<p> TTF3 Couplers </p><p>NON CONFORMANCE REPORT</p><p>Created by: Date: Report NCR# Nieland / Kiehl Sept. 18, 2008 0004 Supplier Supplier Address Communication and Power Ind. 150 Sohier Road Beverly, MA. 019158 Part name/ Number Serial Number(s) Qty Coupler / Cold Part 3964328/A.000 FC05 1</p><p>Preliminary finding  Scratches on antenna</p><p>For a full report go to: <V:\ILC\Drop Boxes\TTF3 couplers\Couplers, visual inspection complete\FC05-FH05> on the SLAC website</p><p>Picture of scratches on antenna:</p><p>MRB: : Reviewed on 8-21 / 9-10 / 9-17. Reviewed by CA. JT. TN. DK. Repair in house</p><p>Out of tolerances? □ Yes □ No Drawing # DESY Base Document 3964328/A.xxx / LAL 165-3D-1250</p><p>Proposed Corrective / Preventive actions Corrective Action </p><p>Take before and after photos of all items being repaired. Protect the coupler around the area that is being repaired with lint free cloth and / or rubber clean room glove. Use the HEPA vacuum during any particle generating operations. Remove a minimal amount of material, when abrading damaged area. With a strip of 800 grit Microfinish Cushioned Silicon Carbide Sanding Cloth (McMaster-Carr P/N 4611A314)to smooth initial damaged area, using a back and forth motion with light finger pressure to remove any sharp edges. Then finish repair by repeating previous step using 1200 grit Microfinish Cushioned Silicon Carbide Sanding Cloth (McMaster-Carr P/N 4611A313) Clean the repaired area with lint free clean room wipe and ethyl alcohol. Inspect repair and complete visual and metrology receiving inspection. ESD bag coupler cold part. Ship to Bldg. 6 for ultrasonic cleaning, leak check, and assemble for R.F. processing.</p><p>Picture after repair:</p><p>Preventive action</p><p>Person in charge of Corrective / Preventive action : Name Chris Adolphsen / Jeff Tice Date 4/14/09 Signature</p><p>Customer’s agreement □ Solution up to Manufacture/supplier X Solution was dispositioned and completed at SLAC National Accelerator Laboratory □ Proposed solution is not accepted – new proposal :</p><p>DISPOSITION Use as is □ Repair □ Rework □ Return to vendor □ Scrap □ Other □</p><p>Customer’s Agreement: Name: Date:</p><p>Closing of the Non conformance Planned corrective/preventive action has been completed: Independent verification has been completed :</p><p>Name Date Name Date Distribution:</p>