ECACC - Sample Submission Form - Mycoplasma Testing and Eradication / Sterility Testing

Sample Submission Form - Mycoplasma Testing and Eradication / Sterility Testing

This form should be faxed to ECCAC prior to sending samples and the original must be included with the samples. A Biohazard Risk Assessment must be completed in order for your samples to be accepted. ECACC is required to asses the GMO status of all deposits prior to receipt. Therefore, we will contact all depositors to advise them when we can receive samples.
Name
Job Title
Company
Address
Post Code
Country
Telephone
Fax
Email Address
Purchase Order Number
Mycoplasma Testing Details of cell line to be submitted
Cell line name	Frozen Growing
Details of medium for growth
Tests required	DNA Stain Culture Isolation PCR
Passaged twice off antibiotics	Yes No
Any other comments or information
Mycoplasma Eradication Details of cell line to be submitted
Cell line name	Frozen Growing
Details of medium for growth
Any other comments or information
Sterility Testing Details of cell line to be submitted
Cell line name	Frozen Growing
Details of medium for growth
Tests Required
Any other comments or information

Related Information

	Mycoplasma Testing, Eradication and Sterility Testing

	Biohazard Risk Assessment

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