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Sample Approval Report: Inspected By: Approved by
Sample Approval Report: Inspected By: Approved by
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) :
1. 3.
APPROVED:
2. 4.
NOT APPROVED:
Final result
Remarks (If Any):
Inspected By:
UTL/QA/SA/03
Approved By:
Rev. 00