AN-38A

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Supplier Product Inspection Report

In accordance with Code 3 requirements of the purchase order and this flysheet, Supplier shall provide to Buyer, inspection data of product characteristics specified below.

Note: Seller may submit its own Inspection Data Report format providing the information and inspection data requirements set forth herein are met.

Supplier Product Inspection Report

Date: ______Purchase Order: ______

Part Number: 14179-201-All (Dash numbers) Rev.: B, C-4

(Above information to be completed by Supplier)

Prepared by: Sergio A. Suarez, Supplier Quality Assurance, (714) 762-5652 11-08-2001

Revised by: Mike Macias, Supplier Quality, (714) 762-5342, Date: 02-25-2003

Remarks: **Supplier shall provide actual recorded data as part of the acceptance package. Data shall be included with each shipment of parts. Attached Boeing provided Inspection plan is to be completed by supplier and returned to Boeing.
Drawing or Specification
Requirements / Supplier’s Measurement / Supplier’s Inspection Stamp
14179-201 Rev. B C-3
G/N 4 Chromium Plate per DWG. ……
G/N 5 Apply corrosion preventative coat per DWG. …
G/N 8 Straightness per DWG. …..
** (Mandatory inspection characteristic per G/N 10.)
G/N 9 Hardness per DWG. …..
** (Mandatory inspection characteristic per G/N 10.)

AN-38A

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Supplier Product Inspection Report

Part Number / PO# / Qty. / Date

14179-201 G/N 8 Straightness: Shaft after processing shall exhibit a runout no greater than .002 inches per linear foot of shaft length. (Parts do not need to be serialized.)

# / Actual / # / Actual / # / Actual / # / Actual / # / Actual
1 / 6 / 11 / 16
2 / 7 / 12 / 17
3 / 8 / 13 / 18
4 / 9 / 14 / 19
5 / 10 / 15 / 20

14179-201 G/N 9 Shaft hardness shall exhibit a Rockwell hardness of RC 56-67 in area

shown.

Actual Rockwell hardness scale used to test the parts: ______

# / Actual / # / Actual / # / Actual / # / Actual / # / Actual
1 / 6 / 11 / 16
2 / 7 / 12 / 17
3 / 8 / 13 / 18
4 / 9 / 14 / 19
5 / 10 / 15 / 20

02/26/03 10:55 AM

IOD - 173-040, rev A. 10/29/97