文档介绍:Part Submission Warrant Part Name Cust Part Number Shown on Drawing No. Org. Part Number Engineering Change Level Dated Additional Engineering Changes Dated Safety and/or Government Regulation __ Yes __ No Purchase Order No. Weight kg Checking Aid No. Checking and Engineering Change Level Dated SUPPLIER MANUFACTURING INFORMATION CUSTOMER SUBMITTAL INFORMATION Supplier Name & Supplier/Vendor Code Customer Name/Division Customer Name/Division Buyer/Buyer Code Street Address Application City Region Postal Code Country MATERIALS REPORTING Has customer - required Substances of Concern information been reported Yes No n/a Submitted by IMDS or other customer format: Are polymeric parts identified with appropriate ISO marking codes Yes No n/a REASON FOR SUBMISSION (Check if at least one) __ Initial Submission __ Change to Optional Construction or Material __ Engineering Change(s) __ Sub - Supplier or Material Source Change __ Tooling; Transfer, Replacement, Refurbishment, or additional __ Change in Part Processing __ Correction of Discrepancy __ Parts Produced at Additional Location __ Tooling Inactive > than 1 year __ Other - please specify REQUESTED SUBMISSION LEVEL (Check one) __ Level 1- Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer. __ Level 2- Warrant with product samples and \imited supporting data submitted to customer. __ Level 3- Warrant with product samples plete supporting data submitted to customer. __ LeveI 4- Warrant and other requirements as defined by customer. __ Level 5- Warrantwith product samples plete supporting data reviewed at supplier's manufacturing location. SUBMISSION RESULTS The results for __ dimensional measurements __ material and functional tests __ appearance criteria __ statistical process package These results meet all drawing and specification requirements; __ Yes __ NO (If "NO" - Explanation Required) Mold / Cavity / Production Process DECLARATION I hereby affirm that the samples