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Vendor Corrective Action Request
DATE: __________
TO:
ATTN:
REF. P.O.#:
The following discrepancies have been documented
against the referent purchase order by our Receiving Inspection and require
Corrective Action.
Signed: _________________________
ACTION taken to prevent recurrence: ________________________________________
_______________________________________________________________________
_______________________________________________________________________
BY: __________________________Position:_________________Date:
_____________
*Please detail your corrective action and return
to our inspection department
within 15 days.
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