Customer Name / Code

Customer Address

Sales Order / Collection Pass / CAD / Invoice #

Date of sale / Purchase / Collection Pass

Department / Facility Responsible
MRFC&ITRFCDWOCC TADWEERSRFIWWTPLANDFILLTRADING UNITHZWMSUOthers

Material Name (Code)
—Please choose an option—

Quantity Ordered
TonsKGsPcsNos

Qunatity Received
TonsKGsPcsNos

Quantity Inspected
TonsKGsPcsNos

Quantity Accepted
TonsKGsPcsNos

Quantity Rejected
TonsKGsPcsNos

Reason / Cause of Rejection

Action Required

Photos of Rejected Material

PDFs of Rejected Material

Preventive Action

Remarks & Suggestions