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Qutm=Ta Data Rcview CLeddiu
RADIOCIM0 1LSMY
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Chen ID*
Dim Dare lily
Lab Sammie Nmobw er SDCr.
.Method Tea Psnsrm
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RZME Item Yam (J) 140(01 ) I WA(J ) 1^Ised
Rs+isr•!Jl
A. Ca llbradam
1. Is the sal3num doemameam ioduded Mus a*kabia? ^.
S Sampee Asuiris
1. An the sarmle?itidt - anseuome avmia? !/
1 Were all samplc bold* —m?
3. Is the sur¢ie 4fakmem Daemhle Acuvdr < the Camas Datum t3mt? I I 3
C. QC Samples
1. Is the blank r cld wirhm scecomma m a 3 I I I
2 Is the 4lutunum Daeamble Amvm (rr the blank rack S the Caara a Detetim
[.unit?
I
3
I /_
3. V the blank trsua < I!- :he Caatna Docc uau Unlit? I
3
/
s. Is the blank > Ir the Caeeraa Daaaeo 1= ba < C.srmaa Damask omit? I I ( 3 '
3. Is the blank :mh> the Cauraaa Dettsesm Lino bm the sampie nmlt < the Cavaa
Detaitan Lirtut^. I f 3
6. Is the i.CS rook wuhm a¢sprafoe vuaa?
7. Is the LCS neldvdth in aaxponre cmrna
8. Is the LCS Mirm Detecahk Acttrn:/ 5 the Camaa Deenim Lam?
9. 415%4tSD rauln aM peld nm •^ r++^+ mtau7
10. Duplicate wnple tesuus and r dd am s¢epuoce av I
D. Other
1. Are all `iomm nfommsm vsmded and ased?
Are ail required forms Ned oLaC
3. Corm= acbodaioa used? I
4. Traractpuen ducked.'
S. Were all calculaiau ducked at a nar>nam fsogo ? ei
6. Unats Checked'
Comments on any -No' response:
First Lwe! 3etdav: L% Li- `E^^{^t` Date:
Second LL%--! Rrviewl Date:
Form #: LS -038 .2 196. Rev 4
3
I I I j
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