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Report on Results of Chromosome Aberration Test using Cultured Mammalian Cells Attached paper 2 8. Others In Japanese

8. Others

Test facility

Name

Address

Tel ( )
Fax ( )

Study director

Title and Name	Official seal
Years of experience:

Study period
(Y/M/D)

From:

To:

Study number

[Remarks]
		1. Enter the Form by transcribing from the final report.
		2. Enter the study number same as that of the final report.

* When positive results are obtained, illustrate the dose dependency and attach photos of typical abnormal cells.