PRIME Lab Sample Submission Form

Please fill in all the applicable fields. Fields with an asterisk (*) are required.

A Submission form should be submitted for each "Batch" (grouping) of samples with the same funding source and the same isotope measurement mix (e.g. ¹⁰Be & ²⁶Al). For Example, if you had a "Batch" of (5) ¹⁰Be Samples and a "Batch" of (7) ¹⁰Be & ²⁶Al with the same funding source, you would need to submit the form twice. Once for each "Batch" of samples, because the isotope measurement mix is different.

What Is Your Role * How are you related to the funding of the samples?

First Name *

Last Name *

Email *

Email of Person Receiving the Bill (if other than you) This could be the P.I. or Business Office Contact

What Is The Sample's Funding Source *

Purchase Order Number (If required by your business office)

PRIME Lab Project Number (assigned) or Your Project Title (If you are continuing work on an existing project) You can see your existing projects in the PRIME Lab Sample Management System

Descriptive Project Title (If you are starting a NEW Project). Usually 1 - 3 Sentences describing the science or goal of the research and location
Example: "Provenance Analysis and Regional Geomorphologic evolution of Yichang Alluvial Fan in Jianghan Basin, China"

Grant Number (Required If NSF or USGS)

Number of Samples * (You Will Enter Your Sample List On The Next Page)

Sample Type *

Isotopes *

If ³⁶Cl Rock, Sample Type

Location Collected *

Deadline
Do these samples have a financial or academic deadline? If so please give a specific date and describe

Additional Notes
If there is anything else you think we need to know, please enter it here.

Please confirm that you are human: