<p> GENEEffective VECTOR as of September CORE 1, 2015 LABORATORY Room R630, The Margaret M. Alkek Building for Biomedical Research</p><p>Request Service: go to iLab</p><p>Fax: 713-798-8764 Email : [email protected] or [email protected]</p><p>Name: Institution: P.I.: Ship / Pick-up (Circle One) Phone Number: Shipping Address (If Applicable): E-mail: PO: City: State: Zip:</p><p>1. Viral Vector</p><p>Identification Name______AAV FGAd HDAd LV RV </p><p>2. Quantity Submitted</p><p>Virus (FGAd and HDAd only) Shipping Conditions: dry ice</p><p>Titer ______Viral Particles (VP)/ml CVL ______Purified Ad ______</p><p>Shuttle vector (all viral vectors) Vector Backbone if not in ID______</p><p>Concentration _____ g/l Volume ______l No. Tubes ______Shipping Buffer______Shipping Conditions: room temperature</p><p>3. Quantity Requested</p><p>Standard ______Other ______</p><p>LV only: Purification ___ Concentration ____</p><p>Received by ______</p><p>Signature ______Date ______</p><p>3. Additional Quality Control Testing Requested </p><p>Infectious Titer by Q-PCR Identity Verification Test Others ______</p><p>FGAd: first generation adenoviral vector; HDAd: helper-dependent adenoviral vector; AAV: adeno-associated viral vector; LV: lentiviral vector; RV: retroviral vector.</p>