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                                                Supplier Name:
                                             
                                            
                                                Supplier Site:
                                             
                                            
                                                Commodity Group:
                                             
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                                                Submitted By:
                                             
                                            
                                                   Intel Owner:
                                             
                                            
                                                   Modified By:
                                             
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                                                    Create Date:
                                                 
                                                
                                                       Submit Date:
                                                 
                                                
                                                       Modified Date:
                                                 
                                                
                                                       Closed Date:
                                                 
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                                                       Status:
                                                 
                                                
                                                       Sub-Status:
                                                 
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| Intel Supplier Owner: | |||||
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| Supplier Site: | Request Type: | |||
| Receiving Intel Locations: | Unknown | Functional Area: | ||
| Commodity Group: | 
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                                                Detailed Description:
                                                
                                                 
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                                                Fix Implementation Date:
                                                 
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                                                Detailed Root Cause: 
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                                                Root Cause Fix Summary:
                                                
                                                
                                             
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                            Please attach a file containing the problem description, root cause, corrective actions, and affected lot list. If there is a specific template requested by your commodity, please use it.
                        
                        
                        
                        
                        



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