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Receiving

Revision: orig

FIELD NAME: FIELD VALUE:
Drawing Number	Item Name	Revision	Date Received

PO Number	Supplier	Lot Number	Job Number

Qty Ordered	Qty Sampled	Qty Balance	QC Tool Numbers

Qty Received	Qty Accepted	R&I Inspector	Shelf Life Expiration Date

For acceptance based solely upon Supplier cert, is raw material within 4% of previous batch?		Yes No N/A	Remarks:

PaperlessEfficient QMS™Created by: qualitycontrolplan.com

Receiving

Paperless
Efficient QMS™
Created by: qualitycontrolplan.com