Waters Corporation - Test Record

Signed:

Date:

This Test Record and any data contained within it are proprietary to Waters Corporation and must be retained by Waters for the time period prescribed in its Quality Records Retention Policy. If any of the individual tests noted above fail, a note must be referenced that details the work performed to correct that specific deficiency. An overall failure indicates a special circumstance in which case a complete retest is to be done. A second form is required to document that testing. The initial form must be attached and retained.