State Lab Services - Unannounced Inspection Appraisal Form
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1. Inspection Information

Inspection Information Laboratory Name
Address
AZ License #
Date of On-site
Lead Inspector
Other Inspectors

Please indicate your assessment of the inspection by checking the appropriate responses.

2. How would you rate the inspector(s) in:

	Poor	Marginal	Acceptable	Good	Excellent
Reviewing the available documents and records?	*How would you rate the inspector(s) in: Reviewing the available documents and records? Poor	Reviewing the available documents and records? Marginal	Reviewing the available documents and records? Acceptable	Reviewing the available documents and records? Good	Reviewing the available documents and records? Excellent
Interviewing the lab personnel?	Interviewing the lab personnel? Poor	Interviewing the lab personnel? Marginal	Interviewing the lab personnel? Acceptable	Interviewing the lab personnel? Good	Interviewing the lab personnel? Excellent
Conducting a closing conference?	Conducting a closing conference? Poor	Conducting a closing conference? Marginal	Conducting a closing conference? Acceptable	Conducting a closing conference? Good	Conducting a closing conference? Excellent
Overall professionalism of the inspectors?	Overall professionalism of the inspectors? Poor	Overall professionalism of the inspectors? Marginal	Overall professionalism of the inspectors? Acceptable	Overall professionalism of the inspectors? Good	Overall professionalism of the inspectors? Excellent

Additional Comments:

3. Laboratory Professional Submitting Appraisal

Laboratory Professional Submitting Appraisal Name
Title
Phone Number

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State Lab Services - Unannounced Inspection Appraisal FormExit this survey