Personnel Security Clearance; Projected Installation Date; Commitment Statement/Signature - Micromeritics TriStar II Plus Pre-Installation Manual

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Personnel Security Clearance

Security Clearance

Are there any special arrangements required concerning security clearance?

If Yes, please explain in detail ______________________________________________

_______________________________________________________________________

When would installation be most convenient?

(This is not a commitment for a specific installation date.)

I have read this document and understand my responsibilities regarding preparations for the installa-

tion of our instrumentation. I believe this site is ready for the TriStar II Plus Analyzer to be installed.

SIGNATURE:

NAME (Printed):

TITLE (Printed):

COMPANY:

CITY, STATE and ZIP: _____________________________________________________________

PHONE NUMBER: ________________________________________________________________

FAX NUMBER:

E-MAIL:

DATE:

INSTRUMENT MODEL: _______________________ SERIAL NUMBER:____________________

________________________________________________________________

TriStar II Plus Preinstallation Instructions and Checklist

Date: ______/______/______

303-42870-01 (Rev B) - Mar 2015

Yes

___

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