CM-A 2013
CM-A 2013Kit Instructions CAP 2013Clinical Microscopy SurveyCMP CMP1 CMMP OCB GOCB DSCTable of ContentsKit ContentsKit Contents. 1CMPCM-01 — CM-03 (liquid specimens)CMP-04 — CMP-13 (photographs & CD-ROM)Detailed Testing Instructions. 2CMP1CMP1-01 — CMP1-03 (liquid specimens for iChemVelocity users only)CD-ROM Instructions. 3CMMPCMMP-30 — CMMP-35 (photographs & CD-ROM)OCBOCB-01 — OCB-03GOCBGOCB-01 — GOCB-03Body Fluid Images. 8DSCDSC-01 and DSC-02Biohazard Warning. 9Important: Before You BeginImportant: Before You Begin. 1Reporting Your Results. 3Master Lists. 5Urine Sediment Images. 7For Assistance. 9New for this Mailing1.2.Quantitative results for this Survey can now be automatically transmitted usinge‑LAB Solutions Connect . To learn more, visit cap.org/elabconnect.iChemVelocity users: Use specimens CMP1-01 through CMP1-03 for Bilirubin testing only. Reportresults on the designated result form page. If your laboratory is using the iChemVelocity instrument and did not receiveCMP1-01 through CMP1-03, please call the Customer Contact Center forassistance. For Leukocyte Esterase, a Positive reporting bubble has been added to theresult form.Reporting Code Changes1.2.Use code 435 (Test not indicated) if Reducing Substance(s) testing is not neededbased on your laboratory’s procedure.The following manufacturers have either deleted or updated codes for this mailing: 77 Elektronika Sekisui Consult Diagnostics YD Diagnostics (BioSys) PSS SelectStorage and Stability Instructions1.2.Store all specimens upright and tightly capped.Do not freeze specimens.Important: See the Biohazard Warning at the end of these instructions.Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)1
CM-01 through CM-03 and CMP1-01 through CMP1-031. Store specimens at 2 - 8 C.2. Refrigerator temperature allows for the best specimen stability; however, specimens are stable at room temperature (25 C) for up to 5 days after the ship date.OCB-01 through OCB-03 and GOCB-01 through GOCB-03Store specimens at room temperature (refrigeration will not compromise the specimen).DSC-01 and DSC-02Store specimens at 2 - 8 C.Critical Reporting Information1.2.3.4.For any testing that you do not routinely perform in your laboratory, leave allreporting areas for that test blank unless otherwise noted.Failure to specify a method, or selection of an inappropriate method, may result incomparison with the wrong peer group and unacceptable performance.For iChemVelocity users: Use specimens CMP1-01 through CMP1-03 forBilirubin only. Report your bilirubin value on the designated result form page.77 Elektronika users: The manufacturer recommends that you do not reportresults for Glucose, Ketones, and Leukocyte Esterase. For accreditation andregulatory purposes, perform and document alternative assessment (ie, splitsamples) for the period that commercial PT was not tested to the same level andextent that would have been tested.Detailed Testing InstructionsHandling Instructions1.2.3.4.5.6.2CM specimens: Urinalysis specimens CM-01 through CM-03 and CMP1-01 through CMP1-03require no reconstitution. Allow the specimens to come to room temperature for 20 minutes before mixing. Mix well before beginning tests. Perform only those tests that are ordinarily performed in your laboratory.DSC specimens: Before sampling, allow the specimens to reach room temperature (18 - 25 C)and invert the vial several times to ensure homogeneity. After each use, promptlyreplace the stopper and return to 2 - 8 C storage. For Proficiency Testing (PT) purposes, assume that screening results for bilirubinand protein are positive and proceed with confirmatory testing.CM and DSC specimens: The analyte used in urine proficiency specimens for bilirubin and urobilinogentesting may give slightly atypical (pink) color development by some methodswhen examined visually. If this occurs, the specimen should be graded basedupon the intensity of the color.OCB specimens: Follow your manufacturer’s package insert when testing.GOCB specimens: Roll the vial between the palms of the hands 6 times in an upright position. Gently invert the vial 6 times. Analyze specimens as directed in the product instructions of your test kit.Photograph/CD-ROM challenges: Please report results using the photographs and not the CD-ROM, as the colorwill be more consistent between laboratories.Clinical Microscopy 2013
