Specimen Processing Laboratory:	
Participant ID (PTID):	Visit:	Protocol:	
Collection Date:	Time: 	LDMS Spec #:	
Processing Start Date:	Time:	Processed By:	
		
Processing:	
Counting Method:              ViCell      /     Hemacytometer	Blood Condition:  
NORM / HEMO / CLOTTED  	
Usable whole blood volume	mL	
Counting re‐suspension volume of HBSS (V)	                                                                                                                                    mL	
Viable cell count average concentration (C)	                                                                     
 x 106 cells/mL	
Total cell number (T) = C x V	                                                                              
 x 106 cells	
Cell yield/mL of whole blood 
(QC check) = (T/Usable Whole Blood Volume)	x 106 cells/mL	
Total cells needed for all DMSOs to be made (D)	                                                                               
x 106 cells	
Volume to keep for DMSOs (K1 = D/C)	                                                                                               mL	
Cels needed for all PELs as per protocol specifications (P)	                                                                       
x 106 cells/mL	
Volume to keep for each PEL (K2 = P/C)	                                                                                               mL	
Estimated CPS re‐suspension vol. (V1)	                                                                                               mL	
Final CPS re‐suspension volume (Vf)   if different from V1, rounded DOWN to the nearest whole mL	                                                                                               mL	
Actual number of cells per DMSO N2 = (T)/( Vf)	                                                                         
 x 106 cells/vial	
DMSO Freezing date and time		
Storage:	
Date & Time specimens transferred from Mr. Frosty into permanent storage boxes		
Person transferring specimens from Mr. Frosty into permanent storage boxes		
Comments & Protocol Deviations (use back of page if necessary):