Custom Analytical Reference Materials Quote Form

Please submit a new form for each custom mixture you wish to request.

Name: (First, M.I., Last) [required] Company/Location:
Phone number: [required] FAX number:	Position or Title: E-mail address: [required]
Final Destination of Product: [required]

Take these eight steps to create the right solution: [required]

1. Mixture Description:

2. Solvent:

3. Number of components:

4. Volume/ampul:

5. Number of ampuls:

6. Select the testing and documentation that best meets your requirements:

Gravimetric:

Product supplied with the gravimetric records detailing exact amount of each raw material used, purity of each material used, total volume prepared, calculated concentration and a unique lot number.
Qualitative:

A single sample withdrawn from the packaged units is tested by the appropriate technique to verify mixture composition. Product supplied with a Certificate of Composition showing a chromatogram of the standard with each peak identified, raw material purity, and gravimetric concentration.
Quantitative:

Three samples selected from the packaged units are spiked with an appropriate internal standard. The three samples are analyzed and statistically compared to a calibration standard. Product is supplied with a detailed data pack that contains: ALL raw material purity and identification results, gravimetric documentation, ALL quantitative assay raw data, ALL calibration assay raw data and a statistical comparison of sample and calibration data.

7. Compounds:	CAS#	Conc.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Compounds (cont'd):	CAS#	Conc.:
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

8. Concentration Units:
mg/mL
µg/mL
ng/mL

vol./vol.%
wt./wt.%
other:

Please enter any additional compounds, comments or instructions for the
Standards Group. Thank you.

ALL mixtures produced in accordance with our ISO 9001 registration.

Analytical balances are calibrated daily at seven mass levels
using NIST traceable weights.

ALL raw materials used are a minimum of 97% pure unless otherwise specified.

Select the testing and documentation that best meets your requirements.

You can also fax a request to
(814) 353-1309
or e-mail our Reference Materials Group:
standards@restek.com