Supplier Product Release Record

Revision: a

FIELD NAME: FIELD VALUE:
Product Release Record#:		Supplier Name:
Part Number:		Part No. Rev:
Specification Number:		Spec. No. Rev:
Serial Number(s):		Lot Number(s):
Contact Name:		Contact Phone#:
Work Instructions
Complete the following work for each item listed: Documentation, Configuration, PO Baseline, Visual Inspection, Item Marking, Physical / Dimensional, Electrical Testing, Other Testing (add comments below), Other Inspections (add comments below), Analyses: Metallurgical, Chemical, NDT, Other; Preservation / Packaging / Packing / Marking, Calibration of Inspection Tools
Lot Number	Lot Size	Sample Size	AQL

Quantity Accepted	Quantity Rejected	Request for Support #	RFW / RFD #

Comments

Approval:		Approval Date:
Expected Ship Date:		Actual Ship Date:

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