SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: BOECO Germany Microscope BM 300

SERIAL NUMBER: 0000497

PTY. CTRL. NO.: ERF000842

DATE PERFORMED: DECEMBER 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.

CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
HS-BEAMLIGHT PRO
564782 QWE11190 N/A
CHECKER 008
Windracer RS100-2
N/A N/A N/A
Pro Screwdriver

VERIFICATION TEST CRITERIA RESULT REMARKS

POOR, FAIR
BRIGHTHNESS LEVEL GOOD PASSED
&GOOD

MACHINE IS WORKING.
GENERAL REMARKS:

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : BOECO Germany Microscope BM 300
SERIAL NUMBER : 0000497
DATE PERFORMED : DECEMBER 15,2019
NEXT VALIDATION : JUNE 15,2020

This is to certify that Preventive Maintenance and Validation has been performed with the
BOECO Germany Microscope BM 300
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

FIELD SERVICE ENGINEER SERVICE SUPERVISOR

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT:
SERIAL NUMBER: NIKON ECLIPSE MICROSCOPE E200

PTY. CTRL. NO.: 762179

DATE PERFORMED: WFE54200

DECEMBER 15,2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.
CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
Lindstrom MA500-1
Adjustable N/A N/A N/A
Screwdriver
GOLD STANDARD
LIGHT CHECKER 1000023 THNE2139 N/A
VER100

VERIFICATION TEST CRITERIA RESULT REMARKS

BRIGHTHNESS POOR, FAIR
GOOD PASSED
LEVEL &GOOD

GENERAL REMARKS:
MACHINE IS WORKING.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : NIKON ECLIPSE MICROSCOPE E200
SERIAL NUMBER : WFE54200
DATE PERFORMED : DECEMBER 15,2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
NIKON ECLIPSE MICROSCOPE E200
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

FIELD SERVICE ENGINEER SERVICE SUPERVISOR

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

VIGISGSTEN LABORATORY INSTRUMENT INC.

INSTRUMENT: CENTRIFUGE DSC 200T

SERIAL NUMBER: 1009496

PTY. CTRL. NO.: IILO16322

DATE PERFORMED: DECEMBER 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.
CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
Thunderbolt FS250
Adjustable N/A N/A N/A
Screwdriver
ID 241-9710 Canon,
10936589 SEY9812 March 8, 2020
Tachometer

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 5 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 10 ID
CARDS
1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 15 ID
CARDS
1030 rpm ± 5 rpm 1030 rpm PASSED
CENTRIFUGATION TIME 7 mins. ± 10 secs. 7 mins. PASSED
MAXIMUM SPEED TO
DETECT UNBALANCED 900 rpm ± 50 rpm 877 rpm PASSED
10

MACHINE IS WORKING.
GENERAL REMARKS:

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : VIGISGSTEN LABORATORY INSTRUMENT INC. CENTRIFUGE DSC
200T
SERIAL NUMBER : 1009496
DATE PERFORMED : DECEMBER 15, 2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
VIGISGSTEN LABORATORY INSTRUMENT INC. CENTRIFUGE DSC 200T
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

FIELD SERVICE ENGINEER SERVICE SUPERVISOR

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT:
SERIAL NUMBER: 8 PLACER CENTRIFUGE (CLINICAL)

PTY. CTRL. NO.: 0709529

DATE PERFORMED: QWE321450

DECEMBER 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.
CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
Windracer RS100-2
N/A N/A N/A
Pro Screwdriver
FS 550-1567 Epson,
42315700 VER1000023 June 5, 2020
Tachometer

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 3 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 6 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 12 ID
CARDS
1030 rpm ± 5 rpm 1030 rpm PASSED
CENTRIFUGATION TIME 12 mins. ± 10 secs 11mins. & 5 secs. PASSED
MAXIMUM SPEED
TO DETECT 920 rpm ± 40 rpm 900 rpm PASSED
UNBALANCED 10

GENERAL REMARKS: MACHINE IS WORKING.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : 8 PLACER CENTRIFUGE (CLINICAL)
SERIAL NUMBER : 0709529
DATE PERFORMED : DECEMBER 15, 2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
8 PLACER CENTRIFUGE (CLINICAL)
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

