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IR NO.

DATE
PART NAME :

MRN / JC NO.

PART NO. :
S.NO.

LOT QTY.

INSPECTION REPORT

SUPPLIER :

SAMPLE SIZE

SPECIFICATION

FORM NO. : QC/IMIR / 004

OBSERVATION
1
2

10

11

REV. NO. 01

EMARKS :
ACCEPTED

REJECTED

F-QC-01

ACCEPTED UNDER
DEVIATION

CHECKED BY :
APPD. BY

12

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