7.The review of photographs must be performed by a single individual who may seekthe assistance of a supervisor, lead tech, or pathologist if that is the laboratory’sstandard procedure for patient slide review. After submission and receipt of PT results,group review of the images provides an excellent continuing education opportunity.CD-ROM InstructionsMinimum Computer Requirements:Microsoft Windows 98 or higherCPU: Pentium II class or higherMemory: 64 MB RAMCD-ROM speed: 8xMacintosh System 8.1, Mac OS 9.x or laterCPU: PowerPC , G3 or G4 processorMemory: 64 MB RAMCD-ROM speed: 8xInstructions for Program1.2.3.4.5.6.7.Insert disc into CD-ROM drive.The program will start automatically when the CD-ROM is inserted. If it does notstart automatically, click on My Computer and then click on your CD-ROM drive tostart program.Click Continue on the bottom of the splash page.Click on each specimen number to view the history and a thumbnail of the image.Double-click on the thumbnail image to view the full screen image.You may need to adjust your monitor for optimal color.Keep the CD-ROM for your records; do not return.Reporting Your ResultsGeneral Reporting InstructionsTo accommodate various reporting styles, multiple reporting sections have been added forthe protein, glucose, ketones, bilirubin, blood/hemoglobin, and leukocyte esterase analytes.Choose ONLY ONE reporting method to enter your results. Report results as youwould a patient result.1.2.3.Each mailing, verify the accuracy of your reporting codes (eg, manufacturer, method,instrument, reagent) by reviewing the online result form or the Method Summary Pageattached to the front of your result form.The inclusion of reporting codes on the result form does not imply FDA approval.Exception Codes: If you must report an analytical problem for a test or individualanalyte, leave the result area blank and fill one of the following bubbles on the resultform. Documentation on the use of these codes is the responsibility of the laboratory. 11 Unable to analyzeUse code 11 to indicate why specimens were not analyzed; for example,“instrument not functioning,” “reagents not available,” etc. 22 Result is outside the method/instrument reportable rangeUse code 22 if you obtain a high or low result outside the reportable range ofyour method or instrument. Do not use this code if there is an option to fill abubble for a “greater than” or “less than” result. 33 Specimen unsatisfactoryTo use code 33, you must contact the CAP.Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)3
4.5.6.Corrections can be made at any time prior to the due date printed on the result form. Review all entries for accuracy prior to online approval or before sending by fax ormail. For results that are approved online, corrections must also be done online. Faxedor mailed corrections will not be accepted.Certain sections of the result form include a bubble for “greater than” values. Fill thebubble if appropriate and enter your highest detectable limit in the boxes provided orrefer to the use of exception codes.For reporting Urinalysis and Specific Gravity Method and Instrument codes, refer to listbelow for examples:If you use:Then for Method use:Then for Instrument use:Refractometer2533 Refractometer2044 VisualSiemens DiagnosticsReagent Strip on SiemensDiagnostics Clinitek 5002936 Siemens DiagnosticsReagent Strip2292 Siemens DiagnosticsClinitek 500Siemens DiagnosticsReagent Strip and readvisually2936 Siemens Diagnostics 2044 VisualReagent StripBayer Clinitest, 5 dropmethod2543 Bayer Clinitest, 5 drop 2044 VisualRoche Chemstrip onRoche Chemstrip 1012937 Roche ChemstripRoche Chemstrip and read 2937 Roche Chemstripvisually3241 Roche Chemstrip 1012044 VisualBayer Acetest users: Results should be read at 30 seconds as instructed for urinespecimens in the