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To " " -' ^_.s. (Supervisor) <br />Department <br />Datelfime strips were cultured______ <br />Temperature at which strips were incubated: <br />30'C to 35'C Ci 55'C to 60`C 50 <br />Results of culture tests (check one) <br />Both strips NEGATIVE -A POSITIVE 0 <br />One strip NEGATIVE the other POSITIVE O <br />Control strip results: NEGATIVE 0 POSITIVE Ye 1 <br />Recommended Actions: <br />ats#tS <br />Si <br />g... ...._...__._._..__._ w_.._---- <br />' rza�Cire SUPERVISOR <br />-- <br />STERILIZATION TEST DATA <br />institution.....` <br />Date of <br />Sterilan!_ <br />EO Cl <br />Dry gHeal <br />Location of sterilizer <br />a <br />Type of Load V10 <br />Sterilizing conditions: <br />Time of Strip Retrie <br />Test conducted by <br />De artment <br />r a! <br />E <br />C <br />