Appendix E

DaimlerChrysler
Production Part Approval

Performance Test Results

Page    of    Pages

Organization:       demoPart Number:

demoSupplier/Vendor Code:       Part Name:      
Name of Laboratory:       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. demoName of Laboratory:

Specification/ Test Qty. Supplier Test Results (Data) NOT

Test Specification / Rev / demoDate OK
Limits Date Tested Test Conditions OK
Ihre Firma GmbH – Kundenstrasse 1 – D-XXXXX

March 2006 CFG-1005 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