ࡱ> AC@q` ~bjbjqPqP C::h('('('('('('('<'@,@,@,8x,,<'<B,,,,,,0,0,01<3<3<3<3<3<3<$><('1//@11W<('(',,@l<3331d(',(',1<311<3369('('%;,, G@,Q2j:;<<0<:@ B2d B8%; B('%;,0Z0@3040,0,0,0W<W<3d,0,0,0<1111<'<'<'@,<'<'<'@,<'<'<'('('('('('(' 鶹ý East Bay Protocol Deviation Report Investigators are required to report Protocol Deviations to the Institutional Review Board when discovered during the course of research but no later than 5 days after their occurrence. Protocol Title: Principal Investigator: Faculty Advisor and Contact Information: Phone: Email: Date of Event: Event occurred: ( At CSUEB ( Off-campus site Describe Protocol Deviation (include where the event occurred, nature of event, action taken, outcome, personnel involved and corrective action plan, if applicable): Has this protocol deviation (or similar deviations) previously occurred in this study? If yes, please describe the event(s) and when the event(s) occurred. In the opinion of the Principal Investigator, does this protocol deviation affect the safety of subjects? If yes, corrective action plans must be stated in the space below, including measures taken to ensure that similar deviations do not occur in the future. If no, please explain why the safety of subjects was not affected. In the opinion of the Principal Investigator, does the protocol deviation affect the integrity (i.e., validity and ethics) of the study data? If yes, corrective actions must be stated in the space below, including measures taken to ensure that similar deviations do not occur in the future. If no, please explain why the integrity of the study was not affected. Signature of Principal Investigator: __________________________ Date: ______________ Last Rev.2/09       $%?@% & ' P Q W X _ ` f  C D E Ž׫׽׽ד׽ʎ׆׽~zv~zvzoz hhROhhROhROhRO5 jho^#5 hu5 jhhRO5hhj615 hj615 hRO5hh/P5 h85hhRO5 hub5 h[qQ5hh5 ho^#5ho^#ho^#5CJaJh8h[qQ5>*CJaJh[qQ5CJaJ+%?@  ' Q Y a B C D E j^jgdo^#^gdRO $^a$gdo^#$a$gd[qQh} # - K P Q R |  ( Zcghiklnoqrtuwx|}~ɾh\/jh\/UmHnHuhajhaUhOh>CJaJh[qQCJaJhOhOCJaJh ?:hh 5hh5hh5ho^# hhROhhRO5hROh* Zhjkmnpqstvwyz{|}~^ $^a$gdO^gdROA 0/ =!"# $%&0 (#L@L  Normal$CJOJPJQJ_HaJmH sH tH ^@^ 8Vsw Heading 1$<@&"5CJ KH OJPJQJ\^JaJ `` 9Vsw Heading 2$<@&$56CJOJPJQJ\]^JaJZZ :Vsw Heading 3$<@&5CJOJPJQJ\^JaJZZ ;Vsw Heading 4$<@&5CJOJPJQJ\^JaJ^^ <Vsw Heading 5 <@&$56CJOJPJQJ\]^JaJXX =Vsw Heading 6 <@&5CJOJPJQJ\^JaJJJ >Vsw Heading 7 <@&OJPJQJ^JPP ?Vsw Heading 8 <@&6OJPJQJ]^JR R @Vsw Heading 9 <@&CJOJPJQJ^JaJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 4@4 Header  !4 @4 Footer  !