X-Ray Crystallography Center – Sample Submission Form Department of Chemistry Please complete the ENTIRE form before submission. Contact/Billing Information: Research Advisor: _________________________ Telephone: ________________________ Email: ________________________ Chemist: _________________________________ Telephone: ________________________ Email: ________________________ Address (if not UA Chem Dept): ________________________________________________ ____________________________________________________________________________ PO/Account number: _______________________ Billing Contact Person: _____________________ Telephone: _______________________ Email: _______________________ Requested Service: Single Crystal Analysis Unit Cell Determination Only CSD Check Sample Information: Sample Name: __________________________ Molecular Formula: ___________________ Collection Temperature: Sample Container: 100 K (standard) Tube Vial Room Temp Flask Other: _________ Other: __________________________ Storage/Handling/Stability: Stable at ambient conditions Heat Sensitive Air Sensitive Light Sensitive Water Sensitive Speed of Decomposition: _________________ Special Instructions or Precautions: ____________________________________________________________________________ ____________________________________________________________________________ Analysis Performed: 1 H NMR 13 C NMR IR MS EA Melt Pt Confidence in the Proposed Structure of Your Compound: High Low Unknown Page 1 of 2 Form revised Feb. 2014 Sample Preparation: In the space below, please provide a detailed molecular drawing of your proposed structure and include the starting reagents for its synthesis. Please list all solvents that have come in contact with this sample (i.e. reaction solvents, crystallization solvents, etc): - Sample analysis is typically completed within two weeks of the sample being received. - Files are sent by email, unless otherwise requested. This includes a crystallographic information file (CIF), required by most journals for a crystallographic submission, various thermal ellipsoid plots, and a full report. All tables and images will be provided in a .doc file. - All samples will be disposed on within one month of completion unless other arrangements are made. Internal Use Only: Operator: _____________________________ Date Received: ________________________ Date Run: _________________________ Report Completed On: __________________ Billed On: _________________________ Applicable Codes: _________________ Abandoned; Completed; Data only; Known structure; Publishable; Questionable; Supercell; Twinned, Unpublishable Notes: ____________________________________________________________________________ ____________________________________________________________________________ Page 2 of 2 X-Ray Crystallography Center – Pricing and Policies Hours of Operation: Monday – Friday, 9:00 AM – 4:00 PM EST Meetings and consultations by appointment only. Dr. Matthew Panzner Associate Director Email (preferred): [email protected] Office: KNCL 105 Phone: (330) 258-7503 Pricing for single crystal data collection and structure determination is as follows: University of Akron Departments __________________________ $50.00 (USD) Other Academia** _______________________________________ $200.00 Industrial ______________________________________________ $500.00 Pricing for Other Services: Recrystallization ________________________________________ $200.00 Consultation ___________________________________________ $250.00/hr Misc. Services (Database searches, etc) ____________________ $200.00/hr ** Academic institutions should contact Dr. Matthew Panzner for more information on pricing. Acknowledgments: Users who publish papers including data collected on the Bruker SMART APEX I system should include the following statement: We would like to acknowledge the National Science Foundation (CHE-0116041) and the Ohio Board of Regents for funds used to purchase the Bruker-Nonius Apex CCD X-ray diffractometer used in this research. Users who publish papers including data collected on the Bruker APEX II Duo system should include the following statement: We would like to acknowledge the National Science Foundation (CHE-0840446) for funds used to purchase the Bruker APEX II Duo X-ray diffractometer used in this research. Policy: There will be a policy of co-authorship in all publications that present collected and solved crystal structures. In such cases, the name of the responsible crystallographer will be included in the manuscript.