ࡱ> y{x_ bjbjzyzy 06b6b\        8X$|  HF\B0* , , , , , , $"A%bP 9 rFFrrP  4 rR  * r* zR  0 %l%% prrrP P $rrr rrrr%rrrrrrrrr B :  A separate form must be utilized for each uniquely assigned controlled substance container. Controlled Substance: FORMTEXT      Container Unit: FORMTEXT      Container size: FORMTEXT      Concentration: FORMTEXT      * Container ID # (assigned by lab upon receipt): FORMTEXT      Schedule (I-V): FORMTEXT      Lot#: FORMTEXT      Expiration: FORMTEXT      DEA Registrant Name: FORMTEXT      DEA Registrant Address (as appears on DEA Form 223): DateType of Cells/Substrate Administered toQuantity Used (ml)Amount Wasted *BalanceUser InitialsWitness Initials* * Waste: Provide initials for authorized user and witness Page:  FORMTEXT Vz     2 4 H J L V X z | ܻ͠ܜ܊͠x͠f͠ܜ#jh2nhwCJUaJ#j@h2nhwCJUaJ#jh2nhwCJUaJhw4jh2nhwCJOJQJU^JaJmHnHu#jh2nhwCJUaJjh2nhwCJUaJh2nhwCJaJ hL9ihwh&Ph #g5aJ h #g5aJ'  2 Z z Skdv$$Ifl0$~  t644 la $Ifgdwgdw L t _VV $Ifgdwkd,$$Iflֈ H$8<<<<< t644 la L N b d f p r t v " $ . 0 2 4 6 8 b d x z ޱޱޱwޱe#j~h2nhwCJUaJ#j6h2nhwCJUaJ#jh2nhwCJUaJ#jJh2nhwCJUaJhw4jh2nhwCJOJQJU^JaJmHnHu#jh2nhwCJUaJjh2nhwCJUaJh2nhwCJaJhwCJaJ't v 2 $IfgdwSkd$$Ifl0$v t644 la2 4 6 _V $Ifgdwkd$$Iflֈ $8pP t644 la6 8 b _Ukd$$Ifl20$2 2 t644 la $Ifgdw@kd8$$Ifl$d& t644 laz | : t u { |  *,.8:<ƾƺ}{cQc#jh!hwCJUaJ.jhwCJOJQJU^JaJmHnHuU#jDh!hwCJUaJjhwCJUaJhfhwCJaJhwCJaJhNr-hw5CJaJh)ihwCJaJhwh2nhwCJaJ4jh2nhwCJOJQJU^JaJmHnHujh2nhwCJUaJ  - @ P X tkbYYYYY $Ifgd 7$8$H$gdw^gdw@kd$$Ifl$d& t644 la $Ifgdw@kdL$$Ifl$d& t644 la X f y $Ifgd y z { $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i{ | } ~  $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kdd $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd4 $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kdt $$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kdD$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kdT$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$$Ifl֞he P #yF t0"44 layt)i $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i  $Ifgd    $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i      $Ifgd  $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i     $Ifgd    $ $Ifgd kdd$$Ifl֞he P #yF t0"44 layt)i       $Ifgd    $ $Ifgd kd4$$Ifl֞he P #yF t0"44 layt)i     ! $Ifgd ! " # $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i# $ % & ' ( ) $Ifgd ) * + $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i+ , - . / 0 1 $Ifgd 1 2 3 $ $Ifgd kd$$Ifl֞he P #yF t0"44 layt)i3 4 5 6 7 8 9 $Ifgd 9 : t $^gdwkdt$$Ifl֞he P #yF t0"44 layt)it u <@BFHLNRTVXʆކ$a$gdw^gdw      of  FORMTEXT           University of Toledo Controlled Substances in Research Usage Log <>BDHJNPTVXtƆȆԆֆކhwhw5CJaJh 5CJaJh@\hw5CJaJh!gh VhyjhyU.:pw/ =!"#$% vDText20R$$If!vh#v~ #v:V l t65~ 5avDText21vDText22vDText23R$$If!vh#v8#v<:V l t6585<avDText24R$$If!vh#v#vv:V l t655vavDText25vDText26vDText27$$If!vh#v8#v#v#vp#v#vP:V l t658555p55PaD$$If!vh#vd&:V l t65d&avDText34V$$If!vh#v2 #v2:V l2 t652 52aR$$If!vh#vd&:V l t65d&/ aR$$If!vh#vd&:V l t65d&/ a$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)i$$If!vh#v#vy#v#v#v#vF#v:V l t0"55y5555F5ayt)ivDText10vDText11 s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH L`L (Normal$CJOJPJQJ_HaJmH sH tH DA D Default Paragraph FontRi@R Table Normal4 l4a (k ( No List D@D (0Header !OJPJQJ^J6/6 (0 Header CharCJaJD @D (0Footer !OJPJQJ^J6/!6 (0 Footer CharCJaJT 2T ( No Spacing$CJOJPJQJ_HaJmH sH tH jCj w Table Grid7:V0HRH \ <0 Balloon TextCJOJQJ^JaJR/aR \ <0Balloon Text CharCJOJPJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<  SUWY[^ z < D t 2 6 X y {       ! # ) + 1 3 9 t   !"#$%&'()*+,-./0123456789:;<=>?@ABt&28KW]eqw{FFFFFFFFFFF@ @H 0(  0(  B S  ? Text20Text21Text22Text23Text24Text25Text26Text27Text34Text10Text11u'Lf| 9^xX\Xet&9K^ex,XX*+,-.00123456889:tt{,XX*+,-.00123456889:tt,v@h&_0\ < V``!g #g)i9br=syTUw Sfx@ XXXXze 4 @UnknownG.[x Times New Roman5Symbol3. .[x ArialQ. .[`)Microsoft Sans Serif7$BCambria9. . Segoe UIA$BCambria Math hKh'qycG!r4K#H?'(2!xx-( Patrick LesterJoseph, Elaine Oh+'0x  ( 4 @ LX`hpPatrick LesterNormalJoseph, Elaine3Microsoft Office Word@Ik@~5t@J%f>@z ՜.+,0 hp  University of Michigan  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEGHIJKLMNOPQRSTVWXYZ[\]^_`abcdefgijklmnoqrstuvwzRoot Entry Fz|Data F01TableU%WordDocument0SummaryInformation(hDocumentSummaryInformation8pCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q