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KIRTLAND AIR FORCE BASE ALBUQUERQUE, NEW MEXICO ...

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APPENDIX C<br />

Figure 14-1. Nonconformance Report<br />

TYPICAL NONCONFORMANCE REPORT<br />

REPORT NO(1) ______________________<br />

CLIENT OR PROJECT (2) DRAWING NO/SPEC NO. (3)<br />

SUPPLIER, CONSTRUCTION QC OR CONTRACTOR (4) P. O. NO. (5)<br />

DESCRIPTION OF COMPONENT, PART OR SYSTEM (6)<br />

I. DESCRIPTION OF NONCONFORMANCE (7) (Items involved, Specifications, Code or Standard to Which Items Do Not Comply, Submit Sketch (If<br />

Applicable)<br />

NAME AND SIGNATURE OF PERSON REPORTING NONCONFORMANCE (8) TITLE/COMPANY DATE (9)<br />

II. RECOMMENDED DISPOSITION (10) (Submit Sketch If Applicable)<br />

NAME AND SIGNATURE OF PERSON RECOMMENDING DISPOSITION (11) TITLE/COMPANY DATE (12)<br />

III. EVALUATION OF DISPOSITION BY FOSTER WHEELER ENVIRONMENTAL. REASON OF DISPOSITION (13)<br />

IV. CORRECTIVE ACTION (14) Required Not Required<br />

V.(15) ENGINEERING QUALITY ASSURANCE CONSTRUCTION OTHER<br />

NAME (SIGNATURE) NAME (SIGNATURE) NAME (SIGNATURE) NAME (SIGNATURE)<br />

DATE DATE DATE DATE<br />

ACCEPTED<br />

REJECTED<br />

ACCEPTED<br />

REJECTED<br />

ACCEPTED<br />

REJECTED<br />

ACCEPTED<br />

REJECTED<br />

ACCEPTED WITH COMMENTS ACCEPTED WITH COMMENTS ACCEPTED WITH COMMENTS ACCEPTED WITH COMMENTS<br />

VI. VERIFICATION OF DISPOSITION REQUIRED NOT REQUIRED (16)<br />

(17) BY SIGNATURE TITLE DATE<br />

Kirtland AFB<br />

Quality Assurance Project Plan C-61 April 2004

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