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Estes Design Inspection Report

Customer Name:
Biomet, Inc.

Date of Inspection:
09-19-14

Shift (Check one):


1st Article Inspection Final Inspection

Part # Part Name Print Revision Job #


110024567 PROV SHELF CADDY A IBA37-0000

Operation Quantity
Final 6

Item Feature/Print Actual Method Status Remarks


# Specification
1 7x .125 Rivet OK Visual PASS
2 1x 1100-2-RLID-301 OK Visual PASS
3 1x 110024567-101 OK Visual PASS
4 1x 110024567-102 OK Visual PASS
5 1x 110024567-103 OK Visual PASS
6 1x 110024567-302 OK Visual PASS
7 10.00 (+/- .030) Calipers REF
8 8.66 (+/- .030) Calipers REF
9 1.73 (+/- .030) Calipers REF
* Latch Function OK Visual PASS
* Check Part Fit-up OK Visual PASS
* Check for Passivation OK Visual PASS

Approval:
Signature of Inspector or Manager: __________________________ Date: ___________

Date: 10-01-14 v.1.0 Page 1 of 1

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