泛亚汽车技术中心 供应商产品质量保证书
零件名称 后缀 检具编号.
散热器导流板
零件号
26265003 适用车型 采购订单编号
K211 PS21092555
数模版本号
理论/实际重量
0001
图纸号 /
26265003
Kg
本次发运的数量 / 12
供应商信息
供应商名称 地址
宁波长华汽车装饰有限公司 邓氏(DUNS)编号 邮编
545325755
浙江省慈溪市周巷镇开发二路一号
关键零件(Critical 315324
递交类型
非关键零件(Non-Critical parts) PROTOTYPE 零件类别
初次交样
差错纠正
工程更改 追加数量
递交状态 以下问题1~ 5中如果有任何一项答案为
以下问题仅用于OTS样件，如果有任何一项答案为
其它补充说明：
供应商签名
刘春辉
职务
项目经理
电话
是是是否否否否
0574-63321713
日期 2013-07-03
交样符合状态
合格件
临时认可件电话 电话 电话 电话
日期 日期 日期 日期
DRE签名
PPO签名(仅关键零件) SVE签名 SQE签名
PAN ASIA TECHNICAL AUTOMOTIVE CENTER
SUPPLIER PARTS QUALITY WARRANT
Part Name Suffix
Part Number
Application Vehicle Purchasing Order No
Math Data Version
Shipping Quantity
Drawing NO
/ Kg
Theory /Actual Weight
Checking Fixture No.
SUPPLIER MANUFACTURING INFORMATION
Supplier Name
Street Address
DUNS Number Z-Code
SEVERITY TYPE
CRITICAL PROTOTYPE PART TYPE
Initial Submission
Correction of Discrepancy
Additional Quantities Engineering Change(s)
SUBMISSION INFORMATION Corrective Action Plan required if answer “No” to Questions #1~#5, or “Test isn’t Completed by Plan”;
Questions below are required for OTS part only; Explanation of “NO”10. Was Part produced with Production Dies? 11. Was Part produced with Production Tooling Fixture? 12. Was Part produced with Simulated Production Process? 13. Was Part assembled at Selected Local Supplier
Remarks：
Supplier Authorized Signature Title Phone No.
Dated
Submission Conformance Status
Useable
Dated Dated Dated Dated
DRE Signature
PPO Signature(Only Critical)
SVE Signature SQE Signature
Phone No Phone No Phone No Phone No
泛亚汽车技术中心 供应商产品质量保证书
零件名称 后缀 检具编号.
散热器导流板
零件号
26265003 适用车型 采购订单编号
K211 PS21092555
数模版本号
理论/实际重量
0001
图纸号 /
26265003
Kg
本次发运的数量 / 12
供应商信息
供应商名称 地址
宁波长华汽车装饰有限公司 邓氏(DUNS)编号 邮编
545325755
浙江省慈溪市周巷镇开发二路一号
关键零件(Critical 315324
递交类型
非关键零件(Non-Critical parts) PROTOTYPE 零件类别
初次交样
差错纠正
工程更改 追加数量
递交状态 以下问题1~ 5中如果有任何一项答案为
以下问题仅用于OTS样件，如果有任何一项答案为
其它补充说明：
供应商签名
刘春辉
职务
项目经理
电话
是是是否否否否
0574-63321713
日期 2013-07-03
交样符合状态
合格件
临时认可件电话 电话 电话 电话
日期 日期 日期 日期
DRE签名
PPO签名(仅关键零件) SVE签名 SQE签名
PAN ASIA TECHNICAL AUTOMOTIVE CENTER
SUPPLIER PARTS QUALITY WARRANT
Part Name Suffix
Part Number
Application Vehicle Purchasing Order No
Math Data Version
Shipping Quantity
Drawing NO
/ Kg
Theory /Actual Weight
Checking Fixture No.
SUPPLIER MANUFACTURING INFORMATION
Supplier Name
Street Address
DUNS Number Z-Code
SEVERITY TYPE
CRITICAL PROTOTYPE PART TYPE
Initial Submission
Correction of Discrepancy
Additional Quantities Engineering Change(s)
SUBMISSION INFORMATION Corrective Action Plan required if answer “No” to Questions #1~#5, or “Test isn’t Completed by Plan”;
Questions below are required for OTS part only; Explanation of “NO”10. Was Part produced with Production Dies? 11. Was Part produced with Production Tooling Fixture? 12. Was Part produced with Simulated Production Process? 13. Was Part assembled at Selected Local Supplier
Remarks：
Supplier Authorized Signature Title Phone No.
Dated
Submission Conformance Status
Useable
Dated Dated Dated Dated
DRE Signature
PPO Signature(Only Critical)
SVE Signature SQE Signature
Phone No Phone No Phone No Phone No