Escolar Documentos
Profissional Documentos
Cultura Documentos
1-Nov-11
Container Information
Container Type: Dunnage Type: Outside Dimensions: Totes Per Pallet Gross Weight: Parts per Container: Color: Parts Sequenced?: Stackable?: Container ID/MEQ #: Label Holder Description: Owner: Quantity Purchased: Packaging Supplier: NA
SHIPPING INFORMATION
Ship From Locations: Ship To Locations: Pallet load size: Return Ratio:
DOCUMENTED APPROVAL FROM THE CUSTOMER MUST BE OBTAINED BEFORE SHIPPING IN EXPENDABLE PACKAGING. SERVICE PACKAGING Part # Quote/PO#
Supplier
$0
PACKAGING APPROVAL
Date: Date: JCI Manufacturing Engineer: JCI QualityEngineer: JCI Packaging Engineer:
Date:
Yes
No
Dimensional
Supplier Name Customer Name/Division Street Address Buyer/Buyer Code City Note: State Zip Application
Materials/Function
Appearance
Does this part contain any restricted or reportable substances? Are plastic parts identified with appropriate ISO marking codes?
Yes
Yes
No
No
REASON FOR SUBMISSION Initial submission Engineering Change(s) Tooling: Transfer, Replacement, Refurbishment, or additional Correction of Discrepancy Tooling Inactive > than 1 year REQUESTED SUBMISSION LEVEL (Check one) Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer. Level 2 - Warrant with product samples and limited supporting data submitted to customer. Level 3 - Warrant with product samples and complete supporting data submitted to customer. Level 4 - Warrant and other requirements as defined by customer. Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location. SUBMISSION RESULTS The results for dimensional measurements These results meet all drawing and specification requirements: Mold / Cavity / Production Process DECLARATION I affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable Production Part Approval Process Manual 3rd Edition Requirements. I further warrant these samples were produced at the production rate of EXPLANATION/COMMENTS: Print Name Supplier Authorized Signature FOR CUSTOMER USE ONLY (IF APPLICABLE) Part Warrant Disposition: Title Phone No. Date Fax No. / 8 hours. I have noted any deviations from this declaration below. material and functional tests YES appearance criteria statistical process package NO (If "NO" - Explanation Required) Change to Optional Construction or Material Sub-Supplier or Material Source Change Change in Part Processing Parts produced at Additional Location Other
Approved Other
Rejected
Approved Waived
Date
Customer Name
Customer Signature
Rev. 0
75991530.xls.ms_office Optional: customer tracking number: # ______________
July 1999
CFG-1001
The original copy of this document shall remain at the supplier' location while the part is active (see Glossary).