Date
-
Year
-
Month
Day
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Toothworks Location
Toothworks Bay Adelaide Dental
Toothworks Brookfield Place Dental
Toothworks The Boardwalk Dental
Toothworks College Park Dental
Toothworks Fairview Park Dental
Toothworks King-York Dental
Toothworks Masonville Place Dental
Toothworks Richmond-Adelaide Dental
Toothworks at Square One
Toothworks Sterling Dental
Toothworks Yonge-Carlton Dental
Sterilizer Type
Auto-Clave
Statim
Sterilizer Name
A
B
BI Cycle Number
BI Results
Pass
Fail
Control Results
Pass
Fail
Technician's Name
First Name
Last Name
Should be Empty: