Production Part Approval

Material Test Results

ORGANIZATION: EMPIRE ELECTRONICS PART NUMBER: 625243900F

SUPPLIER/VENDOR CODE: 10489 PART NAME: 2014 WD75 DAB Fixing Plate
MATERIAL SUPPLIER: See attached list DESIGN RECORD CHANGE LEVEL: 007
*CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE: See attached list ENGINEERING CHANGE DOCUMENTS: NA
*If source approval is req'd, include the Supplier (Source) & Customer assigned code. NAME of LABORATORY: See attached list
SPECIFICATION / TEST QTY. NOT
MATERIAL SPEC. NO. / REV / DATE LIMITS DATE TESTED SUPPLIER TEST RESULTS (DATA) OK OK

ALL MATERIAL USED ARE ACCORDING TO SPECIFICATIONS. SEE ATTACHED LIST OF MATERIALS X

Blanket statements of conformance are unacceptable for any test results.

MARCH CFG-1004 SIGNATURE TITLE DATE

2006 APQP MANAGER 14-Feb-14

Rev. 1
 Production Part Approval
Performance Test Results

ORGANIZATION: EMPIRE ELECTRONICS PART NUMBER: 625243900F

SUPPLIER/VENDOR CODE: 10489 PART NAME: 2014 WD75 DAB Fixing Plate
NAME of LABORATORY: NA (IN-HOUSE TESTINGS) DESIGN RECORD CHANGE LEVEL: 007
*CUSTOMER SPECIFIED SUPPLIER/VENDOR CODE:10489 ENGINEERING CHANGE DOCUMENTS:NA
*If source approval is req'd, include the Supplier (Source) & Customer assigned code.

SPECIFICATION / TEST QTY. NOT

TEST SPECIFICATION / REV / DATE LIMITS DATE TESTED SUPPLIER TEST RESULTS (DATA) / TEST CONDITIONS OK OK

CONTINUITY/RESISTANCE TEST 100% 2/14/14 6 PASS X

Blanket statements of conformance are unacceptable for any test results.

MARCH CFG-1005 SIGNATURE TITLE DATE

2006 APQP MANAGER 14-Feb-14

Rev. 1