DOG ID #
|
3
|
TEST DATE
|
10/11/12
| |||
TEST
|
Sweat/Skin Sample II:A (introduce sample; present by hand)
| |||||
DONOR ID #
|
3
|
ORIGIN
|
torso
| |||
SCENT TYPE (saliva/spit/sweat/other
|
saliva
|
SEIZURE TYPE
|
status epilectus, tonic-clonic, complex partial
| |||
stDATE of CAPTURE
|
08.19.2012
|
TIME of CAPTURE (before/during/after)
|
during, after
| |||
SAMPLE STATE (cotton/gauze pad/clothing/other
|
gauze
|
STORAGE CONTAINER (covered test tube/double bagged))
|
hazmat bag
| |||
SAMPLE CONDITION (frozen/refrigerated/room temp/other)
|
rcvd @ room temp, stored frozen, thawed to room temp
|
SAMPLE ID
AGE when USED
|
Sample 1
Day 1
| |||
MEDICATIONS
|
rescue Diastat
| |||||
SAMPLE SUMMARY
|
tested @ roomt temp; stored in double plastic bags; refrigerated
| |||||
SAMPLE SUMMARY & DIFFERENCES
|
1/2 gauze pad
swiped w/skin/sweat
|
same
| ||||
INTENSITY (# of holes
|
13
|
13
| ||||
CONTAINER TYPE
|
glass salt shaker
|
glass salt shaker
| ||||
PRESENTATION (hand/surface/wheel)
|
hand
|
hand
| ||||
# of CONTAINERS
|
1
|
1
|
1
|
1
|
1
|
1
|
# of SCENT OPTIONS
|
1
|
1
|
1
|
1
|
1
|
1
|
REPS
|
10
|
10
|
10
|
10
|
10
|
10
|
% SUCCESS
|
100
|
100
|
100
|
100
|
100
|
100
|
COMMENTS
|
*1
|
*2
|
*3
|
*4
|
*5
|
*6
|
TARGET in #
|
hand
|
hand
|
hand
|
hand
|
hand
|
hand
|
EASE OF FIND
1 Very easy 2 Easy
3 Normal
4 Difficult 5 Very difficult
|
1
|
1
|
1
|
1
|
1
|
1
|
TIME
|
1:26
|
1:14
|
1:13
|
1:19
|
1:25
|
(camera
died)
|
BASELINE CRITERIA MET: (Date) 10/11/12
*1
*2
*3
*4
*5
*6
BCM - no video - phone/camera died
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