PLEASE SUPPLY THE FOLLOWING NECESSARY MATERIALS (IF APPROPRIATE) FOR OUR INSPECTION:
NOT RETURNED
ENCLOSED BY CONTRACTOR N/A
Samples (Construction, folding, etc...)
Manuscript
Camera Copy
Negatives
Proofs (Blueline, color key
, etc...)
OK’d Press Sheets
Departmental Random Copies (Blue Label)
If the contractor has not delivered the Departmental Random Copies (Blue Label), please utilize the following sampling
plan for pulling random copies:
up to 3,200 = 13 copies
3,201 to 10,000 = 20 copies
10,001 to 35,000 = 32 copies
35,001 and over = 50 copies
Additional samples may be requested to further aid in our inspection.
For multiple destinations, a random sample of destinations is selected, and a random sample of items is selected at each sample
destination. Each item in a lot must have the same probability of being selected in the sampling.
If copies were pulled randomly by the agency, from which destination(s) were they selected and how many copies from each?
I hereby certify that the enclosed random copies have been selected in accordance with the sampling plan above. I understand
that I may be required to testify at a hearing regarding my selection method.
Signature Date
The penalty provided for making false statements is prescribed in 18 USC 1001.
Questions concerning the proper procedure for pulling samples should be directed to your normal GPO contract or the Quality
Assurance Section (202) 512-0542.
If the complaint requests a REPRINT/CORRECTION, the following information is required:
Where can rejected copies be picked up
Contract person/phone no.
The processing of this complaint may be delayed if the above information is not completely filled out.
FOR GPO USE ONLY -- SuDoc copies)
SuDocs did not ride
Sales copies have been put on hold Sales copies are OK as is
Depository copies have been put on hold Depository copies are OK as is
click to sign
signature
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