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<img width=672 height=45 src='https://www.sanfielderp.com/Images/cc.

jpg' /><br
/><br /><center><b><font size=4>NON-CONFORMANCE REPORT</font></b></center><font
size=1>Form No. Q/F/05<br />Rev: 06</font><br /><br /><table border=1 cellpadding=4
cellspacing=0 width=100% style='font-size:12px'><tr><td><table border=0
cellpadding=4 cellspacing=0 width=100% style='font-size:12px'><tr><td
style='width:100px'>Ref No.: </td><td>NCR/23-24/144</td><td>Dated:
</td><td>03/08/2023</td></tr><tr><td>Item Description: </td><td
colspan=3></td></tr><tr><td>Quantity: </td><td></td><td>Drawing/Specs:
</td><td></td></tr><tr><td>P.O. No./ W.O. No.: </td><td>PB/23-24-1,
PB/22-23-105</td><td>Customer: </td><td>DINESHCHANDRA R. AGRAWAL INFRACON P. LTD. -
JHAR</td></tr></table></td></tr></table><br /><table border=1 cellpadding=4
cellspacing=0 width=100% style='font-size:12px'><tr><td style='width:50px;text-
align:center'>S.No.</td><td style='width:200px;text-align:center'>Item</td><td
style='width:200px;text-align:center'>Nature of Non Conformance Report
(NCR)</td><td style='width:100px;text-align:center'>Quantity</td></tr><tr><td>1</
td><td>N. RUBBER PAD 445 X 30 X 20 X 4 MM</td><td>HARDNESS FOUND AROUND 40-42 Shore
A</td><td>7 NOS</td></tr><tr><td>2</td><td>N. RUBBER PAD 530 X 36 X 15 X 9
MM</td><td>VISUAL DEFECT</td><td>1 NOS</td></tr></table><br /><br /><br /><table
width=100% style='font-size:12px'><tr><td align='left'>(Production
Incharge)</td><td align='right'>(Quality Incharge)</td></tr></table><hr><br
/><br /><br /><table width=100% style='font-size:12px'><tr><td><input
type='checkbox' name='c1'> Accept as it is</td><td><input type='checkbox'
name='c2'> Rework</td><td><input type='checkbox' name='c3' checked=checked>
Reject</td><td align='right'>(Quality Incharge)</td></tr></table><br /><table
border=1 cellpadding=4 cellspacing=0 width=100% style='font-
size:12px'><tr><td><table border=0 cellpadding=4 cellspacing=0 width=100%
style='font-size:12px'><tr><td style='width:100px'>Root Cause:
</td></tr><tr><td>MANUFACTURING DEFECT</td></tr></table></td></tr></table><br /><br
/><table width=100% style='font-size:12px'><tr><td>Prepared By & Date:
</td><td>NIKHIL RANA, 03/08/2023</td><td>Received By & Date:
</td><td></td></tr></table><br /><table border=1 cellpadding=4 cellspacing=0
width=100% style='font-size:12px'><tr><td><table border=0 cellpadding=4
cellspacing=0 width=100% style='font-size:12px'><tr><td>Corrective Action taken:
</td></tr><tr><td>SEND BACK TO JRE</td></tr><tr><td align=right><br />GM (Works) /
Manufacturing Incharge</td></tr></table></td></tr></table><br /><br /><table
width=100% style='font-size:12px'><tr><td>Re-offered By &
Date:</td><td></td><td>Re-checked by
Quality:</td><td></td></tr><tr><td></td><td></td><td><br />Closed By &
Date:</td><td></td></tr></table>

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