5.FM-ENG-05 Part Submission Warrant
5.FM-ENG-05 Part Submission Warrant
5.FM-ENG-05 Part Submission Warrant
PAGE 01 OF 01
Note : Does this part contain any restricted or reportable substances. Yes No
Are plastic parts identified with appropriate ISO marking codes. Yes No
SUBMISSION RESULTS
The result for dimensional measurments material and functional tests appearance criteria statistical process package.
These results meet all drawing and specification requirements: Yes No (If "No" - Explanation Required)
Mold/Cavity/Production Process __ SHOWN IN CONTROL PLAN
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 3rd Edition Requirements. I further warrant these samles were
produced at the production rate of _________/8 hours. I have noted any deviations from this declaration below.
EXPLANATION/COMMENTS: ____________________________________________________________________
FM-ENG-05