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Sample Submission Form for Mycoplasma and Sterility Testing Once completed please email to [email protected] with a completed Biohazard Risk Assessment Form (available from www.phe-culturecollections.org.uk) and a copy of your purchase order. Name Organisation Name Email Address Telephone Number Postal Address Purchase Order (PO) Number Please email a copy of your purchase order Cell Line Name Is the cell line growing and passaged twice in the absence of antibiotics? Yes No If the answer to the question above is No please provide details (including media details if applicable). Note: ECACC may charge a handling fee for passaging cells prior to testing. Mycoplasma Tests Required: Mycoplasma Testing Method Characteristics Name of Test Mycoplasma Detection by PCR Mycoplasma Detection by Indirect Hoechst Stain Mycoplasma Detection by Culture Isolation All three Mycoplasma Detection methods: Mycoplasma Detection by PCR, Indirect Hoechst Stain and Culture Isolation Mycoplasma Detection by Culture Isolation to FDA protocol Catalogue Number Select Tests Required (check box if required) Sensitivity Time Taken Species Meets FDA points to Range consider in characterisation of cell lines used to produce biologicals (1993) ECSR33 Low/Medium 1 day Majority No ECSR60 Medium 2-3 days All Yes ECSR32 High 3-4 weeks Majority No ECSR39 High 3-4 weeks All See above for each test ECSR35 High 3-4 weeks Majority Yes Sterility Tests Required: Sterility Testing by Microbiological Culture (BF01 ECSR04) Yes No Bacteria and fungi testing by culture to FDA Code of Federal regulations (21CFR) (BF03 ECSR05) Yes No ECCW192.01-15 Authorised by: Dawn Osborne Page 1 of 1 Effective Date 16.01.2015 Culture Collections, Public Health England, Porton Down, Salisbury, SP4 0JG, UK T: +44 (0) 1980 612512 F: +44 (0) 1980 611315 E: [email protected] W: www.phe-culturecollections.org.uk