miRNAArray样品送件单-阳明大学.DOC

Project Code: ___________ Project Code: ___________ PAGE 6 PAGE 2 National Research Program National Research Program for Genomic Medicine Microarray Gene Expression Analysis Core Facility miRNA Array Sample Submission Form By NRPGM Microarray Gene Expression Core Facility Version 4.0 Sep /2009 Sample Submission Form (please fill the areas below) Customer information: PI’s Name: _________________ Name: ________________ Department: ______________Institute: ___________ __ _ Phone: ________________ Fax: ________________ Email: ____________________ Address: _______________________________________________________________ Name of the sample(s): _______________________________________________ ____ . . Service ID/Array type: □ Agilent miRNA 8x15K_________ ABI -TaqMan Low Density Empty Array (TLDA) _________ other . Date of sample submission: _______________________________________________ Special request: □ I want to take back all of the remnant samples that I have delivered after the processing of the experiments. RNA quantification and quality control performed by the customer: The criteria of RNA integrity and quantity was shown on .tw/ microarray/RNA_QC.html RNA Integrity Test: □ Electrophoresis gel result of the RNA sample(s) □ Agilent 2100 Bioanalyzer graphic result Please paste your image hereFor Electrophoresis Please paste your image here For Electrophoresis: Please refer to the image at the left for the layout of the gel Lane 1:100 bp DNA ladder Lane 2: acceptable quality Lane 3: heavily degraded total RNA Lane 4: slightly degraded and DNA- contaminated sample Lane 5: 1 Kb DNA ladder For Bioanalyzer: Please paste the graphi