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MATERIAL INSPECTION

Project Name: (Tn d n)


NOKIA BAC NINH FACTORY
Contractor Name (Tn Nh thu)
POSCO ENGINEERING CO. LTD.

Client (Ch u t)
NOKIA (VIETNAM) LLC.
Consultant (TVGS)
MACE VIETNAM CO. LTD.

In Accordance with Drawing No.(Da theo bng v s):

Ref No:

Item to be inspected/ i tng nghim thu:


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Description check list


(M t danh mc kim tra)

Date: (Ngy)
.

Accepted
(ng )

Time: (Gi)
...

Not Accepted
(Khng ng )

NA
(Khng p
dng)

1. Work inspection request from contractor No:


Phiu yu cu nghim thu ca nh thu s:
2. Brand Label:
Hng Nhn hiu:
3. Supplier:
Nh cung cp:
4. Origin:
Ngun gc:
5. Quantity (base on the Invoice):
S lng (Theo ha n mua hng):
5. Quality Certificate/ Testing report:
Chng ch cht lng/ Kt qu th nghim:

PLEASE RESPOND BY (XIN TR LI BNG CCH):


APPROVAL STATUS (TNH TRNG PH DUYT)

STATUS A
(TNH TRNG A:

The above item has been reviewed and is accepted


Cc mc trn c xem xt v c chp nhn)

STATUS B
(TNH TRNG B:

The above item has been reviewed and is accepted subject to the following comments:
Cc mc trn c xem xt v c chp nhn ty thuc vo kin sau y)

....
.

STATUS C

(TNH TRNG C:

The above item has been rejected for the following reasons:
Cc mc trn c xem xt v khng c chp nhn v nhng l do sau y)

.
.....
Prepared by Posco Engineering
Approved by Mace Licensed Site Engineer
(Lp bi Posco Engineering)
(Ph duyt bi k s cng trng c Chng ch TVGS
ca Mace)

Name: (Tn) ........................................

Name: (Tn) ........................................

Title: (Chc v) ........................................

Title: (Chc v) ........................................

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