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Document Type: Works Test Certificate 2.2 Standard: DIN EN 10204:2004 Certificate No.: [Insert unique number, e.g., 2409-001] Date of Issue: [Day/Month/Year] 1. Manufacturer & Product Identification Manufacturer: [Company Name and Address] Customer: [Customer Company Name and Address] Order No. (Customer): [Customer PO number] Delivery Note No.: [If applicable]
[e.g., Seamless Steel Pipe, Flat Bar, Forged Flange, etc.] Material / Grade: [e.g., S235JR, 1.4301, 42CrMo4] Dimensions / Size: [e.g., Ø 100 mm x 5 mm, 50x50x1000 mm] Quantity: [Number of pieces / weight] Heat / Cast Number: [e.g., H23045] Traceability Marking: [e.g., Laser marked / Stamped on each part] 2. Statement of Compliance We, the undersigned manufacturer, hereby declare that the above-mentioned products comply with the requirements of the order placed by the customer, including the agreed specification and delivery conditions. certificate 2.2 din en 10204
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