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Con1rclPlanRCI/ISionD3le: 09/0112023
Part No. & ls:;ut'Lcvcl:

De;,lon Note No./ DEVO:

Drnwing No: _ _ _ __
::::::::::::::::::~:: :~;;;::;::::::::::::::::::::=
_ __.'.2:!:'.DcX,,O
c:3-4G
= T-"
8Rc-...-=-
E_ _ __ _ _
AveragoWeighl:
R / N Plant
- - - - - - - -.,,;':;;·'"'
:;:..,_- - - - - - - - - l
TANGER
First Part l)e~very Date (Nissan Only): •

P- Process Charge Detai!s/Olher. 0000218754

r lniliel&illrission r roo1r111Replacemenl

r Oesi;Jn Change r &b-SfflChango r Toolilg Refl.rbislmert • Projet: BJIILJI

Reaaonfor
1ubml11ion 17 Mllletia1Change r tocatiOnCterge r Re-51À>rrission

Items attached to thla Subml11lon Wamnt:

P°CortrolPlan fi" ErglneenngDrB'Nings r Oodaration Table OI &tlstanc:os (IMDS)
r Proœss Flow Chart 1 Componert S(4)ply Chain Chart (CSCC) r Logislics BOcl Packaging O&to Sheet (Renaut Orly)

lns peclion Report r Gouge Specification, Appro,,.a1 r FIJI Volt.me Cooo1tion Resi.lls (Nissan Oriy)

r Sl4)plklf Tost Plan & Report fi" &tl-componen:s PSW or eqiivaler1 r Desfgli ProcesSI' Facllity Ctarge Req,.JOst

r Proœss capability sti.ny I Parts r EDI SiJ>lsslOn Warranl (RenatJt Only)

r other: _ _ _ _ __ _ _ _ _ _ _ _ __
r Appcorance t.pproval Report (NtssM Orly)
! Design Note

For each supporting document, indicate the issue level and date on an ettached list.

Submls:;lonAcr.eptability
The rewlts meet al( drawing and speçificalion requirements: l!]YES Dt<>
Dimensional Reqi.iremen:s OK
Appearan:e Recp.kemel1s OK
r, Material ReqiJremerts OK
r, Fllcilooal Reqi.irements OK
r, Stalisllcal Proccss O;ila OK
P" componert Marklng OK

Declaration
1conflnn that the samplos cove,.d by thls documentation are representative of production parts and have been manufactured to the relevant drawings and speclflcations with no off-standard
oporations in the production procus. Any deviations from this dec\aration are as follows;

1 1

Name: LAKHAL HAMIO Position: CA QUALITE TANGER

Slgeat,ro, - - - - - - - ~ - -- -- Date: 09/01/2023

RENAULT I NISSAN APPROVAL

i;- Approved r- 1n1enrnl\pproval r· RejectetJ

Namo: Name·

Position: Position:

SiQnalure· Signature: _ _ _ _ _ __ _ __ __ _ _ __ __

Dale· Oule·

Note: rova! b Renault and I or N1ss..in shall nol ielieve lhe su lier in 11n wa from i1s res nsiblli!ies

RENAULT / NISSAN COMMENT (mandatory in l~ eue of lnlerim Approval or Rejection):

Copyright C 2008 Renault/ Nissan

ConftdentialC