< TABLE OF CONTENTS
QUALITY ASSURANCE RECORD
DATE Control Level 1 Lot No. Expiration Date
OPERATOR Control Level 2 Lot No. Expiration Date
Cassette Type Lot No. Expiration Date
ROOM TEMP CONTROL RANGES TRG TC GLU HDL ALT
REFRIG TEMP Level 1 (mg/dL)
–––––
Level 2 (mg/dL)
–––––
CHOLESTECH LDX
SERIAL NO. CONTROL RESULTS TRG TC GLU HDL ALT Accept Reject
Level 1
Level 2
DATE Control Level 1 Lot No. Expiration Date
OPERATOR Control Level 2 Lot No. Expiration Date
Cassette Type Lot No. Expiration Date
ROOM TEMP CONTROL RANGES TRG TC GLU HDL ALT
REFRIG TEMP Level 1 (mg/dL)
–––––
Level 2 (mg/dL)
–––––
CHOLESTECH LDX
SERIAL NO. CONTROL RESULTS TRG TC GLU HDL ALT Accept Reject
Level 1
Level 2
DATE Control Level 1 Lot No. Expiration Date
OPERATOR Control Level 2 Lot No. Expiration Date
Cassette Type Lot No. Expiration Date
ROOM TEMP CONTROL RANGES TRG TC GLU HDL ALT
REFRIG TEMP Level 1 (mg/dL)
–––––
Level 2 (mg/dL)
–––––
CHOLESTECH LDX
SERIAL NO. CONTROL RESULTS TRG TC GLU HDL ALT Accept Reject
Level 1
Level 2