Analytical Service Request Form

Interested in submitting a service request form? Please fill out the criteria below and a member of our team will reach out to you in less than 24 hours.

Name

First Name

Last Name

Company

Phone

(###)

###

####

Requested Service

Compounds (analytes) to be measured

Description of Sample Matrix

Description of sample matrix: buffer, plasma, blood, urine, tissue, polymer, plant, supplement, API, drinking water, soil, etc.

Specific Analytical Service

If known, please specify the type of analytical instrument needed for your analysis. I.e. QQQ LCMS, GC QTOF or BioTek Cytation 10 confocal imager.

Study Name

Study name to be used to generate reports and used for billing.

Number of samples

Sample Storage Condition

Room temperature

Refrigerator (4 C)

Freezer (-20 C)

Freezer (-80 C)

Description of Sample Storage Container

Plate Barcode

If using a microplate with a barcode, please write this here. Fenton Woods will print and assign a custom barcode for all sample submissions if not already provided by customer.

Store and Return Sample After Analysis?

Should Fenton Woods store your samples after completing the analysis?

Yes

Requested Completion

Please provide your requested analytical completion date. Fenton Woods cannot guarantee completion for provided date, and our team will try to finish the work for the requested date if able.

YYYY

Analytical Regulatory Domain

Please select the regulatory domain your samples belong to.

non-regulated

GLP

GCP / CLIA

Shipping or Drop off Location

Please describe the laboratory location samples are being shipped to or dropped off at.