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SUBMISSION RESULTS
Submitting: dimensional measurements material & functional tests appearance criteria ? statistical process package
These results meet all drawing and specification requirements: YES NO (if “NO” – Explanation required)
DECLARATION
I hereby affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable Production Part Approval
Process Manual 3 rd Edition Requirements. I further warrant these samples were produced at the production rate of ______ / 8 hours.
IMDS DECLARATION
We affirm that details of the materials used in these parts have been entered onto the IMDS and that the samples conform to all applicable government and
safety requirements on restricted materials. YES NO (if “NO” – Explanation required)
IMDS Number:
FOR DANA USE ONLY – Part Disposition: Approved Rejected Other __________________________________________
Representative_____________________________________Signature_______________________________________Date_________________
Feasibility Considerations
The following questions are not intended to be all-includsive in performing a feasibility evaluation.
Drawings and/or specifications provided are for analysing your ability to meet specified requirements.
All NO answers need to be supported with attached explanations, including proposed changes to meet specifications.
Supplier Sign-Off
List all team members
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Submitted by:
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Submitted by:
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Submitted by:
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