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Date Opened: Chemstrip Lot#: Expiration Date: Date Opened: Chemstrip Lot#: Expiration Date: Date Opened: Chemstrip Lot#: Expiration Date: Date Opened: Chemstrip Lot#: Expiration Date: Date Opened: 1. 2. 3. 4. 5. 6. 7. 8. 9. DATE Normal control has known pH and negative/normal results. This will show if dipstick is giving false positive results. Run Control Daily Verify control lot # on this form is the same lot # on control vial. Verify chemstrip lot # on this form is the same lot.

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