Bayer package insert. Positive results may change if incubatedlonger due to the use of surrogate material for the Ketone analyte.8. Roche users: Chemstrip, Specific Gravity (Visual): For increased accuracy, add 0.005 tothe reading if the pH is 7.0. (If the strip is read on an instrument, the correctionis applied automatically.) pH Instrumentation: Results should be reported in whole numbers from 5.0 to9.0, with the exception of 6.5. pH Visual: Results should be reported in whole numbers; 0.5 increments arenot allowed. Roche Glucose Visual Method only: Results may be reported as 500 mg/dL. All Other Roche Glucose Methods: Should NOT report 500 mg/dL. Analyzersare not able to discern results of 500 vs. 1000 mg/dL. Protein, Urisys 1100: 75 mg/dL is not an appropriate response.9. Siemens Diagnostics users: Multistix, Specific Gravity (Visual): According to the Siemens Diagnosticspackage insert, for increased accuracy add 0.005 to the visual specific gravityreading when the urine pH is equal to or greater than 6.5. Report the correctedspecific gravity on your result form. (Results from strips read by Clinitek areautomatically corrected.) CM specimens: Clinitek and Atlas users, Protein: For reporting qualitativeprotein values of 300, fill the bubble for 300-600 mg/dL or 3 .10. When reporting a high qualitative value do not choose a response greater than yourmethod allows.11. For participants enrolled in CM and/or DSC: When testing Survey samples, the result for each analyte should be evaluatedindependently and not in relation to other test results.7.4Clinical Microscopy 2013
Production of stable PT specimens may require the use of surrogate materialthat behaves differently than the authentic analyte. Therefore, for purposesof PT, please do not perform confirmatory tests for positive dipstick resultson the CM specimens even though your laboratory protocol requires them forpatient specimens. Report only the results for your initial dipstick testing on thesechallenges. Confirmatory testing results for bilirubin and/or protein should bereported using the DSC specimens only.12. For participants enrolled in DSC: For Confirmatory Protein, use reporting methodsone, two, or three, according to how you report results in your laboratory. You onlyneed to report in one of the areas.13. For cell identification challenges, always use the master list included in these kitinstructions as these lists are continually updated.Urine hCG Manfacturer Master ListDeleted codesNoneNew/Updated codes1836 Sekisui OSOM1837 Sekisui OSOM 117Abbott TestPack ComboAbbott TestPack Plus Combo with orwithout OBCAbbott TestPack Plus - UrineABI SureStepABI SureStep ComboABI SureStripAcceava Basic II (urine)Acceava Combo IIACON One Step (urine only)Alere hCG Cassette (20) (Acceava)Alere hCG Cassette (25) (Clearview)Alere hCG Combo Cassette (20/10)Alere hCG Combo Cassette (25)(Clearview)Alere hCG DipstickAlfa Scientific Instant-View ComboAlfa Scientific Instant-View Urine onlyBeckman Coulter ICON 20Beckman Coulter ICON 25BioMerieux AuraTekBioTron Diagnostics Foremost UrineCardinal Health SP Brand CassetteCardinal Health SP Brand ComboCardinal Health SP Brand DipstickCen-Med Elite Plus One Step hCGCenogenicsChembio STAT-PAKClearview hCG Combo IIDE Healthcare Products TruViewOne-StepEikenFormosa One Sure Pregnancy KitGermaine Laboratories AimStepGermaine Laboratories AimStick PBDHenry Schein OneStep ComboHenry Schein OneStep Urine CassetteHenry Schein OneStep Urine StripImmunostics Immuno hCG 246632091288149114923061287213721414Immunostics Immuno hCG DetectorCombi (serum/urine)Immunostics Immuno hCG Detector StixInnovatek BioStripInstant Technologies iPregnancyCassette (serum/urine)Instant Technologies iPregnancyCassette (urine only)Instant Technologies iPregnancyStrip (urine only)J & S Medical Associates AccutexJant Accustrip Value Jant Accutest (serum/urine)Jant Accutest Value (serum/urine)Jant Accutest Value (urine only)LifeSign Status (serum/urine)LifeSign Status (urine only)LifeSign UniStepLSC (LABSCO) Pep hCG ComboLSC (LABSCO) Pep hCG TestMainline Confirms hCG ComboMainline