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Report on Results of Chromosome Aberration Test using Cultured Mammalian Cells Attached paper 2 4. Preparation of Test Substance Solution (Circle the applicable one for state of test substance solution and adjustment by purity.) In Japanese

4. Preparation of Test Substance Solution (Circle the applicable one for state of test substance solution and adjustment by purity.)

Name

Manufacturer

Lot No.

Grade

Purity (%)

Solvent used

Reasons for selection of solvent

State of test
substance solution

Dissolved Suspended Others (

)

Suspension and other methods applied when
test substance is sparingly soluble

Storage period and temperature of test
substance solution from preparation to use

hr. min.

Purity adjustment

Yes No