Appendix

C1000-Touch Thermal Cycler

Installation Report

Customer: Instrument Model

Case Number: Instument Serial Number

Test Specification Results

Visual Inspection
No signs of damage  Pass  Fail
All contents and accessories received:  Pass  Fail
C1000-Touch Chassis  Pass  Fail
Alpha Reaction Block: Record Sample Well Type:  Pass  Fail
Power Cord  Pass  Fail
Fuses  Pass  Fail
Operating Manual  Pass  Fail
Warranty Card  Pass  Fail

Power Line Requirements Line Voltage Check: Record AC line voltage  Pass  Fail

Serial Number Instrument Serial Number:

 Pass  Fail
C1000-Touch Chassis S/N
 Pass  Fail
Alpha Reaction Block S/N

Instrument Software Firmware Version:

C1000-Touch Chassis HC12 Firmware Version-  Pass  Fail

C1000-Touch Chassis PAX270 Firmware Version  Pass  Fail

Start Up Power-up self-test  Pass  Fail

Display Check  Pass  Fail
Fan Check  Pass  Fail

Diagnostic test
 Pass  Fail

The above referenced instrument has been installed and meets all Installation requirements. Comments:

Bio–Rad Labs Service Date

11-2