f & | AS Qualification / installation Report Medic ac eltAnalyzer vers 02 Qualification / Installation Report Distributor: Qualification / Installation Date: Country: e|1 Analyzer serial number: a ceermecren Madina fia Ml fei ef bob: Name of Hospital / Laboratory (optional) Types of e| 1 Cartridge/s that will mostly be used: el Cartridge 150 e 7 withogc De {1 Cartridge 300 De {1 Cartridge 600 Type of contract: sale G Leasing 1 Reagent rental Is this installation replacing an older, existing Electrolyte Analyzer? 0 Yes IFYes, please mention product name and model: 2 No {2 The e|1 Analyzer has been installed in accordance with manufacturer requirements. (2 All operators have been trained on the device by persons authorized by EXIAS Medical. The operators understand the safety measures necessary for operating the device. Date: B72 2Q7U Signature: KA Paget/1 EXIAS Medical GmbH Krathystrae 2 8020 Graz, str FN A263 Tels +43 0) 318922053, Fe +430) 316 922953.911 offce@exias medic.com \wnn.exas mec or