Fillable Printable Quality Deficiency Notice Evaluation Of Correction Action
Fillable Printable Quality Deficiency Notice Evaluation Of Correction Action
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Quality Deficiency Notice Evaluation Of Correction Action
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QUALITY DEFICIENCY NOTICE
EVALUATION OF CORRECTION ACTION
NAME OF SUPPLIER AND ADDRESS
NSN
OAS NAME AND SIGNATURE ADDRESS DATE
DATE
RECEIPT ACKNOWLEDGED
Corrective action verified and found acceptable.
Corrective action not acceptable and/or not implemented (Explain below)
This matter is being referred to the Administrative Contracting Officer for action. Direct further correspondence on this
matter to the ACO.
CERTIFIED RECEIPT NO.
OAS SIGNATURE
RECEIPT ACKNOWLEDGED CERTIFIED RECEIPT NO.
GSA FORM 3539 (11-84)
LOT NO.
PRIME CONTRACTOR AND ADDRESS
CONTRACT NO.
ORDER NO.
A deficiency exists in your quality control system. The nature of the deficiency is
Immediate action is required to correct the deficiency and the condition that caused it. Shipping nonconforming material and/or failure
to take acceptable corrective action on time may result in termination of your right to proceed with this contract. Nonconforming
material will be returned to you at your expense.
Please provide a written response of correction action taken or to be taken to your OAS within 5 workdays after receiving this notice.
GENERAL SERVICES ADMINISTRATION