J.L Industrial Machine Shop, Inc PRECISION QUALITY AND SERVICE

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J.L INDUSTRIAL MACHINE SHOP, INC. INSPECTION FINAL

FINAL_______X_________________________________ PROCESS___________________________________

PART NO.______________________________________NR__________DESCRIPTION_____________________

PO#___________________________________________ LOT SIZE _____________TOTAL IN________________

CLASSIFICATION OF SAMPLE, NEW PART____________________REWORKED PART _________________

OTHER________________________________________________________________________________________

_____________________________________________________________________________________________

DISPOSITION_________________________ PART ACCEPTED

______________________________________PART REJECTED

______________________________________RETURNED FOR _________________________________________

SAMPLE

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PAGE______OF______ INSPECTED__________DATE_________________