date · web viewt= tissue u= urine o= other please specify sample processing sop numbers: s torage...

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SAMPLE/TISSUE TRACKING LOG Page ___ of ___ Study Title/Acronym: Investigator: Site name/no.: UHL Number: EudraCT no.: IRAS no.: Sample Type: W = Whole Blood P=Plasma S=Serum T= Tissue U= Urine O= Other please specify Sample processing SOP numbers: Storage Location (include temperature) : Subject ID No. Subject Initials (if known) Sample/Tissue ID Sample Type Collectio n Date (dd/mmm/ yy) Collection Time (24hr) Time Sample Processed (24hr) Time placed in Storage (24hr) Sample Storage Location (inc. shelf/ box/ column/ row) Staff Initia ls Sample Removed Date & Staff Initials Volume of sample removed (include units) Sample Shipping Date & Staff Initials Sample Destruction date & Staff Initials Comments Include any comments on sample receipt or processing and freeze/thaw cycles. Shelf:___ Box: ____ Row:____ Date: Initials : Shelf:___ Box: ____ Row:____ Shelf:___ Box: ____ Row:____ Shelf:___ Box: ____ Row:____ Shelf:___ Sample Tracking Log V1.0 dated 19Sep19

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Page 1: Date · Web viewT= Tissue U= Urine O= Other please specify Sample processing SOP numbers: S torage Location (include temperature) : Sample Tracking Log V1.0 dated 19Sep19 Subject

SAMPLE/TISSUE TRACKING LOG Page ___ of ___Study Title/Acronym:Investigator: Site name/no.:UHL Number: EudraCT no.: IRAS no.:Sample Type: W = Whole Blood P=Plasma S=Serum T= Tissue U= Urine O= Other please specify

Sample processing SOP numbers:

Storage Location (include temperature) :

Subject ID No.

Subject Initials

(if known)

Sample/Tissue ID

Sam

ple

Type

Collection Date(dd/

mmm/yy)

Collection Time (24hr)

Time Sample

Processed (24hr)

Time placed in Storage

(24hr)

Sample Storage Location (inc. shelf/

box/ column/

row)

Staff Initials

Sam

ple

Rem

oved

D

ate

& S

taff

In

itia

ls

Volu

me

of

sam

ple

rem

oved

(i

nclu

de

unit

s)Sa

mpl

e Sh

ippi

ng D

ate

& S

taff

Init

ials

Sam

ple

Des

truc

tion

da

te &

Sta

ff

Init

ials

CommentsInclude any comments on

sample receipt or processing and freeze/thaw

cycles.

Shelf:___

Box: ____

Row:____

Date:

Initials:

Shelf:___

Box: ____

Row:____

Shelf:___

Box: ____

Row:____

Shelf:___

Box: ____

Row:____

Shelf:___

Box: ____

Row:____

Shelf:___

Box: ____

Row:____

Sample Tracking Log V1.0 dated 19Sep19