Documente Academic
Documente Profesional
Documente Cultură
Safety and/or
Govement Regulation YES x No Engineering Drawing Change Level ________
Additional Engineering Changes ___________________________________________________
Shown on Drawing No. _____ 2 Purchase Order No. ________ 751
Cheking Aid No. __________ 2 Engineering Chage Level ____________________
NOTE: Does this part contain any restricted or reportable substances. Yes
Are plastic parts identified with appropriate ISO marking codes. x Yes
SUBMISSION RESULTS
The results for dimensional measurements material and functional tests x appearance criteria
These results meet all drawing and specification requirements: x Yes No (if "NO" - Explanation R
Mold/ Cavity / Production Process proceso de produccion
DECLARATION
Ihere by affirm that the samples represented by this warrant are repressentative of our parts, have been made to the applicabl
Production Part Approval Process Manual 3rd Edition Requirements. I further warrant these samples where
produced at the production rate of___3___/ 8 hours. I have noted any deviations from this declaration below.
Explanation/Comments:
Print Name laser Title base 1
Supplier Authorized Signature
Guia Laser
75732
x No
No
No
at Additional Location
BLE)
art Functional Approval: x Approved
Waived
Date 7/12/2018