Analytical Service Request Form (updated June-2016)

INSTRUCTIONS

    1. Contact me first at berdysheve@njhealth.org to discuss your project and identify required analyses and number of samples.

    2. You will receive back from me a Quote for analyses.

    3. Use this quote to issue a PO with your administrator.

    4. Download editable "Order Template-NJH" form to your computer (USE DOWNLOAD ARROW AT THE BOTTOM RIGHT).

    5. Provide all requested information including PO #, if available. You can type in Adobe Acrobat but not in the Reader. You can also fill in the form manually. If PO# is not yet available, you still can send samples; however, they will not be processed until PO# is provided.

    6. Fill in sample identification area with your sample IDs (must be the same as on sample vials to be sent to me; mark your sample vial with its list number when possible).

    7. Save filled form on your computer using the following format "yyyymmdd_yourLastname" (example: 20150924_Berdyshev)

    8. Send this file via e-mail to:

Dr. Evgeny Berdyshev

berdysheve@njhealth.org

Indicate in the subject line "MS Sample Analysis Request"

9. Send samples to me on dry ice (3 kg minimum) overnight. Include copy of filled form in the package.

10. Send a copy of PO to berdysheve@njhealth.org as soon as it is issued.