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Proficiency Testing
Proficiency Testing Frozen Cord Blood
Frozen Cord Blood Proficiency Testing Data Submission
Submit data from proficiency testing using this form.
First Name
*
Last Name
*
Email Address
*
Institution
*
Participant ID
Session
March 2012
Comments
We will send an electronic copy of your results.
If you require a hard copy, please request one here. Electronic and hard copies of results are identical.
If you have any other comments to add to your data submission, please enter them here.
If your principal investigator or supervisor requires a copy of your results, please indicate this and provide their e-mail address.
Part I - Cell Processing and Inoculation
Date of Assay Setup
Year
Month
Day
2010
2011
2012
2013
2014
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Volume of Cells (mL)
(no commas only periods)
*
Cell Concentration (report in 10e6 cells/mL)
(no commas only periods)
*
Viability (report as %)
(no % sign)
*
Method of Cell Counting
Automatic
Manual
*
Method of Assessing Viability
Trypan Blue
7AAD
AO
Other
*
Part II - Colony Enumeration
Count colonies on day 14 and record results below
Date counted
Year
Month
Day
2010
2011
2012
2013
2014
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Dish 1: BFU-E
Dish 1: CFU-GM
Dish 1: CFU-GEMM
Dish 1: Total CFC
If you prefer, enter the total CFC rather than numbers for each colony type.
Dish 2: BFU-E
Dish 2: CFU-GM
Dish 2: CFU-GEMM
Dish 2: Total CFC
If you prefer, enter the total CFC rather than numbers for each colony type.
Dish 3: BFU-E
Dish 3: CFU-GM
Dish 3: CFU-GEMM
Dish 3: Total CFC
If you prefer, enter the total CFC rather than numbers for each colony type.
Dish 4: BFU-E
Dish 4: CFU-GM
Dish 4: CFU-GEMM
Dish 4: Total CFC
If you prefer, enter the total CFC rather than numbers for each colony type.
Part III - Colony Identification
Identify photographs A-H below.
Photo A Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo B Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo C Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo D Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo E Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo F Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo G Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*
Photo H Colony
BFU-E
CFU-GM
CFU-GEMM
Not submitted
*