TAACF: Compound Submission Form

Submitting Compounds

Submission Information

Material Evaluation Agreement

Compound Submission Form

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Compound Submission Form

Submitter Name:	Submitter Compound ID:
Compound Name:			RESUPPLY? YES ____ NO____
Structure:
Molecular Wt:	Molecular Formula:
Stability:	Soluble in DMSO?	yes	no	warm
Hygroscopic/Deliquescent?	If "no":	v.sol	mod.sol	insol.	warm
Appearance:	Water
Appearance:	Ethanol
Sample Wt. (mg)	Other ____________
Special safety/handling storage requirements:



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