Appendix C1: Sample Collection Log Sheet
PFAS Exposure Investigation, blood and urine sampling
DLS Study number DLS study Name SAMPLE COLLECTION LOG SHEET |
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DATE:__________________________ |
COLLECTION DATE:______________________ |
VISIT NUMBER:_________________ |
RECEIVED BY:_____________________________ |
UC= Urine Cup, BLD= Red top (blood tube for serum yield)
Place a label in the label section of the specimen log sheet.
☒ = SPECIMEN COLLECTED ☐ = SPECIMEN NOT COLLECTED (Please leave blank if specimen is not collected)
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LABEL |
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UC |
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UC |
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BLD |
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BLD |
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LABEL |
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LABEL |
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UC |
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BLD |
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LABEL |
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UC |
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BLD |
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LABEL |
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UC |
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UC |
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BLD |
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LABEL |
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UC |
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UC |
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BLD |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Scruton, Karen M. (ATSDR/DCHI/SSB) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-13 |