Sample Description Document

for tests with Customer samples at ALSAC

Case No. (Your own
reference):
Analyte:

 Active substance (all

known components
which have to be
separated)

 Structure (preferably)

Concentration / Amount
(Sensitivity requirement):

Solubility:

What is in the solution

(Buffers, solvents, salts, etc.):

Special Sample handling

(Dilution, Extraction etc.):

Amount/volume of the sample

needed for the experiments
(discussed together with the
customer, Product manager
and ALSAC representative):

Hazard Information for the

sample
(Toxicity, Bio, Cytotoxic etc.):

A Non Disclosure Agreement

could be signed
The Customer insure that the
sample is well defined and all
components are known to the
customer and comply with the
Hazardous information:

Signature of the Customer: