19-PSW 文件编号FileQR8.3-65 No: 零件提交保证书Part Submission Warrant 零件名称Part Name JETTA 内框 顾客零件号Cust. Part Number 6030307 图纸编号Shown on Drawing No. 20140422 组织零件编号Org. Part Number 6030307 工程变更等级Engineering Change Level 日期Dated 附加工程变更Additional Engineering Changes 日期Dated 安全和/或政府法规Safety and/or Government Regulation Yes 是 否 采购订单编号Purchase Order No. 重量Weight (kg) 10.4 检查附具编号Checking Aid No. 检查附具工程变更等级Checking Aid Engineering Change Level 2014.5.8 组织制造厂信息ORGANIZATION MANUFACTURING INFORMATION 提交顾客的信息CUSTOMER SUBMITTAL INFORMATION 组织名称和供方/供应商代码Organization Name & Supplier/ Vendor Code 顾客名称/部门Customer Name/ Division xxxx新能源科技有限公司 xxxx汽车零部件有限公司 街道地址Street Address 采购人员名称/采购人员代码Buyer/ Buyer Code 路88号 城市City 上海 地区Region 上海 邮编Postal Code 201804 国家Country 中国 适用范围Application 材料报告MATERIALS REPORTING 顾客要求的受关注物质信息是否已报告 √ 是Yes 否No 不适用 n/a Has customer-required Substances of Concern information been reported通过IMDS报告或用顾客规定的其它表格报告 IMDS报告 Submitted by IMDS or other customer format: 注：注塑件是否已标注相应的ISO标注编码 是Yes 否No 不适用n/a Are polymeric parts identified with appropriate ISO marking codes提交原因（至少选一项）REASONS FOR SUBMISSION (Check at least one) √ 首次提交Initial Submission 改为其它选用的构成材料Change to Optional Construction or Material 工程变更Engineering Change(s) 供方或材料来源变更Supplier or Material Source Change 工装:转移，更换，整修或添加Tooling: Transfer, Replacement, Refurbishment, or additional 零件加工过程变更Change in Part Processing 偏差校正 Correction of Discrepancy 在其它地方生产零件Parts Produced at Additional Location 工装停止使用超过一年Tooling Inactive > than 1 year 其它-请说明Other - please specify below 要求提交等级（至少选一项）REQUESTED SUBMISSION LEVEL (Check one) 等级1-只向顾客提交保证书（若指定为外观项目，还应提交外观件批准报告） Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer. 等级2-向顾客提交保证书及产品样品以及有限的支持数据 Level 2 - Warrant with product samples and limited supporting data submitted to customer. √ 等级3-向顾客提交保证书及产品样品以及全部的支持数据 Level 3 - Warrant with product samples and complete supporting data submitted to customer. 等级4-保证书以及顾客规定的其它要求 Level 4 - Warrant and other requirements as defined by customer. 等级5-保证书，产品样品以及全部的支持数据都保留在组织的制造现场，供审查时使用 Level 5 - Warrant with product samples and complete supporting data reviewed at organization's manufacturing location 提交结果SUBMISSION RESULTS 结果： √ 尺寸测量 √ 材料和性能试验 √ 外观准则 统计过程数据 The results for dimensional measurements material and functional tests appearance criteria statistical process package 这些结果满足所有设计记录要求： √ 是 Yes 否No 如果选择否应解释(If NO - Explanation Required) These results meet all design record requirements: 成型模/多腔模/生产过程 Mold / Cavity / Production Process 声明DECLARATION 我声明，本次提交所使用的样品上是出自我们生产过程的，具有代表性的零件，且已符合生产件批准程序手册第四版的所有要求；我进一步保证这些样品是以 件/ 个小时的生产速率制造的。同时我保证所有符合性证明文件都已归档备妥，以供评审。我还说明了任何与此声明有偏差的内容，见下文。 I affirm that the samples represented by this warrant are representative of our parts which were made by a process that meets all Production Part Approval process Manual 4th Edition Requirements. I further affirm that these samples were produced at the pr 解释/说明EXPLANATION/ COMMEN