Confirms hCG (urine only)McKesson Medi-Lab Performance CassetteMcKesson Medi-Lab Performance ComboMcKesson Medi-Lab Performance DipstickMediChoice CombiMediChoice Urine OnlyMedline hCG Urine CassetteMedline hCG Urine DipstickMeridian ImmunoCard STATNDC Pro Advantage Urine/SerumCassetteNDC Pro Advantage Urine CassetteNDC Pro Advantage Urine StripPolymedco Poly stat (serum/urine)Polymedco Poly stat (urine only)Pulse ScientificQuidel QuickVue One-Step 010Quidel QuickVue One-Step ComboQuidel QuickVue One-Step UrineQuidel RapidVue (urine only)Ramco Quik-Trak (urine only)Ramco Quik-Trak Combi Test(serum/urine)Randox DirectRoche AccuStat ComboSA Scientific (serum/urine)SA Scientific (urine only)SA Scientific (SAS) UltraSekisui OSOMSekisui OSOM ComboSelect Diagnostics CassetteSelect Diagnostics ComboSelect Diagnostics DipstickSiemens Diagnostics Clinitek StatusSignify hCG CardSignify hCG UrineSignify hCG Urine/SerumSMC Direct RefuAH ComboSMC Direct RefuAH UrineStanbio QuPIDStanbio QuPID PlusStanbio QuPID Plus E.R.Stanbio QuStickStanbio True 20 PlusSure-Vue (serum/urine)Sure-Vue (urine only)Sure-Vue STAT (serum/urine)Syntron/CIDA QuikPac II OneStep(serum/urine)Technologist Choice (serum/urine)Wampole UCG-Beta Slide MonoclonalWampole UCG-Slide TestWondfo One Step hCG UrineWondfo One Step hCG Urine/SerumYD Diagnostics Preg-QOther, specify on result formInclusion on this master list does not imply FDA approval.Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)5
Occult Blood Manufacturer Master ListDeleted codesNoneNew/Updated O/ABCO-ESAerscher Diagnostics HemaPromptAerscher Diagnostics HemaPrompt FGAlfresa Hemo Techt NS-Plus CAlfresa Nescauto Hemo PlusBeckman Coulter Hemoccult ICTBeckman Coulter Hemoccult/SENSABergen Brunswig/Bergen Brunswig-ESCenogenics Corp.ClearviewHelena ColoScreen/ColoScreen-ESHemosure iFOBImmunostics Hema Screen/SpecificKyowa Medex HM-JACKLaboratory Diagnostics Quik-CultMedline iFOB Test KitMedTek HemaSlideMedTek HemaWipeMedTek InstaccultPolymedco OC-Auto Micro 80Polymedco OC-LightPolymedco OC-Sensor Diana317230203284324731692664302630990010Propper Seracult/Seracult PlusPSS Select/Select-ESQuidel QuickVue iFOBSiemens Diagnostics Hema-ChekslideSiemens Diagnostics Hematestreagent tabletStanbioStarline ColoScan/ColoScan-ESSure-Vue/Sure-Vue ESOther, specify on result formInclusion on this master list does not imply FDA approval.Urinalysis and Specific Gravity Method Master ListDeleted codes3443 Consult Diagnostics1231 PSS SelectNew/Updated codes1733 77 Elektronika reagent strips1626 BioSys/Consult Diag/PSS Select/YDDiag Reagent 103034253238123877 Elektronika reagent stripsACON Mission Reagent StripsARKRAY Aution SticksBayer AcetestBayer Clinitest, 2 dropBayer Clinitest, 5 dropBioSys/Consult Diag/PSS Select/YDDiag Reagent StripsBTNX Rapid Response ReagentStripsCTMI/Thermo Fisher Reagent StripsDiagnostic Test Group Clarity UrocheckReagent StripsDiaScreen Reagent StripsEiken rmaine Laboratories AimStick USIRIS iChem Reagent StripsIRIS iChemVELOCITY Reagent Strips(800-7204)IRIS iChemVELOCITY Reagent Strips(800-7212)IRIS vChem Reagent StripsIRIS Mass Gravity MeterIRIStripsJant Accustrip URS 10 Reagent StripsJant Accutest URS 10 Reagent StripsMcKesson/Teco Reagent StripsMedline Urinalysis Reagent StripspH MeterPyrogallol 0RefractometerRoche Chemstrip LNRoche Chemstrip/ComburRoche Urisys CassetteSchein UrispecSiemens Diagnostics Clinitek AtlasReagentSiemens Diagnostics IctotestSiemens Diagnostics ReagentStrips (All)SMC Direct RefuAH Reagent StripsSulfosalicylic acidUriometerOther, specify on result formInclusion on this master list does not imply FDA approval.6Clinical Microscopy 2013
