Production Part Approval -

Material Test Results

ORGANISATION PART NUMBER
SUPPLIER VENDOR CODE PART NAME
MATERIAL SUPPLIER DESIGN RECORD CHANGE LEVEL:
* CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE ENGINEERING CHANGE DOCUMENT
* if source approval is req'd, include the supplier (source) & customer assigned code NAME OF LABORATORY

TEST QTY.
MATERIAL SPEC. NO. / REV. / DATE SPECIFICATION / LIMITS DATE TESTED SUPPLIER TEST RESULTS (DATA) OK

Blanket statements of conformance are unacceptable for any test results

SIGNATURE TITLE DATE

 Production Part Approval -
Material Test Results
ORGANISATION PART NUMBER
SUPPLIER VENDOR CODE PART NAME
MATERIAL SUPPLIER DESIGN RECORD CHANGE LEVEL:
* CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE ENGINEERING CHANGE DOCUMENT
* if source approval is req'd, include the supplier (source) & customer assigned code NAME OF LABORATORY

TEST QTY.
MATERIAL SPEC. NO. / REV. / DATE SPECIFICATION / LIMITS DATE TESTED SUPPLIER TEST RESULTS (DATA) OK
NAME OF LABORATORY

NOT
OK

DATE
NAME OF LABORATORY

NOT
OK