Prepared

FORM REQUEST TEST DQA

REQUEST DATE

REQUEST PERSON

DEPARTEMEN

PART NAME

MODEL NAME

QTY

TRIAL DETAIL

TRIAL PURPOSE

ITEM TEST

REMARKS

REMARKS

EMIN-FR-QAC-DG-003-00

REQUEST DEPARTEMENT
Prepared

Checked 1

Checked 2

Approved

Prepared

FORM REQUEST TEST DQA

REQUEST DATE

07.04.2014

REQUEST PERSON

CHOERUL

DEPARTEMEN

PART NAME

MODEL NAME

QTY

TRIAL DETAIL

TRIAL PURPOSE

IQA

TERMINAL

H080201

20 EA

G
N
E
P

KETEBALAN PLATING TERMINAL

1. 8.75 micron , 2. 9 micron, 3. 12 micron

MENGETAHU KEKUATAN PLATING TERHADAP KARAT

SAL TEST

ITEM TEST

O
C

H
O
T
N

TROUBEL REOPRT TERLAMPIR

REMARKS

tan
ter

N
A
I
IS

REMARKS

G
N

REQUEST DEPARTEMENT
Prepared

Checked 1

Checked 2

tanda tangan dan nama

terang

N
A
I
IS

Approved