Product and Production Process Approval

- Front Cover Sheet -

First sampling
Sender: Recipient:
Company: Vorwerk Autotec de México, Plant / Offload point: 62 Volkswagen Werk
S.A Chattanooga
Department: Volkswagen Group of America,
Street: Av. Villa de Lagos Sur 1080 Inc.
Post Box: Chattanooga Operations, LLC.
ZIP: 47515 8007 Volkswagen Drive
Loc.: Lagos de Moreno (Jalisco) Supplier Park Building 2, Dock
Country: Mexiko # S120
Chattanooga, TN, 37416,
U.S.A

Attachments
1.1 Dimensional test 1.2 Function test 1.3 Material test
5 Design release 7 Material data sheet / IMDS 10 Process flow diagram
19 Part history
Unterlagen sind nur im System BeOn hinterlegt.

Supplier / Production Plant Customer

DUNS number 812800989 Plant Number: 62
Local Supplier Number 00Y46914 / 00 plant: Volkswagen Werk
Chattanooga
Name of supplier: Vorwerk Autotec de México,
S.A
Suppl. Inspect. Rep. No. 17-430 ISIR No. 62 17 04241
Version / Index Description: BEARING
Description: Bushing S1 Part Number: 3QF 501 129 __ ___
Part Number: F13146 DmbA customer No
Drawing Number: 3QF.501.129 DmbA supplier No
Status / Date: 23 / 2016-08-12 Drawing Number: 3QF 501 129 __ ___
Change Number: Status / Date: 23 / 2016-08-12
Call Order Number / Date: / Change Number:
Delivery Note No. 140517 / 2017-06-13 Without drawing No
Quantity 5 Agreed status / Date: /
Batch number: Tool- / inventory number:
Goods inwards date: Status Hardware / Software: /
measured sample weight 93 Gramm / Item Form / Cavity:
IMDS No.: 659564114 Generation Level / Tool: 01 / S

confirmation supplier
Hiermit wird bestätigt, dass die Bemusterung entsprechend der vereinbarten Vorlagestufe gemäß VDA Band 2 durchgeführt
wurde.
Name: Hucke, Daniela Comment:
Company: Vorwerk Autotec de México, S.A
Department:
Telephone: +49-202-560-272
Fax:
E-mail: d.hucke@vorwerk-automotive.de
Date: 2017-06-14

Customer Decision according appendix

Dimensional Material / Surface Function /
Installation
Total: 3
3 3 1
Legend: - = stopped; 0 = no approval ; 1 = Approved; 3= Approved with conditions (see comments below); 6= rejected

Permit Number:
Valid to: Quantity:
Due date for Re-sampling
If returned: delivery number and date: /
Name: Tracy Shelton Comment:
Deptm./WSG: CQ-PM / T 62 P TS aluminum material yield strength must be confirmed; 2DP needed
Telephone: +1-423-582-4174
Fax:
E-mail: tracy.shelton@vw.com
Name (SQAE):
Name (Senior):
Date:
The report was created mechanically and is valid without a signature. Im Bericht nicht aufgezeigte Informationen sind online zu entnehmen.

Report-Status: Accepting Page 1 / 1 Date: 2017-08-10 ISIR No.62 17 04241

- CONFIDENTIAL DATA -