Part #: III8C Branch#: 016 Hose Cutting Sample Size: 2 Operator: JPC Date: (Quantity < 25: test 2, < 50: test 4, < 100: test 6, < 100: test 6, < 150: test 10, < 200: test 12, < 250: test 14, < 300: test 16, > 400: test 18) Samples for Q.C Lab: for every 500 assemblies of HAB, TYPE I, II, III, PW, HYDRAULIC, G WHIP, & GREY HOSE cut, prepare two 16" samples for Q.C Lab (Tag with Production Order #, Date & Part #) This sample must pass through all the production steps of the batch it is representing) ID OD ID OD ID OD ID OD 0.410 0.760 0.410 0.760 Hose Length Verified: JPC Hose Skiving: Yes: No: ✔ Date: Operator: Note: Skive hose Cover of PW5-6 & GWR-3 End Fitting Assembly Reg., QCC, POL or other Attachment Part# on Box Hose end # 1 Operator: JPC Part # Part# on Box Hose end #2 Operator: JPC Part# Part# on Box of Ferrules Operator:JPC Part # End Fittings Verified: JPC Operator: JPC Crimping Sample Size: 2 Operator: JPC Date: (Quantity < 25: test 2, < 50: test 4, < 100: test 6, > 100: test 9) Crimp OD Crimp OD Crimp OD Crimp OD Crimp OD Crimp OD Crimp OD Crimp OD Crimp OD 0.785 0.785 Pressure Testing of Hose Assemblies (100% sample size for Propane & Natural Gas Assemblies) Tested by: JPC Date: Sample Size: @ ✔ 350 psi (Type I, II & III) @ 200 psi (HAB) @ 15" wc (Reg. Assemblies) @ 10 psi (Natural Gas 1/2 psi assemblies) Labelling Label Date: Label Printed by: JPC Packaging Date: Case Label Printed by: JPC Final Inspection End Fittings Verified: ✔ Crimp OD Verified: ✔ Assembly Length Verified: ✔ Appearance of Hose verified: ✔ Appearance of Fittings Verified: ✔ Swivel fittings Verified: ✔ Appearance of threads verified: ✔ Shipping Match P.O # to Stock Master: Qty Per Carton: Record Qty Shipped on Stock Master: # of Cartons: Form# MQIR03-BR Rev:0817