Doc. No.

: QCD-01FR-01
QC Inspection Report Revision : 01
Date : July 10, 2003
Page : 1 of 1

TITLE: Production repair Production spare part

PT SHI Job No. : 2361

Description : Turbo Compressor Rotor

Type : Air Compressor

Manufacture : Centac

Model : C70MX3-2RH

Serial Number : V-4485

Equipment Number : TBA

Status : Pass Reject Hold ……………………

Disposition : Scrap Rework

( if rejected )

Note: 1. It is strictly prohibited to use or to deliver the goods if having HOLD or REJECT or
SCRAP tagging.

2. Only the goods having tagging “OK For Shipment” that can be packaged.

3. Do not close the packing box/container before checklist released by QC Inspector

Approved by:

( A. Gafar Nur ) Date: October 19 , 2004

Copies : PPC, Material & Logistic Department

Original : QC Files