Sheet 1: Sample Submission Form

	
	

		
Tissue Imaging, Metabolomics & Proteomics Laboratory (TIMPL)
		
	

		
Sample Submission Form (v20210111)
		
	

		
Please email the filled Sample Submission Form to dodge.baluya@wsu.edu
		
	

		
Bring your sample(s) to TIMPL office, PSB 119, between 10am to 4pm, Monday-Friday, Tel: 509-335-1023
		
	

		
Mailing Adress: Dodge Baluya - TIMPL,  Plant Science Building 119, Washington State University, Pullman WA 99164-7620 
		
	

		
It is our policy that the TIMPL should be acknowledged as follows in publication: 
		
	

		
Mass spectrometry experiments were performed in the Tissue Imaging, Metabolomics and Proteomics Laboratory, Washington State University.
		
	

		


		


		


		


	
	

		
Sample Submission Date 
		


		
	

		
Sample Names
		


		
	

		


		


		


		


	
	

		
Contact Information
		


		


	
	

		
Name
		


		
E-mail
		


	
	

		
Lab / PI
		


		
Department
		


	
	

		
Affiliation
		


		
Phone Number
		


	
	

		
Budget/Project #
		


		
Funding source
		


	
	

		


		


		
*only federal grants are exempt from 8.7% F&A fee
		


	
	

		
Sample Information
		


		


		


	
	

		
Experimental Name
		


		
Sample Type & Origin
		


	
	

		
Number of Samples
		


		
Amount (conc/vol/mass etc.)
		


	
	

		
Best Solvent
		


		
Storage
		


	
	

		
Target molecules       
		


		
	

		
 (mol formula / mass)
		
	

		
Additional Comments  (structure, polarity, MALDI matrix, journal paper info, etc)
		


		
	

		
	

		
	

		


		


		


		


	
	

		
Service request
		


		


		


	
	

		
Sample Prep
		


		
MS service type
		


	
	

		

 
		
		
       
		
		
	

		

 
		
		
	

		

 
		
		
	

		

 
		
		
	

		

 
		
		

 
		
		
	

		

 
		
		
	

		


		

 
		
		
	

		


		

 
		
		
	

		


		


		


		


	
	

		
TIMPL office use only
		


		


		


	
	

		
Sample ID in TIMPL
		


		
Operator
		


	
	

		
Date processed
		


		
Date reported
		


	
	

		
Storage
		


		
Quote
		


	
	

		
Billing information generated
		


		


		


	
	

		
Billing statement sent out
		


		


		


	
	

		
Payment received