Urinalysis and Specific Gravity Instrument Master ListDeleted codes2824 YD Diagnostics (BioSys) UriScanOptima/ProNew/Updated codes1935 77 Elektronika urine chemistry analyzers3444 BioSys/Consult Diag/PSS Select/YDDiag Urine 32324119453444257310623424110633713372313977 Elektronika urine chemistry analyzersACON Mission U120, U500ARKRAY/IRIS Aution JETARKRAY/IRIS Aution MAX/iQ200ARKRAY/Thermo BioStarPocketChem UABioSys/Consult Diag/PSS Select/YDDiag Urine AnalyzerBTNX Rapid Response 120CTMI CT-120 Urine AnalyzerDiagnostic Test Group Clarity Urocheck120DiaScreen 50Eiken US-2100R/2200Eiken US-3100R/3100RplusIRIS 900UDx/939UDxIRIS iChem 100IRIS iChemVELOCITYIRIS Model 500 (and earlier)Jant Accustrip URS 10 ReaderMcKesson 107-101 UARapimatRoche Chemstrip 101Roche Chemstrip Criterion,Criterion IIRoche Chemstrip Mini UARoche Chemstrip Super UARoche Chemstrip Urine AnalyzerRoche cobas u411, Urisys 1800Roche Urisys 1100Roche Urisys 2400Siemens Diagnostics Clinitek 10 or 52681253234261261260320440010Siemens Diagnostics Clinitek 50Siemens Diagnostics Clinitek 200 or200 Siemens Diagnostics Clinitek 500,AdvantusSiemens Diagnostics Clinitek 2000Siemens Diagnostics Clinitek AtlasSiemens Diagnostics Clinitek NovusSiemens Diagnostics Clinitek StatusSMC Direct RefuAH U120Super Aution AnalyzerTeco Uritek TC-101VisualOther, specify on result formInclusion on this master list does not imply FDA approval.Urine Sediment ImagesReview the Urine Sediment Master List below and record the three-digit code on theresult form. (Consult the current Hematology and Clinical Microscopy Glossary for briefdescriptions or definitions.)Urine Sediment Master List240Immature or abnormal cell, would referfor identification (Code 240 should beused only if you would routinely sendthe cell in question to an outside laboratory with another CLIA number.)Note: If organisms are present, choosean identification that indicatestheir presence.Cells109Erythrocyte, mature189Erythrocyte, dysmorphic183Leukocyte (neutrophil, eosinophil,lymphocyte)163Macrophage179Parabasal cell, basal cell (vaginal fluidonly)112Renal tubular epithelial cell (RTE), withor without 121123Squamous epithelial cellSquamous epithelial cell with bacteria(clue cell)Transitional epithelial cell (urothelial)Cellular cast (RTE and/or neutrophil)Fatty castGranular castHyaline castRed blood cell/hemoglobin cast/muddybrown castsWaxy castCrystal124Ammonium biurate137Ammonium magnesium phosphate(triple phosphate)126Amorphous 2155133136138139Calcium oxalateCholesterolCystineHippuric acidLeucineSulfonamideTyrosineUric acidOrganisms168Bacteria147Trichomonas vaginalis150Yeast/fungi, extracellularMiscellaneous/Exogenous140Fat droplets141Fiber (exogenous)/fecal contamination142Mucus strands172Pollen grain188Stain precipitate146Starch granuleCustomer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)7
Submitting Results1.2.3.Results must be received at the CAP no later than midnight, Central Time by the duedate on the result form. Results cannot be accepted if received after the due date.Your laboratory must establish a laboratory web account, referred to as “Opting In,” tosubmit results online. Information about opting in and a unique PIN was mailed to alllaboratory directors. If your laboratory director does not have this information, pleasecontact the CAP for a replacement letter.Laboratory staff who will enter results online must first establish a personal webaccount. Once a personal web account is established, laboratory staff can request access to their laboratory’s information.Body Fluid ImagesParticipants should remember that the most specific identification possible is theappropriate response. For example, if a macrophage containing red cell is indicated by thearrow “macrophage with phagocytized erythrocytes or erythrophage” is the appropriateanswer, not “macrophage.”Review the CSF and Body Fluids Master List below and record the 3-digit code on theresult form. (Consult the current Hematology and Clinical Microscopy Glossary for briefdescriptions or definitions.)Note: If your laboratory does not perform testing on a specific specimen type, pleasefill the bubble for code 100. Do not leave a reporting area blank.CSF and Body Fluids Master List240Immature or abnormal cell, would referfor identification (Code 240 should beused only if you would routinely sendthe cell in question to an outside laboratory with a different CLIA number.)Note: If microorganisms or otherintracellular inclusions are seen,choose an identification that indicatestheir