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REQUESTING
VIRTUAL ONLINE TEST MEDIA
Ø Reagents & hydrogen peroxide for catalase test DO
NOT need be requested.
IMPORTANT: Before Requesting
Virtual Online Media:
i) Fill in each test
medium/media
that you are requesting in the correct
column below
ii) Fill in each test
medium/media in order starting from #1.
If not performing a virtual ID due to
COVID-19, before coming to the Media Bench you would normally:
i) Complete the Test Media Requested portion of this form.
ii) Prepare all your
labels.
iii)
Bring a test tube rack, if you are
requesting tube media.
iv)
Bring these to the
Media bench, where your instructor would provide you with requested test
media.
DO NOT TAKE MEDIA
FROM MEDIA BENCH WITHOUT PERMISSION FROM YOUR INSTRUCTOR.
TEST
MEDIA REQUESTED (6 Maximum for Each Organism)
15
Points
For
Gram-Positive
Identification
15
Points
For
Gram-Negative
Identification
Day 1
Columbia
CNA Agar (provided free)
Day 1
Maconkey Agar (provided free)
Day 1
Trypticase
Soy Agar (TSA#1) (provided
free)
Day 1
Trypticase
Soy Agar (TSA#1) (provided
free)
H2O2
for Catalase Test (provided free)

#1
#1
#2
#2
#3
#3
#4
#4
#5
#5
#6
#6
UNIQUE
CHARACTERISTICS & TEST RESULTS
Points
For Gram-Positive
Identification
Points
For Gram-Negative
Identification
FREE
Gram
Stain Reaction: Positive
FREE
Gram
Stain Reaction: Negative
5
Cell
Shape:
5
Cell
Shape:
5
Cell
Arrangement:
5
Cell
Arrangement:
10
TEST
RESULT(S)
10
TEST
RESULT(S)




















15
Genus & species:
15
Genus & species:
For Instructor’s Use ONLY
50
Total Points
Earned
50
Total Points Earned

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