Title Page
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Site conducted
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Conducted on
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Prepared by
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sampling Size
INSPECTION
Sample 1
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inspection time
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Customer
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No.SO
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Thickness
Thickness
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Sisi 1
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Sisi 2
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Sisi 3
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Sisi 4
Size PxL ( ± 2 mm )
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P 1
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P 2
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L 1
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L 2
Squared ( Diagonal max 3 mm )
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D 1
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D 2
Partial Count ( hitung pecahan )
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Qty Count
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Flat
Sample 2
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inspection time
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Customer
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No.SO
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Thickness
Thickness
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Sisi 1
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Sisi 2
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Sisi 3
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Sisi 4
Size PxL ( ± 2 mm )
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P 1
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P 2
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L 1
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L 2
Squared ( Diagonal max 3 mm )
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D 1
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D 2
Partial Count ( hitung pecahan )
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Qty Count
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Flat
Sample 3
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inspection time
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Customer
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No.SO
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Thickness
Thickness
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Sisi 1
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Sisi 2
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Sisi 3
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Sisi 4
Size PxL ( ± 2 mm )
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P 1
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P 2
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L 1
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L 2
Squared ( Diagonal max 3 mm )
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D 1
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D 2
Partial Count ( hitung pecahan )
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Qty Count
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Flat
Status
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Status Ok, Hold, Reject
Signature
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Inpector QC
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Supervisor QC