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					     SPECTROSCOPY / ANALYTICAL TEST FACILITY
           INDIAN INSTITUTE OF SCIENCE
          BANGALORE 560 012.                 URL: http:// ipc.iisc.ernet.in/

Sample submission form for Gas Chromatography-Mass Spectrometry
                            (GC-MS)
Name of the student :
Name of the Supervisor :
Requested analysis                   DI                   GCMS
Mailing Address :
Phone :
Email :

SAMPLE INFORMATION1

                                      Sample 1    Sample 2       Sample 3 Sample 4
Label on vial
Solubility (Any volatile solvent)2
Concentration
Expected mass3
Storage temperature
GC profile
 Blank CD to be given at the time
of submission
Any other information


Signature of the supervisor                             Signature of the student
Name:
Institution /Department:
                                                         Date:



Note:
   1. We do not accept crude samples
   2. Solvents like DMSO, DMF, H2O, and THF cannot be used.
   3. Samples will be discarded after use.

				
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