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Ll <br />El <br />St Joseph's Medical Center Environmental Services Ded <br />North Corner Lot Sterilizer - Spordi Test <br />Date test performed I` Test performed by (Y1\(tM• i <br />Q.L3 ,� <br />Lot # O Expiration i(ayt� <br />Staple S ORDI Test Envelope in space below after com a Ing teatl <br />(Make sure that flaps are securely closed so that test strips will not fall out) <br />Directions for Laboratory Specimen Processing Dept: <br />Do not order test in RUBICON System. Send this form with the SPORDI Envelope <br />attached directly to the Microbiology Dept at HCCL <br />Set up Date: IS/i 1 <br />Time: 1,450 <br />By: bo? <br />�•.vvw.r..v ay.. .envevvcvev�' v4.V. <br />When test is complete, fill out the Sterility Test Report section on the envelope. <br />Remember to sign and date the form; reattach a copy then send original test envelope to: <br />SJMC Environmental Services Dept. <br />Attention: Linda McAlister <br />Please contact Linda McAlister at X 6472 immediately if there is a test failure. <br />