Quality Release Note

Project Name: 9F.03AGP PMXO GTG + A651 STG for Khulna Project#: 1017229
PO Number PO Item Report Note #:
4101899780 10 (RN-Contract#-PO number-yymmdd-Shipment)

Manufacturer: Location:
Acoustics India Private Limited 377 Rajaram Salai K K Nagar, Tiruchirapalli

Shipment # : Package #:

Equipment Description: ACOUSTICAL BARRIER

The manufacturer certifies that a final inspection of the above-mentioned material has
been witness on ( 10.11.2020 ) in the workshop of the Manufacturer OR Sub supplier by
the following Quality Inspector ( M.GOWTHAM ) who is employed by or authorized by the
Prime Supplier to perform this final inspection.

The Quality Inspector of the Prime Supplier has verified that all inspections were
performed by the manufacturer in accordance with the applicable Code/specifications/
Procedures and Inspection and Test Plan

Associated data and documentation has been reviewed and approved and any discrepancies,
observations or NCR’s are closed
Material has been released for shipment.

GE/End Client Inspection:

GE/End Client witnessed Final conformity inspection (FCI) or Pre shipment inspection (PSI) and
reference report number is { }

GE/End Client Shipment completed desktop document review with respect to Final conformity inspection
(FCI) or Pre-shipment inspection (PSI) : Yes No√

Manufacturer’s Inspection Results Inspector Name: Signature/Stamp

√ Approved to Ship M.Gowtham

Manufacturer Quality:
Rejected Signature:

GE/TPI: Signature:
Attach Photos’ on next Page: