AAP Hitachi Metals PPAP Supplier Warrant - AAP St. Marys

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AAP Hitachi Metals PPAP Supplier Warrant PRODUCT INFORMATION Product Name

AAP Product Name Dated

Engineering Change Level SUPPLIER MANUFACTURING INFORMATION

CUSTOMER SUBMITTAL INFORMATION

Supplier Name and Supplier/vendor Code

AAP Department

Street Address

Buyer/Buyer Code

City

State

Postal code

Application

Country

MATERIALS REPORTING Has customer-required Substances of Concern information been reported?

Yes

No

REASON FOR SUBMISSION (Check at least one) Initial submission

Change of Ingredients or Material

Change in Technology

Supplier or Material Source Change

Change in process flow or how made

Change in Manufacturing location

Material produced at additional location

Other-please specify below

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 limited supporting data submitted to customer. Level 3 - Warrant with product samples and complete supporting data submitted to customer. Level 4 - Warrant and other requirements as defined by customer. Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location. SUBMISSION RESULTS dimensional measurements, These results meet all design requirements

material and functional tests

The results for

Yes

appearance criteria

statistical process package

No. (If "No" - Explanation Required).

Mold / Cavity / Production Process(es) DECLARATION I affirm that the samples represented by this warrant are representative of our parts which were made by a process which meets all Production Part Approval Process Manual 4th Edition requirements including all AAP-specific requirements. I further affirm that these / samples were produced at the production rate of hours using I also certify that documented evidence of such compliance is on file and is available for review. I have noted any exceptions from this declaration below.

production streams.

EXPLANATION/COMMENTS

Organization Authorized Signature

Date

Print Name

Title

Fax:

Phone No. Email Interi

Interim Status (to be completed by the Organization)

FOR AAP USE ONLY PPAP Phased PPAP Warrant Status: QA Engineer Signature

Non-PPAP

.

Approved

Rejected

a/ .

Interim Accepted

Engineering Authorization

Alert, Temp. PCM, TPD Number

Name e-mail .

Date Purchasing Signature

Name Description:

e-mail .

(Incomplete PPAP Requirements)

Date

a/ Non-PPAP indicates the part does not satisfy one or more PPAP requirements and is incomplete b/ P.D. signature for Priority suppliers on GPDS programs The original copy of this document shall remain at the supplier's location while the part is active

Code No.: GN-126 Eff. Date: 7/30/10

Signature: _____________________________________

Ref: GN-OP-68, Attachment 3

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AAP Hitachi Metals PPAP Supplier Warrant - AAP St. Marys

AAP Hitachi Metals PPAP Supplier Warrant PRODUCT INFORMATION Product Name AAP Product Name Dated Engineering Change Level SUPPLIER MANUFACTURING INF...

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