Page 43 - HPS 2016 Catalogue
P. 43

Inorganic Quote Form













             Company Name:                                       Contact Name:

             Phone:                                              Email:

             How would you like us to return the quote?          Method:                   Intended Use:

             Volume Required:          Quantity Required:        Bottled as:

             Desired Matrix: (matrix may change due to stability or compatibility)  Filter Type/Quantity:
                                                                 Number of Blanks:
             Notes:


               Please check applicable additional services:
                    Full Metal Impurity Scan      Second Source
                    ISO Guide 34 Accreditation              Two different lot numbers needed for this custom request
                    Density                          Concentration Units: __________________
                                                     Duplicate requested custom standard as a 2nd source from different starting material
     Inorganic Quote Form  Al  [conc]  In  [conc]  Ru    [conc]    NH 4 3    [conc]     *Other            [conc]




             Sb
                               Ir
                                                                   Br
                                                 Sm
                                                                   Br0
                               Fe
                                                 Sc
             As
             Ba
                                                                   ClO
             Be
                                                 Si
                               Pb
                                                                   ClO
                                                 Ag
                               Li
             Bi                La                Se                Cl  2 3
             B                 6Li               Na                ClO 4
             Cd                Lu                Sr                CN
             Ca                Mg                S                 F
             C                 Mn                Ta                I
             Ce                Hg                Te                NO 3
             Cs                Mo                Tb                NO 2
             Cr                Nd                Tl                N
             Co                Ni                Th                PO 4
             Cu                Nb                Tm                P
             Dy                Os                Sn                SO 4
             Er                Pb                Ti                SCN
             Eu                P                 W                 S O 3
                                                                    2
             Gd                Pt                U                 Acetate
             Ga                K                 V                 Propionate
             Ge                Pr                Yb                Lactate
             Au                Re                Y                 Formate
             Hf                Rh                Zn
             Ho                Rb                Zr
                                  * please designate any species, isotopes or compounds in the "Other" column



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