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Audit team Organisation (*): Name (*): (*) Mandatory fields

Company Name (*): E-mail (*): Organisation (*): Function (*): Telephone: Fax: (*) Mandatory fields

Audit Reference to (*): Details: We have reviewed our: Quality Assurance Management System Manufacturing Line against the requirements of the ESCC System and declare that we consider the requirements are met. Further we declare that we are ready and prepared to receive an ESCC Audit Team for the purpose of verifying our declared compliance to the ESCC requirements. Comments: ESCC Chief Inspector: (*) Mandatory fields

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