presence.Erythroid Series109Erythrocyte, mature110Erythrocyte, nucleatedLymphoid Series160Lymphocyte152Lymphocyte, reactive (atypical)165Lymphoma cell119Plasma cell120Plasma cell, abnormalMyeloid Series135Basophil, mast cell159Eosinophil, any stage180Neutrophil, immature (metamyelocyte,myelocyte, promyelocyte)207Neutrophil, segmented or band8Mononuclear Phagocytic Series212Macrophage containing abundant smalllipid vacuoles/droplets(Lipophage)213Macrophage containing erythrocyte(s)(Erythrophage)214Macrophage containing hemosiderin(Siderophage)215Macrophage containing 1Neutrophil/macrophage containing crystal205Neutrophil/macrophage withphagocytized bacteria206Neutrophil/macrophage withphagocytized fungiLining Cells216Bronchial lining cell217Endothelial cell219Mesothelial cell220Synoviocyte (synovial lining cell)221Ventricular lining cell (ependymal orchoroid cell)Miscellaneous Cells222Blast cell223Chondrocyte (cartilage cell)224Degenerating cell, NOS225Germinal matrix cell226227228229113LE cellMalignant cell (non-hematopoietic)MegakaryocyteNeural tissue/neuronsSquamous epithelial cellCrystals130Calcium pyrophosphate dihydratecrystals (CPPD)131Cholesterol crystals166Crystals, NOS230Hematoidin (hematin) crystals231Monosodium urate crystalsMicroorganisms233Bacteria - acrophage withphagocytized bacteria206Neutrophil/macrophage withphagocytized fungi144Parasite246Pneumocystis jirovecii150Yeast/fungi, extracellularMiscellaneous Findings217Endothelial cell140Fat droplets235Mitotic figure188Stain precipitate146Starch granuleClinical Microscopy 2013
Per the Federal Register Proficiency Testing (PT) specimensmust be tested with the laboratory’sregular workload, using routinemethods, and testing the PTspecimens the same number oftimes it routinely tests patientspecimens. If referral for testing is routinelyperformed for patient specimens,the practice cannot be followedfor PT specimens. Referral isconsidered to be movement ofthe specimen from a laboratorywith a CLIA identification numberto another laboratory that has a Biohazard WarningAll Survey samples should be treated as if potentially infectious and should be handledas if they are capable of transmitting disease.Survey samples are prepared from blood or other source material obtained from humandonors or animals.When working with Survey samples, precautions should be taken to protect yourself andothers from accidental exposure to infectious agents such as HIV, HBV, and HCV.HIV can be transmitted through accidental parenteral inoculation, mucous membranes, ornon-intact skin contact with HIV infected blood or body fluids. HBV and HCV can betransmitted through accidental parenteral inoculation, mucous membranes, non-intactskin contact, aerosolization, or ingestion.Precautions described in CDC and FDA recommendations and OSHA blood bornepathogen rules should be followed at all times when handling Survey samples andreagents.different CLIA identification number.Such precautions include the following:Laboratories must ensure that personnel do not share resultsor refer PT specimens for anyreflex or testing outside their CLIAidentification number.DisclaimerSurvey samples, their progeny,unmodified derivatives, or modificationsthereof may not be transferred orincorporated into a product intended forsale. Survey samples, their progeny,unmodified derivatives, or modificationsthereof, reagents, and disposableequipment used in proficiency testing,when disposed of, should be autoclavedor incinerated and disposed of ashazardous waste.Gloves should be put on before opening the container and should be kept onthroughout the period samples are handled. Replace gloves if contaminated, or iftheir ability to function as a barrier is compromised. At high altitudes, samples should be opened in a hood or biologic safety cabinet. There should be no eating, drinking, or smoking in the laboratory. Hands should be washed after removing gloves and before leaving the testing area. Survey samples and reagents should be kept in separate refrigerators from thosecontaining blood or blood components for transfusion. Survey