Biosite Technical Service: 1-888-246-7483 Reviewed by:______________________________________________________________ Date: _______________________________________
1
Level I Low
Level II High
2
Level I Low
Level II High
3
Level I Low
Level II High
4
Level I Low
Level II High
5
Level I Low
Level II High
6
Level I Low
Level II High
7
Level I Low
Level II High
8
Level I Low
Level II High
9
Level I Low
Level II High
10
Level I Low
Level II High
11
Level I Low
Level II High
12
Level I Low
Level II High
13
Level I Low
Level II High
14
Level I Low
Level II High
15
Level I Low
Level II High
QC Sample Test Log Sheet Used as an alternate method of tracking QC Sample test history.
Month _______________________ Laboratory Name _______________________________________________ Testing Site ________________________________________________
Date/ QC Sample Expiration Analyte Analyte Analyte Analyte Analyte Analyte Analyte Analyte Analyte Tech
Time Lot Number Date Level 1 2 3 4 5 6 7 8 9 Comments Initials
Rev A
A-7