Service Request Form

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Service Request Form

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SERVICE REQUEST FORM. Dr. Duane Choquesillo Lazarte. Factoría de Cristalización. Avenida de Las ... SAMPLE INFORMATION. SAMPLE ID: PROPOSED ...

SINGLE CRYSTAL CHARACTERIZATION BY X‐RAY DIFFRACTION SERVICE REQUEST FORM

Dr. Duane Choquesillo Lazarte Factoría de Cristalización Avenida de Las Palmeras, nº4 18100 Armilla ‐ Granada (Spain) Phone: +34 958230000; Ext. 190009 Fax: +34 958552620 [email protected] http://lafactoria.lec.csic.es

USER INFORMATION NAME: TITLE: E‐MAIL: TEL.: DATE (DD/MM/YYYY): FAX: DEPARTMENT: INTERNAL ID NUMBER: COMPANY/INSTITUTION: (To be filled by La Factoría de Cristalización) SAMPLE INFORMATION SAMPLE ID: PROPOSED EMPIRICAL FORMULA: SOLVENT(S) USED DURING PREPARATION/CRYSTALLIZATION: ARE THE CRYSTALS AIR‐SENSITIVE: HYGROSCOPIC: LIGHT SENSITIVE: DATA COLLECTION: (TEMPERATURE: ABSOLUTE STRUCTURE DETERMINATION?: ) DRAWING OF PROPOSED STRUCTURE AND/OR PRECURSORS (include all reagents and solvents used)

ONLY COLLECT IF CELL IS NOT (GIVE CELL BELOW)

a  b  c  a  b  c  a  b  c 

SAFETY INFORMATION WITHOUT RISKS: CARCINOGENIC: BIOLOGICAL HAZARD:

FLAMMABLE: CORROSIVE: OTHER:

OXIDASING: EXPLOSIVE:

TOXIC: ACIDIC:

SINGLE CRYSTAL CHARACTERIZATION BY X‐RAY DIFFRACTION SERVICE UNIT CELL DETERMINATION (INCLUDES SAMPLE PREPARATION) DATA COLLECTION ONLY CRYSTAL STRUCTURE DETERMINATION STRUCTURE ANALYSIS

CHOOSE

Equipment: Bruker X8 Proteum diffractometer with a Cu rotating anode generator, Montel optics and a Smart 6000 CCD detector.