Page of Supplier Inspected By by J7G2UPN

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									                                                   SAMPLE INSPECTION REPORT
                                                                                               Reference DCP 6020


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Supplier_______________________________                 Inspected By_ ____________________________
Part No._____________________________Rev#:______        Date Inspected____________________________
Part Name_____________________________                  Quantity Received_________________________
P.O. No._______________________________                 Quantity Inspected ________________________
Date Received__________________________                 Approved By _____________________________

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Dimension                          Measured       Measured   Measured
 Number
                Specified                                                      Measurement Method/Notes
                                   Undersize        OK       Oversize
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G:\qc\forms\sampinsp.doc Issued: 4/26/99 Rev. 0                               Brian Berenda

								
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