PT.

SUMIFIN BERKAH MANDIRI

Jl. Pattimura Perum. Batu Ampar Lestari Blok C3D No.03 RT.60
Batu Ampar, Balikpapan, Kalimantan Timur, Indonesia - 76126
Email : sumifinberkahmandiri.SBM@gmail.com
Telp/Fax.(0542)8530334

CERTIFICATE OF CALIBRATION

Date: November, 10th 2022

Certificate Number: 0142/SKM/COC/XI/2022

Customer Detail
Name: RSUD dr. H. SOEMARNO SOSROATMODJO
Address: Jl. Cendrawasih, Tanjung Selor Hilir, Kec. Tanjung Selor
Kab. Bulungan – Kalimantan Utara 77215

Telp.: 0552 - 21118

Instrument Detail

Description: Auto Chemsitry Analyzers

Brand: Sclavo – Italy
Model: PALIO 100
Serial Number: A1274

Calibration Detail
Procedure: Auto Calibration
Material: Calibration serum
Lot #: 22-001, Exp-Date :2023-12-10
Ambient Temp: 36.9oC
Date of Calibration: November, 04th 2022

For final test is the instrument parameter

The Final Result :

QC PASSED
*This Certificate of Calibration is VALID until : November, 03 th 2023.
 PT. SUMIFIN BERKAH MANDIRI
Jl. Pattimura Perum. Batu Ampar Lestari Blok C3D No.03 RT.60
Batu Ampar, Balikpapan, Kalimantan Timur, Indonesia - 76126
Email : sumifinberkahmandiri.SBM@gmail.com
Telp/Fax.(0542)8530334

Calibration Result
Instrument : AUTO CHEMSITRY ANALYZER – SCLAVO PALIO100
Serial N0. : A1274
In Use At : RSUD dr.H. SOEMARNO SOSROATMODJO
TANJUNG SELOR – KALIMANTAN UTARA

1. Visual Chek
Display : OK
Cover Tray : OK
Lamp : OK
Sensor : OK
2. Function Check
Voltage
VDC Lamp : 12 Volt ± 0.1
Filters
340nm : 19.210 (18.000 – 22.000)
405nm : 19.115 (18.000 – 22.000)
492nm : 19.200 (18.000 – 22.000)
505nm : 19.250 (18.000 – 22.000)
546nm : 19.225 (18.000 – 22.000)
578nm : 19.221 (18.000 – 22.000)
630nm : 19.253 (18.000 – 22.000)
700nm : 19.222 (18.000 – 22.000)
Temperature
Suhu (Plate Cuvette) : OK (36.9 ˚C ± 0.1)
Pump
Diluter (ARM) : OK
(Washing Station) : OK
Stirer : OK

Inspection by : Sigit Haryanto

Remark : Alat dapat bekerja dengan baik
Date printed : 10/11/2022