Appendix A– Deviations
Describe in detail any deviation from the standard IQ/OQ. The deviation must be approved by
Template-Company representative. If there is no deviation, no signature or date entry is required by
Template-Company representative (enter NA for signature and then date). If there are no deviations,
the PerkinElmer representative should enter "None" below and then sign and date.
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Signature
Signature
Flexar Analytical / FX-10 UHPLC Pump IQ/OQ Rev. D June 2009
Template-Company Representative
Name
PerkinElmer LAS Representative
Name
Title
Date
Title
Date