Controlled Substances In Laboratory And Animal Research - Aliquot Log
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1Controlled Substances in Laboratory and Animal Research
Controlled Substance Aliquot Log
Effective March 2016
NOTE: A SEPARATE ALIQUOT LOG IS REQUIRED FOR EACH COMPOUNDED/DILUTED
SUBSTANCE MADE FROM THE ORIGINAL STOCK BOTTLE
Lot #: _________________________
Identification #:_______________________________
Investigator _________________________ Department _______________________________
Drug _______________________ Initial Amount __________ Concentration _______________
Date Issued ____________
Expiration Date _______________
Date
Species
Animal ID
Amt. Used
Balance
Purpose of Use
Initials
Please note: Investigators MUST keep original forms on file for two years from the last date of entry
Page ____ of ____
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Parent category: Medical