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LK MFG

ENGINEERING & QUALITY

PLANNING TEMPLATE · NOT AN ISSUED TEST REPORT

Material Certification

Part / revision: __________Material / lot: __________Prepared by / date: __________Customer requirements: __________
Review itemEvidence / resultStatus
Resin manufacturer and gradeTo be recordedPending review
Batch / lot traceabilityTo be recordedPending review
Applicable laboratory reportTo be recordedPending review

Record actual measurements and supporting evidence before review and authorization. No approval, laboratory result or conformity claim is implied by this blank template.

Reviewer: __________   Disposition: __________