@Y@  Document Map-D OJQJ0U@!0 Hyperlink>*B*FV@1F FollowedHyperlink >*B*phHBH 6s Balloon TextCJOJQJ^JaJ44 VswP BibliographyDT@bD Vsw Block Textx]^2B@r2 Vsw Body TextxDOD Vsw Char Char24CJOJPJQJaJ<P@< Vsw Body Text 2 dxDOD Vsw Char Char23CJOJPJQJaJ>Q@> Vsw Body Text 3xCJaJDOD Vsw Char Char22CJOJPJQJaJPM@qP VswBody Text First Indent `0O0 Vsw Char Char21HC@H  VswBody Text Indenthx^hDOD Vsw Char Char20CJOJPJQJaJTN@T "VswBody Text First Indent 2 !`0O!0 !Vsw Char Char19RR@2R $VswBody Text Indent 2#hdx^hDOAD #Vsw Char Char18CJOJPJQJaJTS@RT &VswBody Text Indent 3%hx^hCJaJDOaD %Vsw Char Char17CJOJPJQJaJ8"8 VswCaption'5CJ\aJ2?@2 )VswClosing (^DOD (Vsw Char Char16CJOJPJQJaJ<@< +Vsw Comment Text*CJaJ<O< *Vsw Char Char15 OJPJQJ@j@@ -VswComment Subject,5\6O6 ,Vsw Char Char145\$L@$ /VswDate.DOD .Vsw Char Char13CJOJPJQJaJ<[@< 1VswE-mail Signature0DOD 0Vsw Char Char12CJOJPJQJaJ<+@"< 3Vsw Endnote Text2CJaJ<O1< 2Vsw Char Char11 OJPJQJl$@Bl VswEnvelope Address!4@ &+D/^@ OJPJQJ^JR%@RR VswEnvelope Return5CJOJPJQJ^JaJ>@b> 7Vsw Footnote Text6CJaJ<Oq< 6Vsw Char Char10 OJPJQJROR Vsw Char Char33"5CJ KH OJPJQJ\^JaJ TT Vsw Char Char32$56CJOJPJQJ\]^JaJNN Vsw Char Char315CJOJPJQJ\^JaJNN Vsw Char Char305CJOJPJQJ\^JaJTT Vsw Char Char29$56CJOJPJQJ\]^JaJNN Vsw Char Char285CJOJPJQJ\^JaJHH Vsw Char Char27CJOJPJQJ^JaJNN Vsw Char Char266CJOJPJQJ]^JaJHH  Vsw Char Char25CJOJPJQJ^JaJ:`@: BVsw HTML AddressA6]HO!H AVsw Char Char96CJOJPJQJ]aJRe@2R DVswHTML PreformattedCCJOJ QJ ^J aJ>OA> CVsw Char Char8OJ PJQJ ^J : @: VswIndex 1E^`: @: VswIndex 2F^`: @: VswIndex 3G^`: @: VswIndex 4H^`:@: VswIndex 5I^`:@: VswIndex 6J^`:@: VswIndex 7K^`:@: VswIndex 8L^`:@: VswIndex 9Mp^p`L!@RL Vsw Index HeadingN5OJPJQJ\^JvOv PVsw Intense Quote+O&dPO]^56B*\]phOfOf OVswIntense Quote Char)56B*CJOJPJQJ\]aJphO8/@8 VswListQh^h`m$<2@"< VswList 2R^`m$<3@2< VswList 3S8^8`m$<4@B< VswList 4T^`m$<5@R< VswList 5U^`m$<0@b< Vsw List Bullet V & Fm$@6@r@ Vsw List Bullet 2 W & Fm$@7@@ Vsw List Bullet 3 X & Fm$@8@@ Vsw List Bullet 4 Y & Fm$@9@@ Vsw List Bullet 5 Z & Fm$FD@F Vsw List Continue[hx^hm$JE@J VswList Continue 2\x^m$JF@J VswList Continue 3]8x^8m$JG@J VswList Continue 4^x^m$JH@J VswList Continue 5_x^m$<1@< Vsw List Number ` & Fm$@:@@ Vsw List Number 2 a & Fm$@;@"@ Vsw List Number 3 b & F m$@<@2@ Vsw List Number 4 c & F m$@=@B@ Vsw List Number 5 d & F m$@OR@ Vsw List Paragraph e^p-@bp gVsw Macro Text"f  ` @  OJ PJQJ ^J _HmH sH tH NOqN fVsw Char Char7 OJ PJQJ ^J _HmH sH tH I@ iVswMessage Headergh8$d%d&d'd-DM NOPQ^8`OJPJQJ^JXOX hVsw Char Char6)CJOJPJQJ^JaJfHq TOT Vsw No Spacingj$CJOJPJQJ_HaJmH sH tH 4^@4 Vsw Normal (Web)k>@> Vsw Normal Indent l^4O@4 nVsw Note HeadingmBOB mVsw Char Char5CJOJPJQJaJDZ@D pVsw Plain TextoCJOJ QJ ^J aJ>O> oVsw Char Char4OJ PJQJ ^J 6O6 rVswQuoteq6B*]phPO!P qVsw Quote Char#6B*CJOJPJQJ]aJph0K@0 tVsw SalutationsBOAB sVsw Char Char3CJOJPJQJaJ6@@R6 vVsw Signature u^BOaB uVsw Char Char2CJOJPJQJaJJJ@J xVswSubtitlew$<@&a$OJPJQJ^JFOF wVsw Char Char1CJOJPJQJ^JaJT,@T VswTable of Authoritiesy^`<#@< VswTable of FigureszZ>@Z |VswTitle{$<@&a$"5CJ KHOJPJQJ\^JaJ NON {Vsw Char Char"5CJ KHOJPJQJ\^JaJ L.@L Vsw TOA Heading}x5OJPJQJ\^J&@& VswTOC 1~.@. VswTOC 2 ^.@. VswTOC 3 ^.@. VswTOC 4 ^.@. VswTOC 5 ^.@. VswTOC 6 ^.@. VswTOC 7 ^.@. VswTOC 8 ^.@. VswTOC 9 ^66 Vswp TOC Heading@& ~%?@ 'QYaBCDEZhjkmnqtz{0000000000000000000000000000000I00I00I00I00I00I00A00@0I00  ~  ~ } @  @ 0(  B S  ?T<(    ;  @4 draftTimes New RomanPowerPlusWaterMarkObject2c"$?  ;  @4 draftTimes New RomanPowerPlusWaterMarkObject3c"$? g#)tg#)t(.).<*.<+.,.ԛ-.L !  $$=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType9*urn:schemas-microsoft-com:office:smarttagsplace D%_ghhjjkkmnpqst|BIZhhjjkkmnpqst|3Zghhjjkkmnpqst|_ghhjjkkmnpqst| |d}TZ[c~b4mha>ԞZ Y`QXp\W `dVUR:^`.^`.88^8`.^`. ^`OJQJo( ^`OJQJo( 88^8`OJQJo( ^`OJQJo(hh^h`. hh^h`OJQJo(@^`OJPJQJ^Jo(^`OJ QJ ^J o(hHorr^r`OJQJo(hHB!B!^B!`OJQJo(hH$$^$`OJ QJ ^J o(hHo&&^&`OJQJo(hH))^)`OJQJo(hH,,^,`OJ QJ ^J o(hHoR/R/^R/`OJQJo(hH U~}| v$        .-O >Cm o^# *\/j61 ?:YEK[qQvQZ!YH|h/suVswl}~ml,Caub_^I RO'\6s, 8` /Pv QGhjmpsz/\0/\0/\0/\0/\0@gggg~@@Unknown Gz Times New Roman5Symbol3& z Arial;Wingdings3Times7K@Cambria7&{ @Calibri5" Geneva5& zaTahoma?5 z Courier New"1ht&|t&t t !4dee2QHP?,2C:\Data\SFSUletterhead.dotText begins here Cheryl GriffithJohn Doe8         Oh+'0 $ D P \ ht|Text begins here Cheryl GriffithSFSUletterhead.dot John Doe4Microsoft Office Word@@N@۝@&t՜.+,0 px  SFSU Publications e Text begins here Title  !"#$%&'()*+,-./12345679:;<=>?BRoot Entry FnGD1TableBBWordDocumentCSummaryInformation(0DocumentSummaryInformation88CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q