agilent 2100 bioanalyzer service request formcgs.hku.hk/.../bioanalyzer_request_form.pdf · agilent...
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Agilent 2100 Bioanalyzer Service Request FormWebsite: cgs.hku.hkContact Persons: Tracy Lau / Rachel Li / Jonathan Chan / Lilian ChengContact No: 2831-5477 / 2831-5467 Fax No.: 2818-5653Email: [email protected] No.: AB - _______________________________________
User InformationProject Name/ID:
Department:
Billing Account:
Sample Submission Date (yyyy-mm-dd):Signature:
Fax:
Billing Address:
User Name: User Email:
P.I. Email:P.I. Name:
User Contact No.:
ServiceType of Service:
RNA 6000 Nano Assay (No. of samples: __________)
DNA 1000 Assay (No. of samples: __________)
High Sensitivity DNA Assay (No. of samples: __________)
Other:
AB002
AB006
(No. of samples: __________)
AB001
RNA Sample InformationType of Sample:
EukaryoteHuman Mouse Rat Other:
Culture cells, line: Tissue, type:
ProkaryoteBacteria Other:
Total RNA mRNA IVT product Other:
Sample Storage: RT -20°C -80°C4°C
Biohazard Samples: NoYes
Submission Requirements
0.5 mL tubes>= 3 μL
Detection range Tubes formatVolume5 - 500 ng/μL
5 - 500 pg/μL
RNA 6000 Nano Assay
High Sensitivity DNA AssayNote:- Please select options as appropriate.- For further information, please refer to our website: "cgs.hku.hk".- We DO NOT accept any sample with potential biohazard.- For Research Use Only. Not for use in diagnostic procedures.- For personal data protection, please be reminded that the submitted sample IDs should NOT carry anypersonal information such asthe HKID or passport numbers, the laboratory numbers of patient reports, or thepatient IDs of hospitals.- Please refer to the Privacy and Personal Data Protection Policies at http://cgs.hku.hk/portal/index.php/policiesfor information on personal data protection and handling by CGS.
0.5 - 50 ng/μLDNA 1000 Assay
Total RNA/DNA samples for NGS service at CGS? Yes No
Smear analysis: From bp to bp
Total RNA samples for GeneChip service? Yes No
If YES, please prepare RNA with the requirements as stated below whensubmitting samples for Bioanalyzer analysis:
Whole Transcript Expression Exon / Gene ArrayGeneChip miRNA 4.0 Array
Array Type Quantity Concentration>= 2.5 μg >=200 ng/μL>= 2.0 μg >=130 ng/μL
By default, 200bp to 1000bp will be included for all DNA assay unless specified.
Sample ID Conc. (ng/μL) Volume (μL) Remarks
1
2
3
4
5
6
7
8
9
10
1112
Sign Date Remarks
Order receive
Sample transfer to -80°C
Bioanalyzer run, report printingExp Start
Data QC and upload
Data quality approval
Email results to user Completion
Remarks
Sample Tracking
For Official Use
Sample received by
Bioanalyzer chip ID
Sign Date Remarks
Nanodropconc
A260 /280 RIN
Order
QCPass "√'"Fail "X"
Sample info
Analysis results, QC
DB
1
2
3
4
5
6
7
8
9
10
11
12
A260 /230
BAConc
Invoice
28S/18S
Unit Price Qty
AB $ $
AB $ $
$Total:
Payment (For Official Use)Sub total (HK$)Item
Job done by: Date:
v20181126
QA/QC Supervisor: Date: