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Template-Company
Template-SN
Preliminary Protocol Approval
This is to certify that the Installation Qualification and Operational Qualifications procedures for the
Flexar Analytical / / FX-10 UHPLC Pump Serial number Template-SN have been reviewed and both
PerkinElmer LAS and
document.
Signature
Signature
Final Approval
This is to certify that the Installation Qualification and Operational Qualifications procedures for the
Flexar Analytical / / FX-10 UHPLC Pump Serial number Template-SN have been performed and the
configuration installed meets [
this document.
Signature
Signature
Flexar Analytical / FX-10 UHPLC Pumps IQ/OQ Rev. D June 2009
Approval Page
have agreed to proceed with the procedures described in this
Template-Company
Template-Company
PerkinElmer LAS
] does not meet [
Template-Company
PerkinElmer LAS
Name
Name
] the procedures and specifications described in
Name
Name
IQ / OQ
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