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

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J.L INDUSTRIAL MACHINE SHOP, INC.
INSPECTION REPORT
  FINAL________________________________________ PROCESS_______X____________________________
 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
 No.  DIM NOM  TOL  1  2  3  4  5  6  COMMENTS
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PAGE______OF______ INSPECTED__________DATE_________________