Analytical Services Order Form

• Package your sample properly!!
  
  
• Submit a seperate request for each sample.
  
  
• Phospholipids are extremely temperature sensitive and must be kept frozen in order to ensure their purity.
  
  
• Avanti does not take responsibility for purity of sample before arriving at our facility.

Client Information:
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Reporting Mode:	Fax Federal Express - $25-Domestic, $50-International U. S. Mail
Report Turn Around *not including date of receipt	10-14 Days - Default 3-5 Days - Expedite Charge - 2x Cost of Test 1-2 Days - Expedite Charge - 3x Cost of Test

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Sample Information:
Sample Name:
Sample Description:
Information Desired:
Hazards	Chemical Biohazard Other
After Testing:	Dispose of Sample Return Sample

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Test Requested

Quantitative Analysis
Select	Test Name	Product Number	Price
	HPLC (% area curve)	790201	$170.00/sample
	HPLC (w/w Analysis)	790238	$250.00/sample
	GC-FAME (Long Chain)	790203	$125.00/sample
	GC-FAME (Short Chain)	790202	$125.00/sample
	GC-FAME (w/w Analysis)	790240	$250.00/sample
	LC-MS	790208	Inquire
	Optical Rotation	790211	$210.00/sample
	UV/VIS Oxidation	790214	$125.00/sample
	Water Content	790217	$64.00/sample
	Residual Solvent Analysis	790218	$250.00/sample
	Phosphate Assay	790219	$125.00/sample
	Calcium Analysis (AA / Flame)	790227	$125.00/sample
	Cadmium Analysis (AA / Flame)	790231	$125.00/sample
	Sodium Analysis (AA / Flame)	790257	$125.00/sample
	Peroxide Value (POV)	790228	$125.00/sample
	Acid Value	790229	$125.00/sample
	Phosphorus NMR (Quantitative)	790233	Inquire
	HPLC Capsule Analysis	790234	$510.00/Sample
Qualitative Analysis
	TLC	790207	$125.00/sample
	Phosphorus NMR	790209	$250.00/sample
	Proton NMR	790210	$425.00/sample
	ESMS	790213	$425.00/hour
	FTIR	790220	$64.00/sample
Other Services
	Sample Extraction	790204	$355.00/sample
	Analytical Charge	790230	Inquire
	Method Development	790221	Inquire
	Sample Preparation	790206	$125.00/sample
	Method Develop / Validation	790216	Inquire
	Consultation	790236	Inquire
	Stability Testing	790252	Inquire