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VQA-046 Rev.B 1 of 1
Initial Sample Inspection Report (ISIR)
SEN: Inspector:
Supplier: Date:
Part # EI/EP# and Rev.
Part Description: Drawing and Rev.
PO #
Impression Number
Imp. Imp. Imp. Imp. Imp. Imp.
# Spec. Tolerance
Sample: Sample: Sample: Sample: Sample: Sample:
1
+
-
2
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-
3
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-
4
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-
5
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-
6
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11
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12
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-
21
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22
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24
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25
+
-
Part Conformance OK / NC
Piece Weight:
Markings:
Comments:
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