Sample Data Sheet

Online Form

To submit the form simply fill out all applicable fields and then click on the button at the bottom of the form.

If you are submitting more than one sample, please click your back button once you have filled out the form and redo the sections marked in red and any other information that may vary.

Submitter Name:
Affiliation:
Address:	characters max.
E-mail:
Telephone:
Fax:
PO#:

Your Sample Code Number:

Technique:

Radiometric

Accelerator Mass Spectrometry (AMS)

Delivery Service:	Standard (Radiometric 20 to 30 Business Days) (AMS 20 to 30 Business Days)	Advance (Radiometric 14 to 20 Business Days) (AMS 6 to 14 Business Days)
	Priority (6 Business Days) Radiometric Only	Time Guide (2 to 3 Business Days) Radiometric Only

Complex/Non-Standard: Additional Fees Apply (*Some services may require additional time for delivery)	Extended Counting (Optimal Enhanced Precision)	Bulk/Low Carbon Materials* (Sediments and Bulk Carbonates)
	Wood Cellulose Extraction	Bone Collagen Extraction (Collagen Fraction)

Special Requests:

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Stable Isotope	C13/12	(Optional for radiometric / included for AMS)
Ratios:	O18/16	Carbonates Only)

Sample Material:
Weight:
Estimated Age:
If Carbonate:	Marine Fresh Water

General Geographic Location: (For calibration purposes)	characters max.
Evidence of Contamination: (Root penetration, leaching, humic acids, etc.)	characters max.
Collection, Treatment and Storage Procedures:	characters max.
Stratigraphic and Environmental Details:	characters max.
Additional Information:	characters max.

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