VANSH ENGINEERS

SUPPLIER INSPECTION REPORT

COMPANY NAME : I.M.S.LTD DATE:
ITEM/PART CODE : DRG NO: CD001-TPLT-25-A0-IB0
ITEM DESCRIPTION : PO NO:
LOT QTY ACCEPTED QTY REJECTED QTY

Dim-1 Dim-2 Dim-3 Dim-4 Dim-5 Dim-6 Dim-7 Dim-8 Batch No. REMARK
Required
O.D THICKNESS NPT.THD DRIL CENTER
Dim.

1 275.1 12.01 1/4" NPT AS 30 X 30

2 PER YOUR
3
4
5
6
7
8
9
10
11
12
13
14
15

Supplier / QC Remarks
1/4"NPT THD AS PER YOUR ADAPTOR FILE

SUPPLIER'S SIGNATURE APPROVED BY QC

DATE SIGN.
DATE