Maintenance Procedure for the

ACQUITY UPLC Sample Manager

© 2007 Waters Corporation
®
Verify completion of the maintenance procedure for the ACQUITY UPLC sample manager by
completing Form 11. If you require information on how to perform any of the steps in this form, see the
Maintenance Reference Information PDF document for the sample manager on the Waters®
SystemsQT™ Projects/Documentation DVD.

Form 11 Maintenance Procedure for the ACQUITY UPLC Sample Manager

ACQUITY UPLC Sample Manager Serial Number

Owner’s Sample ID

Procedure Completed

1. Replace the needle assembly.

Initials
2. Replace the sample syringe.
3. Replace the wash syringes.
4. Replace the injector valve cartridges.
5. Clean or replace the sample manager air filters.

Comments

Certification

The undersigned performer attests that the maintenance procedure was performed according to the procedure
shown above.

Performer Date
Signature

The undersigned reviewer accepts that the maintenance procedure was performed according to the procedure
shown above.

Reviewer Date
Signature
© 2007 Waters Corporation

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