FIELD SERVICE ENGINEER SERVICE SUPERVISOR

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: DIGISYSTEM CENTRIFUGE (CLINICAL) DSC-200T

SERIAL NUMBER: AR 1508
PTY. CTRL. NO.: TYR100012
DATE PERFORMED: DECEMBER 15,2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.
CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
Lindstrom MA500-1
Adjustable N/A N/A N/A
Screwdriver
RS 445-9557 Laser,
1.397596 VER00000065 February 12, 2019
Photo Tachometer

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 4 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 8 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 12 ID
CARDS
1030 rpm ± 5 rpm 1030 rpm PASSED
CENTRIFUGATION TIME 10 mins. ± 12 secs. 8 mins. & 2 secs PASSED
MAXIMUM SPEED TO
DETECT 900 rpm ± 50 rpm 874 rpm PASSED
UNBALANCED 10 MACHINE IS WORKING.

GENERAL REMARKS:

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : DIGISYSTEM CENTRIFUGE (CLINICAL) DSC-200T
SERIAL NUMBER : AR 1508
DATE PERFORMED : DECEMBER 15,2019
NEXT VALIDATION : JUNE 15, 2020

This is to certify that Preventive Maintenance and Validation has been performed with the
DIGISYSTEM CENTRIFUGE (CLINICAL) DSC-200T
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

FIELD SERVICE ENGINEER SERVICE SUPERVISOR

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: Olympus Microscope (Biological) CA21LEDFS1

SERIAL NUMBER: OE86577
PTY. CTRL. NO.: PLE000351
DATE PERFORMED: June 9, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.

VERIFICATION PROPERTY CONTROL CALIBRATION DUE

SERIAL NUMBER
TOOL NO. DATE
Microscope validator SD25977 FLR089551 N/A

VERIFICATION TEST CRITERIA RESULT REMARKS

Magnification at 4x
40x 40x Functional
objective
Magnification at 10x 100x
100x Functional
objective

GENERAL REMARKS:
Machine is functional.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : Thomasian Doctors Hospital

ADDRESS : Rawis, Legazpi City
INSTRUMENT : Olympus Microscope (Biological) CA21LEDFS1
SERIAL NUMBER : OE86577
DATE PERFORMED : June 9, 2019
NEXT VALIDATION : June 9, 2020

This is to certify that Preventive Maintenance and Validation has been performed with the
Olympus Microscope (Biological) CA21LEDFS1
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

SERVICE SUPERVISOR
FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: Digisystem Centrifuge 8 Placer (Clinical)

SERIAL NUMBER: CT2-18110929
PTY. CTRL. NO.: SWE000569
DATE PERFORMED: June 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.

VERIFICATION PROPERTY CONTROL CALIBRATION DUE

SERIAL NUMBER
TOOL NO. DATE
Lindstrom MA500-1
Adjustable N/A N/A N/A
Screwdriver

VERIFICATION TEST CRITERIA RESULT REMARKS

Maximum speed to 90 rpm +/- 50 rpm
874 rpm PASSED
detect unbalanced 10

GENERAL REMARKS: MACHINE IS WORKING.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : Digisystem Centrifuge 8 Placer (Clinical)
SERIAL NUMBER : SWE000569
DATE PERFORMED : DECEMBER 15,2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
Digisystem Centrifuge 8 Placer (Clinical)
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

SERVICE SUPERVISOR
FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

BIO-RD Centriifuge ID 12 SII

INSTRUMENT:
SERIAL NUMBER: 2004294
PTY. CTRL. NO.: SII50024
DATE PERFORMED: DECEMBER 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.
CALIBRATION DUE
VERIFICATION TOOL SERIAL NUMBER PROPERTY CONTROL NO.
DATE
Thunderbolt FS250
N/A N/A N/A
Adjustable Screwdriver
ID 241-9710 Canon,
10936589 SEY9812 March 8, 2020
Tachometer

