other
Not Used
Beckman AD340
Beckman LD400
Beckman DTX 880
Biotek uQuant
Biotek Elx800
Biotek Elx808
Biotek Powerwave
Biotek Synergy
BMG Floustar
BMG Spectrostar
BMG Clariostar
BMG Perastar
Byonoy
Molecular Dynamics Vmax
Molecular Devices Emax
Molecular Devices MDC
Molecular Devices Thermomax
Molecular Devices Spectramax
Perkin Elmer Victor
Perkin Elmer Envision
Perkin Elmer Ensight
Prometgo Glomax
Tecan Sunrise
Tecan Spectra
Tecan Ultra
Tecan Infinite
Tecan NanoQuant
Other
Other Equipment
Mention details of any equipment which you are using that is not listed above
Preferred method for Volume Verification and Delivery Calibration
*
Gravimeteric
Absorbance Single Dye
MVS Dual Dye
Fluorescence
UV
Other
Deck Size
60
75
100
150
200
Not sure
Syringe sizes
1ml (100ul)
2.5 ml (250ul)
500ul
5ml
other
Serial Number
Version of Robot(s) Software
Tubing
Low Volume
Standard
High Volume
Check all that apply
Carousel
Incubator
Vacuum Manifold
Washer(s)
Stacker
Problem
*
Liquid Level Sensing
Positional accuracy
Not Homing
Error Screen
Volume delivery is off
Diluter issue
Peristaltic Pump issue
Power issue
Drive Belts issue
Gripper or Roma issue
Washer issue
Reader Issue
Incubator issue
Stacker issue
Vacuum Manifold issue
Precision is off
Accuracy is off
Other
Describe the Problem
*
Best time for Maintenance
*
Early Week
Mid Week
End of Week
Weekend
Afternoon
Early morning
After hours 5pm
Time zone is PST
Timezone is EST
Timezone is CST
Other Timezone
Number of Total Robot Arms
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