South Carolina Refrigerator/freezer Temperature Log For Vaccine Storage Units Page 3
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4REFRIGERATOR/FREEZER TEMPERATURE LOG
PIN
Vaccine Storage Action Plan for Temperature Excursions
Storage
Date
Time
Room
Problem
Action Taken
Results
Initials
Unit
Temp
Temp
Called Immunization Division. (Required)
.
Spoke with
Called Immunization Division. (Required)
Spoke with
Called Immunization Division. (Required)
Spoke with
DHEC 1627 (9/2012) South Carolina Department of Health & Environmental Control
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