Certification Of Compliance - ADTRAN Q-110 Manual

Part No.
Part Name:
Contract MFR:
Work Order No.
Quantity
Shipped:
ADTRAN Assembly DWGs/specification(s) used
First Article unit(s) Serial Number
Remarks:
st
1 Submission

Certification Of Compliance

I certify that the parts furnished on the above shipment meet all the necessary Engineering Instructions,
Mechanical Specifications and Necessary Requirements, and that the above parts have been inspected by
this Company. A copy of all working documentation used for verification to include deviation notices,
assembly and label placement drawing(s), BOM and any other written instructions shall be included with
this First Article Shipment.
Quality Manager____________________________________Date_______________
For ADTRAN use only
Disposition: Approved
st
Resubmission of 1 Article Required?
Remarks:
Q110-1 – CM First Article Inspection Report, Rev A, page 1
Q-110-1
CM FIRST ARTICLE INSPECTION REPORT (Q110-1)
Purchase Order No.
Test(s) conducted
nd
2 Submission Tooling Rebuilt/Refurbish
Rejected
YES
REV. A
Rev.
Date:
Originator:
ICT FVT
Conditional Approval
NO
Sheet
Hi POT Visual Inspection
(Quality Record)
Page 1
Of
(If applicable)