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HTL/Kin-Tech Division

AS/EN/SJAC9102 Rev A First Article Inspection Sheet _ of _ Form 2: Product Accountability ­ Raw Material, Specifications and Special Process(s), Functional Testing

2 Part Name 3. Serial Number 4. FAI Report Number

1. Part Number

5. Material or Process Name

6. Specification Number

7. Code

8. Special Process Supplier Code

9. Customer Approval Verification (Yes/No/NA)

10. Certificate of Conformance number

11. Functional Test Procedure Number

12. Acceptance report number, if applicable

13. Comments 14. Prepared By 15. Date

Form 2, 9102 Rev A, Date: Oct 31, 2003

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