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SAMPLE APPROVAL REPORT

Item/Material: Part No./Model: S.No. Item/ Component Details Make/ Supplier: Date of Receiving: Specifications SA No: Type: Tolerances (if Any) No. of Samples

1.
Testing / Observations: 1 2 3 4 Sample Images for Critical/ Important aspects (If required) :

Annexure (Report/ Specification sheet attched) :

1. 3.
APPROVED:

2. 4.
NOT APPROVED:

Final result
Remarks (If Any):

Inspected By:
UTL/QA/SA/03

Approved By:
Rev. 00

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