CSDD Request Form
Date
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Month
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Day
Year
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Name
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First Name
Last Name
E-mail
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PI Name
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First Name
Last Name
FOP
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Service Request (select one)
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Chemical Synthesis/Consultation
LCMS Service
Compound Purification
Spectral Analysis
Compound Registration and Storage
Project Development (minimum 5 hours)
Compound structure(s) (.cdx; .pdf; .docx)
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Brief description of project
Total amount requested (mass)
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Known protocols for synthesis (.cdx; .pdf; .docx)
Would you like this compound to be registered into ND Dotmatics?
YES
NO
Project Development needed? (5 h minimum)
YES
NO
Assisted
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YES
NO
Sample name(s)
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# of samples
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Desired mass (exact)
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Normal or Reverse Phase
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Please Select
Normal Phase (silica)
Reverse Phase (HPLC)
Total crude mass
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Develop method
YES
NO
Instrument Time used (if unassisted):
Desired Solvent System
Comments (TLC info, Rf if available):
Number of samples to register
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Request description
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Nucleus (Select all that apply)
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1H
13C
15N
19F
d-solvent
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2-D NMR? (please describe)
Please enter a brief project description
*
Upload target compound information
*
Submit
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