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HTL/Kin-Tech Division

AS/EN/SJAC9102 Rev A First Article Inspection Sheet _ of _ Form 3: Characteristic Accountability, Verification and Compatibility Evaluation

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

1. Part Number

Characteristic Accountability

5. Char no. 6. Reference Location 7. Characteristic Designator 8. Requirement 9. Results

Inspection / Test Results

10. Designed Tooling 11. NonConformance Number 14. Accept / Reject 15. Plan 14. Comments

.

The signature indicates that all characteristics are accounted for; meet drawing requirements or are properly documented for disposition.

12. Prepared By 13. Date

Form 3, 9102 Rev A, Date: Oct 31, 2003

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