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SAMPLING REPORT SAMPLING REPORT

DATE DATE

PH NAME PH NAME

PH CODE PH CODE

TOTAL BOXES TOTAL BOXES

NUMBER OF BOXES NUMBER OF BOXES


DTB DTB

NUMBER OF BOXES NUMBER OF BOXES


REJECT REJECT

DEFECTS DEFECTS

QI ASSIGNED QI ASSIGNED

SAMPLER NAME & SAMPLER NAME &


SIGNARTURE SIGNARTURE

NOTE NOTE

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