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QP190-RE-01Revision1原辅材料检验申请单Application Formfor Testingof MaterialNo.原辅材料名称批号Material Name:Lot No.:编号Code:数量Amount:供应商浓度Vendor:Concentration:到货日期请验日期Receiving Date:Application Date请验部门请验人Application Unit:Applied by:仓库验收口通过□不符合要求Pass Notmeet RequirementWarehouseCheck备注Remarks:以上为仓库填写Filled ByWarehouse Person检验结果Inspection Result口合格□不合格Qualified Unqualified检验单号若不合格,不合格报告单号No.YB No.检验人报告日期Inspector ReportDate备注Remarks:以上为填写IQC FilledBy IQCPerson。