For Ease of Use with the forms, you could enter all relevant information here and then

avoid havi

2 3 4 5 6 7 8
Part Number Cust Part No Part Name Drawing Number Rev Level Rev Date Part Weight (kg) Application
18300107 18300108 Soporte de 1 1 4/28/2020 0.4 SUV's
enter all relevant information here and then avoid having to retype it.

9 10 11 12 13 14 15
Org Name Org Street Address City Region Country Zip Supplier Code
JC MANUFACTURING Parque industrial Santa María Ramos Arizpe Coahuila México 25955 135724
 16 17 18 19 20 21
Auth. Rep Ph Number Fax Number Customer Name Buyer Buyer Code
Rubén Joshua Cuellar Balandrán N/A N/A Gabriel Sánchez Villegas Gabriel Sánchez Villegas 809067
 22
Lab/Insp Facility
LAPP MEXICO
 APPEARANCE APPROVAL REPORT
PART DRAWING APPLICATION
18300107 1 43949
NUMBER NUMBER (VEHICLES)
PART BUYER E/C LEVEL DATE
Soporte de motor 809067 1
NAME CODE
SUPPLIER MANUFACTURING Parque industrial Santa María Ramos Arizpe SUPPLIER
JC MANUFACTURING 135724
NAME LOCATION Coahuila México 25955 CODE
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSION OTHER
SUBMISSION PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE

APPEARANCE EVALUATION

Organization Sourcing & Texture Information Authorized Customer

Pre-Texture Evaluation
Representative Signature & Date

Correct & Proceed

Correct & Resubmit

Approved to Texture

COLOR EVALUATION
COLOR
COLOR MASTER MASTER MATERIAL MATERIAL METALLIC PART
TRISTIMULUS DATA HUE VALUE CHROMA GLOSS SHIPPIN
SUFFIX NUMBER DATE TYPE SOURCE BRILLIANCE DISPOSITION
G SUFFIX

DL* Da* Db* DE* CMC RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW

COMMENTS

SUPPLIER 0.4 PHONE NUMBER DATE AUTHORIZED CUSTOMER DATE

REPRESENTATIVE SIGNATURE
SIGNATURE
March 2006 CFG-1002
 Production Part Approval
PERFORMANCE TEST RESULTS
Organization: JC MANUFACTURING Part Number: 18300107
Supplier/Vendor Code: 135724 Part Name: Soporte de motor
Name of Laboratory: 135724 Design Record Level Change: 1
*Customer Specified Supplier/Vendor Code: Engineering Change Documents:

* If source approval is req'd, include the Supplier (Source) & Customer assigned code.

Specification / Qty. Not

Test Specification / Rev / Date Test Date Supplier Test Results (Data) / Test Conditions Ok
Limits Tested Ok

March 2006 CFG-1005 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE
 Production Part Approval
MATERIAL TEST RESULTS
Organization: JC MANUFACTURING Part Number: 18300107
Supplier/Vendor Code: 135724 Part Name: Soporte de motor
Material Supplier: Design Record Change Level: 1
*Customer Specified Supplier/Vendor Code: Engineering Change Documents:

* If source approval is req'd, include the Supplier (Source) & Customer assigned code. Name of Laboratory: 135724
Qty. Not
Material Specification Specification Limits Test Date Test Results Ok
Tested Ok

March 2006 CFG-1004 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE
 Production Part Approval
DIMENSIONAL TEST RESULTS
Organization: JC MANUFACTURING Part Number: 18300107
Supplier/Vendor Code: 135724 Part Name: Soporte de motor
INSPECTION FACILITY: Design Record Change Level: 1
Engineering Change Documents:
LAPP MEXICO

Specification / Qty. Not

Item Dimension/Specification Test Date Organization Measurement Results (Data) Ok
Limits Tested Ok

X
X

X
X

X
X

X
X

X
March 2006 CFG-1003 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE
 Part Submission Warrant
Part Name Soporte de motor Customer Part Number 18300108
Shown on Drawing No. 1 Organization Part # 18300107
Engineering Change Level 1 Dated 4/25/2020
Additional Engineering Changes N/A Dated N/A
Safety and/or Government Regulation Yes ✘ No Purchase Order No. 12351246 Weight (kg) 0.400
Checking Aid No. N/A Checking Aid Engineering Change Level N/A Dated N/A
ORGANIZATION MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION

JC MANUFACTURING Gabriel Sánchez Villegas

Organization Name & Supplier/Vendor Code Customer Name/Division

Parque industrial Santa María Gabriel Sánchez Villegas

Street Address Buyer/Buyer Code

Ramos Arizp Coahuila 25955 México SUV's

City Region Postal Code Country Application

MATERIALS REPORTING
Has customer-required Substances of Concern information been reported? Yes No ✘ n/a
Submitted by IMDS or other customer format:

Are polymeric parts identified with appropriate ISO marking codes? Yes No ✘ n/a
REASON FOR SUBMISSION (Check at least one)
✘ Initial Submission Change to Optional Construction or Material
Engineering Change(s) Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or additional Change in Part Processing
Correction of Discrepancy Parts Produced at Additional Location
Tooling Inactive > than 1 year Other - please specify below
REQUESTED SUBMISSION LEVEL (Check one)
Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
✘ Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer.
Level 4 - Warrant and other requirements as defined by customer.
Level 5 - Warrant with product samples and complete supporting data reviewed at organization's manufacturing location.
SUBMISSION RESULTS
The results for ✘ dimensional measurements material and functional tests appearance criteria statistical process package
These results meet all drawing and specification requirements: ✘ Yes NO (If "NO" - Explanation Required)
Mold / Cavity / Production Process
DECLARATION
I hereby affirm that the samples represented by this warrant are representative of our parts which were made by a process that meets all Production Part
Approval Process Manual 4th Edition Requirements. I further affirm that these samples were produced at the production rate of 24 / 1 hours.
I also certify that documented evidence of such compliance is on file and available for review. I have noted any deviations from this declaration below.

EXPLANATION / COMMENTS:

Is each Customer Tool properly tagged and numbered? ✘ Yes No n/a

Organization Authorized Signature JC MANUFACTURING Date 4/28/2020

Print Name Joshua Cuéllar Phone No. 844-590-11-38 Fax No. N/A

Title Quality Manager E-mail jcuellar958@gmail.com

FOR CUSTOMER USE ONLY (IF APPLICABLE)
Part Warrant Disposition: Approved Rejected Other

Customer Signature Date

Print Name Customer Tracking Number (optional)

March 2006 CFG-1001