Tissue Technology Shared Resource 3855 Health …...Tissue Technology Shared Resource 3855 Health...
Transcript of Tissue Technology Shared Resource 3855 Health …...Tissue Technology Shared Resource 3855 Health...
Tissue Technology Shared Resource
3855 Health Science Dr, La Jolla, CA 92093, 5th. Floor )
(858) 822-1011 [email protected]
PI* Contact* Date:
Affiliation*
Index/PO*
Tissue technology Shared Resource Request - Page 1/2
Email*
Request/I nstructions: Did you make a consultation previous material’s drop off?
Sections /Paraffin blocksNo. of sections for DNAor RNANo. of H&E slidesNo. of unstained slides per block
No. of sections for DNAor RNANo. of H&E slidesNo. of unstained slides per block
Fixative Fixation Time (hs)
Organ Type
Species Material submitted
Phone
Drop off at
Type of material *
Did you consult a histotechnician? No
NoYes
Yes
Requisition #
Currently in
List of samples submitted (use a separate page if needed)
Number of samples submitted
Tissue technology Shared Resource Request - Page 2/2
PRINT FORMEMAIL FORM
PI* Contact* Date:
Affiliation*
Index/PO*
Email* Phone
Drop off at
Requisition # Date Completed
Completed by
You can print the form for your records, but emailing is mandatorybƻ ǎŜNJǾƛŎŜǎ ǿƛƭƭ ōŜ LJNJƻǾƛŘŜŘ ƛŦ ǘƘŜ ŜƭŜŎǘNJƻƴƛŎ ŦƻNJƳ ƛǎ ƴƻǘ ǎdzōƳƛǘǘŜŘ to the default email
address [email protected]