ABCDEFGHIJKLMNOPQRSTUVWXYZ
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RAPID HIV TEST LOG
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FACILITY NAME:Ocean County Health Dept.BOX LOT #:223536EXPIRATION DATE:6/28/2024
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SHIPMENT #:DR4615REAGENT LOT #:2139031-QC=Weekly Control Run
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# OF TESTS:
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SITE ID (PEMS OR EVAL WEB#):011/6449PHONE #:732-341-9700 EXT. 7609
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CONTACT NAME:DANIEL GONZALEZ
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TESTING TYPEDATEID NUMBERROOM TEMPORAL/ BLOOD CONTROL PROFICIENCYCONTROL LINE PRESENTCONTROL CODESP24 AG POS OR NEGHIV AB POS OR NEGINTERP: POS/NEG/INVSTART/END TIMESOPERATOR
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1NJDH71°FBYNegativeNegativeNegative4:30-4:50
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2NJDH
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