TOXICOLOGY TRAINING CHECKLIST VALPROIC ACID, ETHOSUXIMIDE, ETHCHLORVYNOL Trainee: ____________________________________________ (Print) Instructor: __________________________________________ (Print)

As each area of training is covered, that area will be checked off and the trainee and instructor will initial and date below. The areas to be covered are as follows: Initials Trainee ___Read Valproic Acid, Ethosuximide, Ethchlorvynol _____ and associated training literature Instructor _____ Date _____

Trainee will spend approximately 1 week with instructor covering all areas of analysis listed below. Instructor and trainee will initial and date the individual areas when trainee demonstrates proficiency. ___ Generation of Sample Work List ___ Preparation of Samples for Analysis ___ Operation of GC/MS ___ Instrument Parameters ___ SIM Parameters ___ Data Analysis ___ Reporting Results and Coding Sheets ___ Successful QC Run (only one analyte required) 10 quality control samples 5 repeat samples where available 3 supervised runs _____ _____ _____ _____ _____ _____ ______ ______ ______

_____ _____

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______ ______

Dallas County Institute of Forensic Sciences Toxicology Training Manual

Valproic Acid, Ethosuximide, Ethchlorvynol Version 2.0

When all the areas have been checked off and initialed, the trainee, supervisor, and section chief will sign and date this form. This form will then be placed in the analysts training folder that is kept by the Quality Manager. Trainee: Supervisor: Section Chief: Date: Date: Date:

Dallas County Institute of Forensic Sciences Toxicology Training Manual

Valproic Acid, Ethosuximide, Ethchlorvynol Version 2.0