SUMMERY OF MATERIALS

FM-QC-023
OWNER : PROJECT NAME :
EQUIPMENT NO. : DOCUMENT NO. :
EQUIPMENT NAME : DATE : PAGE: OF REV.:
PART CODE MATERIAL IDENTIFICATION
ITEM MATERIAL QTY. MANUFAC-
HEAT OR
NO. NAME OF PART DIMENSION TURE PAGE
CHARGE NO.
NO.

QA/QC CONTRACTOR INSPECTION OWNER

Name: Name: Name:
Signature : Signature : Signature :
Date : Date : Date :