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L3 MAPPSF ailure Report by 26MqjbG

VIEWS: 1 PAGES: 2

									                                                                                                              FAILURE REPORT
                                                       PLEASE PRINT OR TYPE
                                             SUBMIT SEPARATE REPORT FOR EACH ARISING                          REPAIR REQUEST

                                                                                                              WARRANTY CLAIM


                                                                                                              REPORT NO.
CUSTOMER
                                                                                                              CUSTOMER REF.
ADDRESS

SIMULATOR/SYSTEM                                                                                              DATE

CONTRACT NO.
                                                                                                                      DA            MO               YR
ASSEMBLY / PART DESCRIPTION                                                  PART OF SYSTEM / SUBSYSTEM



L-3 PART NO.                                        REVISION LEVEL           SERIAL NO.              FAILURE DATE



MANUFACTURER’S PART NO.                                                      ACCEPTANCE DATE OF EQUIPMENT



DESCRIPTION OF FAILURE AND CAUSE IF KNOWN (ATTACH SUPPORTING DOCUMENTS, IF APPLICABLE)




ACTION TAKEN:                                                                                                                  AWB # / SHIPPING DETAILS

 REPLACED/REPAIRED ON SITE                 OTHER                SPECIFY


  RETURNED TO L-3 MAPPS                    REPAIR REQUEST ONLY P.O. NUMBER


SUBMITTED BY                                            TITLE                                               TELEPHONE NO.



                                                            FOR L-3 MAPPS USE ONLY
DATE REPORT RECEIVED                                                         DATE ITEM RECEIVED


INVESTIGATION RESULTS




REPLACE ITEM
                                                                             Receive Order No.

REPAIR ITEM
                                                                             Word Order No.

ENGINEERING ASSISTANCE REQ’D                                                 Customer Order No.

QUALITY ASSURANCE



SHIPPED VIA                              OGS NO.                             INVOICE NO.                     DATE



          1 COPY - FAX/E-MAIL/MAIL TO:                1 COPY - ENCLOSE WITH FAILED ITEM & SHIP TO:                  1 COPY - FILE

L-3 COMMUNICATIONS MAPPS                            L-3 COMMUNICATIONS MAPPS
ATTN : R & O, DEPT. D5                              ATTN : R & O, DEPT. D5                                      TO BE RETAINED
8565 COTE DE LIESSE                                 8565 COTE DE LIESSE                                          BY CUSTOMER
ST. LAURENT, QUEBEC H4T 1G5                         ST. LAURENT, QUEBEC H4T 1G5
CANADA.                                             CANADA
FAX (1) 514-789-0885
EMAIL: cs.mapps@L-3Com.com

								
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