GPC Polymer Analysis

Please reserve time for analysis of my polymer sample with the EcoSEC® GPC System and TSKgel® semi-micro GPC columns at:

Tosoh Bioscience
3600 Horizon Dr.
Suite 100
King of Prussia, PA 19406

I understand the following conditions:

- the analysis is offered at no charge
- the GPC analysis is offered for samples soluble in THF, DMF, or chloroform only
- my samples dissolved in one of these solvents must be delivered to Tosoh Bioscience on or before Tuesday May 28

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* Please tell us about your sample

Sample Name:

Molecular Weight/Molar Mass Range (g/mol):

Concentration (mg/mL):

Approx. Purity (%)%

Does your sample need special handling?

Describe your sample (i.e. additives, functional groups, etc.):

Indicate which is the best solvent for your sample (THF, DMF, or chroroform):

Shipping solvent (THF, DMF, or chloroform)

Shipping condition (Solid or liquid):

How should sample be stored?

Other storage:

Question Title

* Please tell us about your GPC conditions

GPC mobile phase (THF, DMF, or chloroform):

What is concentration of polymer you inject (mg/mL)?

What injection volume do you use (µL)?

Can the sample be detected by UV? What wavelength?

Can you provide with a copy of the method you use?

Can you provide us with a chromatogram from your current method?

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* Please tell us about your expectations

What type of analysis is expected?

What do you expect to see in terms of results?

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* Please tell us about sample safety and disposal

List hazardous components and special handling precautions:

Do you want Tosoh Bioscience to dispose of the submitted samples or have the samples returned?

If you want Tosoh Bioscience to dispose of the sample, please list disposal method:

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* Please tell us if and how Tosoh Bioscience can use your sample results

Is Tosoh Bioscience allowed to use analysis results of your sample for marketing purposes, i.e. catalog, application note, website, etc.?

If yes, should sample identity be anonymous? For example, use of "commercial resin" in place of "TSKgel® Ether-5PW Hydrophobic Interaction Chromatography resin".

GPC Polymer Analysis

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* Please tell us about your sample

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* Please tell us about your GPC conditions

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* Please tell us about your expectations

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* Please tell us about sample safety and disposal

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* Please tell us if and how Tosoh Bioscience can use your sample results

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* Name

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* Company

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* Address 1

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* Address 2

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* City/Town

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* State/Province

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* Zip/Postal Code

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* Email Address

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* Work Phone Number