Page 281 - PPAP submission requirements (PPAP check sheet)

MINE MOBILITY CORPORATION CO, LTD. (MMC)

Phase 1 Phase 2 Phase 3 PPAP Submission Warrant Status
PART INFORMATION
Model SPA1 Customer MINE MOBILITY CORPORATION CO, LTD.
Part Name TRAY,TOOL KIT Cust. Part Number 49404-A0010-A
Shown on Drawing Number 49404-A0010-A Organization Part Number -
Engineering Change Level - Date -
-
Additional Engineering Changes - Date -
Optional Tracking Number
Safety and/or Government Regulation Yes No Purchase Order No. - Weight (g) 295 g.
Checking Aid Number - Checking Aid Change Level - Dated -
ORGANIZATION MANUFACTURING INFORMATION
THAI EPP FOAM CO., LTD. MANEELUCK SUCHAIRATTANACHOK / SQE
Organization Name and Supplier Code Customer Name/Division
60/119 Moo.19 Khlong Nueng Subdistrict -
Street Address Buyer/Buyer Code
Khlong Luang District, Pathum Thani Bangkok 12120 Ms. Narissara Promrug
City Region Postal Code Country Application
REASON FOR SUBMISSION
Initial submission Change to Optional Construction or Material
Engineering Change(s) Sub-Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or additional Change in Part Processing
Correction of Discrepancy Parts produced at Additional Location
Tooling Inactive > than 1 year Other - please specify below
REQUESTED SUBMISSION LEVEL (Check one)
Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer.
Level 4 - Warrant and other requirements as defined by customer.
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.
SUBMISSION RESULTS
The results for Dimentonal measurements Material and function tests Appearance criteria Statistical process package
These results meet all drawing and specification requirement : Yes No (If "NO" - Explanation required).
Mold / Cavity / Production Process : 1 MOLD K813/2 CAVITY/ INJECTION PROCESS
DECLARATION and SUBMISSION RESULTS
I affirm that the samples represented by this warrant are representative of our parts which were made by a process which meets all
current edition Production Part Approval Process Manual requirements including all Mine-specific requirements. I further affirm that
these samples were produced at the production rate of _114 pcs. / 8 (24) _ hours using production streams. I also certify that
documented evidence of such compliance is on file and is available for review. I have noted any exceptions from this declaration below.
EXPLANATION/COMMENTS

List Molds / Cavities / Production Processes:
(Attach a separate page if additional space is necessary)
Supplier Authorized Signature Date 28-Apr-20
Print Name Mr. Tanongsak Chuayta Phone No. 097-328-2926 Fax. 038-490-323
Title Engineering Email tanongsak@thaifoamgroup.com

FOR Mine USE ONLY Interim Status (to be completed by Supplier)
a/
Interim
PPAP . Non-PPAP .
Phased PPAP Approved Interim Submission:
Warrant Status: Rejected Accepted
Engineering
Date Authorization:
Customer Signature . .
Description:
Print Name . .
(Incomplete PPAP
Requirements) .
a/ Non-PPAP indicates the part does not satisfy one or more PPAP requirements
and is considered incomplete until all PPAP requirements are satisfied.
The original copy of this document shall remain at the
supplier's location while the part is active
Route : Supplier Mine Approve (Copy) Supplier For : Supplier
SQAM - 1