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X ray request form pdf

X ray request form 2026

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The document is a request form for CBC X-ray crystal structure analysis, requiring details such as the applicant's name, supervisor information, sample characteristics (e.g., air stability, solvent dependency), and proposed molecular structure. It includes sections for additional analyses performed, contact information, and specific instructions for data collection in the X-ray Diffraction Laboratory.

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Click ‘Get Form’ to open the X-ray request form in the editor.
Begin by entering your name and the date at the top of the form. This identifies you as the requester.
Fill in your supervisor's name and signature, along with your contact phone number for any follow-up questions.
Indicate whether your sample is air stable, air/moisture sensitive, or solvent dependent by selecting 'Y' for yes or 'N' for no.
List any other analyses performed on the sample, such as NMR or IR, in the designated section.
Provide your email address and sample code to ensure proper tracking and communication.
Detail the reaction or recrystallization solvents used, followed by entering the molecular formula and proposed structure with a numbering scheme.
Complete any additional notes for the analyst regarding crystal quality and data collection parameters.

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