Title: IRB # Principal Investigator: Study contact name: Subject ID Date subject Date sample Sample type, e.g., Storage location * Storage period Storage period to: Initials of person provided collected plasma, full from: (Date samples are collecting the consent urine, tissue, or DNA destroyed) samples * Please specify building, department, location and type of storage facility (e.g.-80°C, 4°C, room temperature, or liquid nitrogen).
Title: IRB # Principal Investigator: Study contact name: Subject ID Date subject provided consent Date sample collected Sample type, e.g., plasma, full urine, tissue, or DNA Storage location * Storage period from: Storage period to: (Date samples are destroyed) Initials of person collecting the samples * Please specify building, department, location and type of storage facility (e.g.-80°C, 4°C, room temperature, or liquid nitrogen).
retained_fluid_%20and_tissue_log.docx