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The following discrepancies are observed during inspection in store mentioned below items can

be accepted after segregation / repair / re-heat treatment or under deviation.

1. Name / No. c h a^6e s P4od lavz''1,


Part

2. S. O. No. & Dt. l'r-a pv oo t t d* - '2-t' lo"t ll f


3. Nameofsupplie, good*hgruoa7 wo'rP) 5-b**
4. Name of lnspector of VFJ / CQA (OFV)

5. l/ Note No.
6. Remarks of the lnspector if any while issuing / I Note
7. Mrs No. & Dt. ( ......-1.E.LP..q.4.3.3.4....d* .-..e.t.l.OO.ltJ ........... ............)
8. chalanNo. g tsgq l$+l Qty. on MIS lq t{ar'
9. Location ofstore 2-$ 9..' L Qty. Accepted AJ rt-
10. Nature of discrepancies observed Qty. Rejected tq ^'J
a. tt* *^ ]qtod at V{, MlO L9L e C,7f t4 ,
b. llocoiw da,iahsM ore o5_leawd! _
c.
t './ovc +":) a'18 o.l1 qoi,uf th*rtU <l'39-
u
o.qf
d.
) "hM, .ta*d o.\14 t o.So ig;* lpe,,p>d o'6o -Itr'
e.

f.
dL^ o)oo* , it'^ k!
4" .ri.-
c. "f
lM ^1 b^ )Lh"'+<A-
11. Fitment / Performance Report r";,*a -
\2. Metallurgica! / MTD Report acr"D1\.
13. Deviation Category A/ B / C / D - t I
74. Additional comments if any

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