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 5 ID CARDS 1030 rpm ± 5 rpm 1030 rpm PASSED
SPEED AT 10 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
SPEED AT 15 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
CENTRIFUGATION
7 mins. ± 10 secs. 7 mins. PASSED
TIME
MAXIMUM SPEED TO
DETECT 900 rpm ± 50 rpm 877 rpm PASSED
UNBALANCED 10

GENERAL REMARKS: MACHINE IS WORKING.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : BIO-RD Centriifuge ID 12 SII
SERIAL NUMBER : 2004294
DATE PERFORMED : DECEMBER 15, 2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
BIO-RD Centriifuge ID 12 SII
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

SERVICE SUPERVISOR
FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: 8 PLACER CENTRIFUGE (CLINICAL)
SERIAL NUMBER:
0709529
PTY. CTRL. NO.:
QWE321450
DATE PERFORMED: DECEMBER 15, 2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.

VERIFICATION PROPERTY CONTROL CALIBRATION DUE

SERIAL NUMBER
TOOL NO. DATE
Windracer RS100-2
N/A N/A N/A
Pro Screwdriver
FS 550-1567 Epson,
42315700 VER1000023 June 5, 2020
Tachometer

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 3 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
SPEED AT 6 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
SPEED AT 12 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
CENTRIFUGATION
12 mins. ± 10 secs 11mins. & 5 secs. PASSED
TIME
MAXIMUM SPEED
TO DETECT 920 rpm ± 40 rpm 900 rpm PASSED
UNBALANCED 10

GENERAL REMARKS:
MACHINE IS WORKING.

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : 8 PLACER CENTRIFUGE (CLINICAL)
SERIAL NUMBER : 0709529
DATE PERFORMED : DECEMBER 15, 2019
NEXT VALIDATION : JUNE 15, 2019

This is to certify that Preventive Maintenance and Validation has been performed with the
8 PLACER CENTRIFUGE (CLINICAL)
machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

SERVICE SUPERVISOR
FIELD SERVICE ENGINEER
 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

PERFORMANCE VALIDATION REPORT

INSTRUMENT: Automated Biochemistry Analyzer

SERIAL NUMBER:160317
PTY. CTRL. NO.: PIO880051
DATE PERFORMED: December 15,2019

Machine performance is verified using the manufacturer’s recommendation in validating the

functionality of the instrument.

VERIFICATION PROPERTY CONTROL CALIBRATION DUE

SERIAL NUMBER
TOOL NO. DATE

Semi-auto Chemistry N/A N/A N/A

Analyzer YSTE168

VERIFICATION TEST CRITERIA RESULT REMARKS

SPEED AT 4 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
SPEED AT 8 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
SPEED AT 12 ID
1030 rpm ± 5 rpm 1030 rpm PASSED
CARDS
CENTRIFUGATION
10 mins. ± 12 secs. 8 mins. & 2 secs PASSED
TIME
MAXIMUM SPEED
TO DETECT 900 rpm ± 50 rpm 874 rpm PASSED
UNBALANCED 10

GENERAL REMARKS: FUNCTIONAL

VERIFIED BY:

ENGR. EMI GABRIELLE REMPILLO

 SUNLIFE

SUNLIFE DIAGNOSTICS SUPPLIES INC.

FIELD SERVICE ENGINEER

CERTIFICATE OF VALIDATION

CUSTOMER : THOMASIAN DOCTORS HOSPITAL

ADDRESS : LEGAZPI CITY, ALBAY
INSTRUMENT : Semi-auto Chemistry Analyzer YSTE168
SERIAL NUMBER : 160317
DATE PERFORMED : DECEMBER 15,2019
NEXT VALIDATION : JUNE 15, 2020

This is to certify that Preventive Maintenance and Validation has been performed with the
Semi-auto Chemistry Analyzer YSTE168

machine presently installed in this laboratory. Please see attached report.

VALIDATION DONE BY: REVIEWED/ NOTED BY:

ENGR. EMI GABRIELLE REMPILLO ENGR. ALAN DANIEL A. ESPAÑA

SERVICE SUPERVISOR
FIELD SERVICE ENGINEER