samples, reagents, and disposable equipment used in testing should beautoclaved or incinerated and disposed of as hazardous waste.Warning: This Survey may contain chemicals known to the State of California to causecancer and to cause birth defects or other reproductive harm.If there has been an accident in which you have been exposed to the Survey’smaterials, please call the CAP Hot Line at 800-443-3244 (domestic) or 847-470-2812(international) at any time. You can access Safety Data Sheets (SDS) (formerly knownas MSDS) by logging on to cap.org and clicking on the Accreditation and LaboratoryImprovement tab.For AssistanceFor replacement materials, please contact the CAP within 10 calendar days of the shipdate for information. Provide your CAP number and contact information with allcorrespondence.Telephone: 800-323-4040 option 1 (Monday - Friday, 7:00 am – 5:30 pm Central Time)International Participants: 847-832-7000 option :CAP Surveys Program325 Waukegan RoadNorthfield, IL 60093-2750Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)9
This page intentionally left blank.10Clinical Microscopy 2013
This page intentionally left blank.Customer Contact Center 800-323-4040 option 1 (domestic), or 847-832-7000 option 1 (international)11
This page intentionally left blank.12Clinical Microscopy 2013
1961 Clearview hCG Combo II 3140 DE Healthcare Products TruView One-Step 2098Eiken 2860 Formosa One Sure Pregnancy Kit 1586 Germaine Laboratories AimStep 2921 Germaine Laboratories AimStick PBD 1205 Henry Schein OneStep Combo 1382 Henry Schein OneStep Urine Cassette 1383 Henry Schein OneStep U
Volume 29, Issue 21 Virginia Register of Regulations June 17, 2013 2526 PUBLICATION SCHEDULE AND DEADLINES June 2013 through June 2014 Volume: Issue Material Submitted By Noon* Will Be Published On 29:21 May 29, 2013 June 17, 2013 29:22 June 12, 2013 July 1, 2013 29:23 June 26, 2013 July 15, 2013 29:24 July 10, 2013 July 29, 2013
akuntansi musyarakah (sak no 106) Ayat tentang Musyarakah (Q.S. 39; 29) لًََّز ãَ åِاَ óِ îَخظَْ ó Þَْ ë Þٍجُزَِ ß ا äًَّ àَط لًَّجُرَ íَ åَ îظُِ Ûاَش
Collectively make tawbah to Allāh S so that you may acquire falāḥ [of this world and the Hereafter]. (24:31) The one who repents also becomes the beloved of Allāh S, Âَْ Èِﺑاﻮَّﺘﻟاَّﺐُّ ßُِ çﻪَّٰﻠﻟانَّاِ Verily, Allāh S loves those who are most repenting. (2:22
GENERIC RISK ASSESSMENT INDEX: Risk Assessments Version Issue Date Mobile Scaffold Towers 3 May 2013 Working on Scaffolds 3 May 2013 Excavations 3 May 2013 Working in Confined Spaces 3 May 2013 Working Near Buried Spaces 3 May 2013 Crane Operations 3 May 2013 Maintenance & Repair of Plant 3 May 2013 Welding 3 May 2013 Demolition 3 May 2013 Work Involving Asbestos Products 3 May 2013 Excessive .
US 9,203,881 B2 Page 3 (56) References Cited 2013/0157699 Al * 6/2013 Talwar et al. 455/466 2013/0212497 Al 8/2013 Zelenko et al. U.S. PATENT DOCUMENTS 2013/0247216 Al 9/2013 Cinarkaya et al. 2013/0086245 Al * 4/2013 Lu et al. 709/223 2013/0091204 Al * 4/2013 Loh et al. 709/204 * cited by examiner
250-7614 2011-2013 Ford Edge Installation Instructions General Applicability: Ford - 2011-2013 Explorer, 2011-2013 Taurus, 2011-2013 Flex, 2013 Fusion, 2013 F-150/250/350 Lincoln – 2012-2013 MKZ, MKX, MKS, MKT For video installation instructions, please visit us online at www.rostra.com. INSTALLATION PERFORMED ON FORD EDGE FOR REFERENCE ONLY! Parts Identification Page 1 Vehicle Preparation .
Nissan Cube 1.6L 2009-2011 D-512-7 Nissan Cube 1.8L 2009-2013 D-512-7 Nissan Frontier 2.5L 2005-2013 D-512-7 Nissan Frontier 4.0L 2005-2013 D-512-7 Nissan Maxima 3.5L 2005-2013 D-512-7 Nissan Murano 3.5L 2005-2013 D-512-7 Nissan NV2500/NV3500 4.0L 2012-2013 D-512-7 Nissan NV2500/NV3500 5.6L 2012-2013 D-512-7 Nissan Pathfinder 3.5L 2012-2013 D-512-7
NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD NEW 2013 FORD FOCUS FIESTA FUSION F-150 ESCAPE F-150 C-MAX EDGE 17,962 14,962 20,962 29,662 20,962 31,962 24,962 26,962 Stk #1300389 Stk #1300338 Stk #1300123 Stk #1300768 Stk #1300723 Stk #1300531 Stk #1300809 Stk #1300254 SiRiUS Radio .
