Spreadsheet: 68c2e57f-3ca7-4d90-99dd-dfc8244e39c5
Sheet: Sample Info

 |  |  |  | Mass Spectrometry Proteomics  Core Laboratory
 |  |  | Sample Information Form |  | (submit to [EMAIL])
Contact Information: (all information must be filled in)
Principal Investigator: |  |  |  |  |  | Date:
Department
Institution |  |  |  |  |  |  | Project #:
email/phone |  |  |  |  |  |  | Sample location:
phone |  |  |  |  |  |  | (in house use only)
Contact person: |  |  |  |  |  | Billing Contact:
Phone #: |  |  |  |  |  | Phone #:
email Address: |  |  |  |  |  | email Address:
Sample Information: (all information must be filled in)
Total number of samples submitted:
Sample ID # (or please attach a sample list in Excel list format)
1
2
3
4
Species of origin: |  |  |  | (Human, mouse, rat, others, etc)
If human in origin (tissue, biopsy, biological fluids, etc.):
 | Human subjects approval? |  | Yes (please click) |  | NO (Please check)
If non-human (tissue. biopsy, biological fluids, etc.)
 | Animal study approval? |  | Yes (please click) |  | NO (Please check)
Potential Hazards (viral, chemical, etc)
 | YES |  |  |  | If yes, please explain:
 | NO
Grant Number: |  |  |  |  | Granting Agency:
Date |  |  |  |  | Signature:
Service requested (please check which ever appropriate)
1 |  | Sample QC
2 |  | High sensitivity protein quantity QC
3 |  | Sample desalting
4 |  | Molecular Weight Determination
5 |  | LC-MS/MS protein ID
6 |  | Manual phosphopeptide verification
7 |  | Manual verification of Post-translational modification (per site)
8 |  | Consulting fee (per hour)
9 |  | [NAME] coverage peptide sequencing
10 |  | LC-MRM standard curve
11 |  | LC-MRM optimization (up to 10 peptides)
12 |  | Data analysis of LC-MRM
13 |  | LC-MS/MS of non-protein (per sample)
14 |  | Enzyme digestion ([NAME] or trypsin)
15 |  | OFFgel liquid phase isoelectric focusing
16 |  | Strong cation exchange liquid chromatography
17 |  | LC-MS/MS per proteome
18 |  | ICAT labelling
19 |  | Avidin separation (per fraction)
20 |  | LC-MS/MS per fraction
21 |  | ITRAQ + 20 LC-MS/MS (2-plex) (20 fractions)
22 |  | ITRAQ + 20 LC-MS/MS (4-plex) (20 fractions)
23 |  | ITRAQ + 20 LC-MS/MS (8-plex) (20 fractions)
24 |  | ITRAQ labelling (2-plex) (digestion included)
25 |  | ITRAQ labelling (4-plex) (digestion included)
26 |  | ITRAQ labelling (8-plex) (digestion included)
27 |  | Cation exchange separation (20 fractions)
28 |  | Data analysis
29 |  | Depletion of highly abundant proteins in serum/plasma ([NAME] enrichment kit)
30 |  | Phosphoproteome enrichment (ProQ [NAME] kit)
31 |  | Glycoproteome enrichment (WGA kit)
32 |  | Total protein isolation from cell pellet/tissue/body fluids
33 |  | 2D cleanup
34 |  | Isoelectric focusing strip 7 cm
35 |  | Isoelectric focusing strip 18 cm
36 |  | 2nd dimension SDS PAGE 7cm
37 |  | 2nd dimension SDS PAGE 18cm
38 |  | MS compatible Silver stain 7 cm gel
39 |  | MS compatible Silver stain 18 cm gel
40 |  | [NAME] blue staining 7 cm
41 |  | [NAME] blue staining 18 cm
42 |  | DIGE labelling of 3 samples
43 |  | DIGE labelling of 2 samples
44 |  | DIGE gel scanning and DIGE image analysis
45 |  | [NAME] gel staining (ProQ Diamond)
46 |  | [NAME] gel staining (ProQ Emerald)
47 |  | Non-DIGE Gel scanning and preliminary image analysis
48 |  | Gel spot/band picking up to 96 user-selected spots
49 |  | Gel spot processing and enzyme digeston (per sample)