Cbc X-Ray Crystal Structure Analysis Request Form

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CBC X-ray Crystal Structure Analysis Request Form
Name _______________ Date ___________
Air stable?
Y / N
Air/moisture sensitive?
Y / N
Supervisor ___________________________
Solvent dependent?
Y / N
Other analyses performed:
Supervisor’s signature__________________
NMR
IR
MS
Elemental analysis
Optical examination
Phone _______________________________
Other comments:
Email _______________________________
Your sample code _____________________
Reaction/Recrystallization solvents:
Molecular formula:
Proposed structure (including a numbering scheme):
X-Ray Diffraction Laboratory
Date:______________________ Crystal Code :_______________(
for X-ray Diffraction Lab only)
Name of the Student: ______________________Phone: _________E-mail: ______________________
Note to the analyst: If the crystal is weakly diffracting or twinned please do/do not proceed.
Please use 5/10/____seconds exposure time or whichever one you feel appropriate for data
collection. Data collection temperature: RT/-50°C/__ °C. After the data collection, please charge
For official use
Code __________ Crystal color: _______________ Crystal shape:__________________ Crystal dimns:
_________________________ T:___________________Crystal System/Sp. Gp:_________________
Cell Data: a: __________b: __________ c: __________ α : _______ β : ________ γ : _______
Vol:____________ z: ______ wR2: ____________ R
: ___________
(for all data)
1
Date completed:_____________________________

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