Pfizer Andover
Pipette Service Request & Certification Of Decontamination Form
First name
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Last name
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Name (Pipette Owner)
Complete if applicable.
Your Department
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Phone number
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Best number to reach you if we have questions.
Today's Date
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What is your Lab and Bench Number?
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Email
*
Pfizer Service Level Requested:
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Level 4, "GMP Critical" Service (Red Stickers)
Level 4, "GMP Non-Critical" (Yellow Stickers)
Level 2, "R&D Service" (White Stickers)
Single Channel
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Multichannel
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Pfizer Service Requested
Do not choose an option for a routine service.
Routine Calibration
Repair Pipette
New Pipette
Take Pipette out of Service
Retire Pipette
Change Service Interval
Options for multichannel pipettes:
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MC Standard
MC Plus (Custom Service)
None
Service Interval
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Please Select Your Service Interval
3 Months
6 Months
12 Months
Pfizer Andover Departments
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Please Choose One. The pipettes will be assigned to this group by Transcat.
Global Operations
Pharm Sciences - ARD
Pharm Sciences - BRD
PGS Quality
Comments:
Inform our lab of any other special requests with this order.
Do you have a list of pipettes to upload?
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Note: This is not required. Your file must be .CSV
If you do not have a list file, select "No," and input your items in the box that appears.
Yes
No
Certification of Decontamination
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I certify that instruments are free from contamination with biohazards, chemicals, or radioactive materials, and meet Pfizer's Decontamination and Documentation requirements for pipettes (Box Must Be Checked).
By submitting this form