Title Page
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Project No:
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PNCR No:
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Type:
- Extrusion
- Galvabond
- Glass
- Granite
- Alum Sheet
- Gasket
- Hardware/Steel
- Other
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Detail
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Issued to:
- Supplier
- Sub-Con
- Dept/Section
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Attention to?
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CC:
- Planner
- Technical
- Factory
- Project
- Finance
- Purchase
Section 1
To be Completed by QA DEPT.
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Non Conformance Description:
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Quantity:
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QA/QC
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Date:
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Disposition?
- Reject to Supplier
- Agree on internal concession
- Rework, re-process or repair
- Scrap
- Other
Section 2 (To be completed by Receiver)
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Please reply or return fax asap
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Cause Analysis
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Corrective Action
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Name and Signature
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Date
Section 3 (To be completed by QA dept)
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Remedial Results?
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Remarks
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QA Name and Signature
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Date: