F TMD10 12

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Thai Meidensha Co., Ltd.

TIR -
TEST AND INSPECTION RECORD
CLIENT NAME : Ref. : CPR No.
PROJECT NAME / WORK NAME : Job No.
SUBJECT : Page : /
Delivery Sheet /
Inspection Data Inspection Acceptance Inspection Result Inspected Ref.
/Test Data Description Method Criteria data Date Incharge Document
No. Passed Rejected

NOTE : PREPARED BY CHECKED BY APPROVED BY


_________________________________________________________________
_________________________________________________________________
DATE ____/____/____ DATE ____/____/____ DATE ____/____/____
F-TMD10-12 R01 E 16/04/2009

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