Appendix D

DaimlerChrysler
Production Part Approval

Material Test Results

Page    of    Pages

Organization:       Part Number:      

demoSupplier/Vendor Code:       demoPart Name:
Material Supplier:       Design Record Change Level:      
Engineering Change Documents:      
*Customer Specified Supplier/Vendor Code:      
*If source approval is req'd, include the Supplier (Source) & Customer assigned code. Name of Laboratory:      

demoMaterial Spec. No. / Rev / Specification/ Test Qty. NOT

Supplier demoTest Results (Data) OK
Date Limits Date Tested OK
Ihre Firma GmbH – Kundenstrasse 1 – D-XXXXX

March 2006 CFG-1004 Blanket statements of conformance are unacceptable for any test results.
Signature: Title: Date:
           

 www.ringwald-sasbach.de // Ihre Firma GmbH / Kundenstraße 1 / www.ihre-firma.de