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10.3
Data Report Forms
BAX
®
System Real-Time PCR Assay for
Salmonella
Collaborative Study Data Report Form,
Orange Juice (BAX
®
System Real-Time PCR Assay for
Salmonella)
Lab:
Analyst start date:
Analyst:
Analyst completion date:
Biochemical ID method:
Kit lot number:
APC:
BS
XLD
HE
BS
XLD
HE
TSI
LIA
biochemical ID
Somatic
O
Flagellar
H
Final result
+ if typical colonies/reaction present, - if no typical colonies/reaction present
RV
TT
BAX
System
Result
Sample#
BAX
®
System Real-Time PCR Assay for
Salmonella
FDA-BAM Reference Method Confirmation
ID
Collaborative Study Approved Protocol
Expert Review Panel Use Only