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1、东风汽车有限公司发动机厂 Engine Plant Dong Feng Motor Corporation LTD. PPAP-01 Revision(版次): 01 零件提交保证书Part Submission Warrant 编号No.23G-12128-2002 零件名称Part Name 正时齿轮凸轮轴 零件号和级别Part No. &Rev 10Q68-06020 安全/政府法规 Safety /Government 是Yes 否No 工程图纸更改水平 Engineering Drawing Change level 10Q68-06020 日期Date 1997.11.28 附加工
2、程更改Additional Engineering Changes _ 日期Date_ 图纸号码Shown on Drawing 10Q68-06020采购订单号码Purchase order No. _ 重量Weight _kg 检查用辅助工具号Checking Aid No._ 工程更改水平Engineering Change Level _ 日期Date _ 供方制造厂资料SUPPLIER MANUFACTURING INFORMATION： 供方名称Supplier Name 东风汽车有限公司刃量具厂 供方代码Supplier Code_ 地址 Address 中国湖北省十堰市车城西路
3、55号 邮编Postal Code 442023 用户名称/部门Customer Name/Div. 东风汽车有限公司发动机厂 买方姓名/买方代码Buyer/Buyer Code 东风49厂 适用范围Application _ 提交资料SUBMISSION INFORMATION: 尺寸Dimensional 材料/功能Functional 外观Appearance 提交原因REASON FOR SUBMISSION： 首次提交Initial Submission 更改可选用的结构或材料Change to Optional Construction or Material 工程更改设计Engi
4、neering Change 分供方或材料来源更改Sub-Supplier or Material Source Change 工装：转换、代替、整修或附加Tooling: Transfer, Replacement, Refurbishment, or Additional 零件加工过程更改Change in Part Process 偏差校正Correction of Discrepancy 在其它地方生产零件 Parts Produced at Additional Location 其它-请说明OtherPlease Specify要求提交的等级（选择一项）REQUESTED SUBM
5、ISSION LEVEL(CHOOSE ONE) 等级1保证书、外观件批准报告（只适用于指定外观项目的零件） Level 1-Warrant,Appearance Approval Report(for designated appearance items only) 等级2保证书、零件、图纸、检查结果、试验室和性能试验结果、外观件批准报告 Level 2-Warrant ,parts, Drawings, Inspection Results, Laboratory and Functional Results, Appearance Approval Report 等级3在顾客处保证书、
6、零件、图纸、检查结果、试验室和性能试验结果、外观件批准报告、过程 能力结果、能力研究、过程控制计划、量具研究、FMEA。 Level 3-At Customer Location -Warrant, Parts, Drawing, Inspection Results, Laboratory & Functional Results, Appearance Approval Report, Process Capability Results, Capability Study , Process control Plan, Gauge Study, FMEA. 等级4同前面等级3内容，但不包
7、括零件。Level 4-Per level 3,but without parts. 等级5在供方处保证书、零件、图纸、检查结果、试验室和功能结果、外观件批准报告、过程能力 结果、能力研究、过程控制计划、量具研究、潜在失效模式及后果分析（FMEA）。 Level 5-At Supplier Location-Warrant, Parts, Drawings, Inspection Results, Laboratory and Functional Result, Appearance Approval Report, Process Capability Results, Capabilit
8、y Study, Process Control Plan, Gauge Study, FMEA.。提交结果SUBMISSION RESULTS 结果：The Results For 尺寸测量Dimensional Measurement 材料和性能试验Material and Functional Tests 外观标准 Appearance Criteria 统计过程数据Statistical Process Package 这些结果满足所有图纸和规范要求 These results meet all drawing and specification requirements: 是Yes
9、否No （如果选择否应解释）(If No”- Explanation Required) 声明DECLARATION声明，本保证书使用的样品是我们的代表性零件；已符合顾客图纸和规范的要求；是在正常生产工装上使 用规定的材料制造而成，没有不同于正常加工过程的其它操作。与本声明有差异的地方已在下面作了说明。 I affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customer drawings and sp
10、ecifications and are made from specified materials on regular production tooling with no operation other than the regular production process. I have noted any deviations from this declaration below: 解释/说明EXPLANATION/COMMENTS： 打印体姓名Print Name 唐保国 职务Title 工艺员 电话号码Phone No. 0719-8243644 授权的供方代表签字Supplier Authorized Signature 日期Date仅供顾客使用FOR CUSTOMERUSE ONLY 批准 Approval 拒收Rejected 其它Other_ 零件交接情况Part disposition 顾客姓名Customer Name_ 顾客签字Customer Signature _日期Date_
