This document is a garment inspection request form submitted to Specialized Technology Resources, Inc. It provides information about the client, vendor, and factory. It requests that STR conduct a garment in-process/in-line or final/pre-shipment inspection. It specifies the garment category, quality limits, production dates, and order quantities. It also provides details about control samples, inspection instructions, and report distribution. An authorized signature confirms responsibility for payment and acknowledges STR's standard terms and conditions.

1. GARMENT INSPECTION Print Form Reset Form
REQUEST Form
Date:
Client Information
Client: Contact:
Address: City:
Phone: Fax: State: Zip:
Email: Email: Country:
Vendor Information
Vendor: Contact:
Address: City:
Phone: Fax: State: Zip:
Email: Email: Country:
Factory Information
Factory: Contact:
Address: City:
Phone: Fax: State: Zip:
Email: Email: Country:
Inspection Services & Requirements
Specialized Technology Resources, Inc. is authorized to conduct the following inspection:
Garment In Process/In-Line Garment Final/Pre-Shipment Reinspection (Previous Report Number):
Garment Category: Men's Women's Children's Other
ANSI/ASQ Z1.4-2003, General Level II: AQL (Acceptance Quality Limit): Critical: Major: Minor:
Production Start Date: Scheduled Ship Date: Order Shipment Quantity:
Inspection Details
Control Samples Provided by Client: Yes No If No, when will samples be sent?
Use Factory Approved Samples: Yes No
Inspection Instructions Provided by Client: Yes No Attached: Yes No
Measurement Specifications Provided by Client: Yes No Attached: Yes No
Packaging Requirements Provided by Client: Yes No Attached: Yes No
Tag or Label Requirements Provided by Client: Yes No Attached: Yes No
Carton Markings Provided by Client: Yes No Attached: Yes No
Copy of Draft Report Must be Left at Factory: Yes No
Defect Samples Must be Forwarded to Client: Yes No
Take Defect Samples and Hold for Instructions?: Yes No
Special Instructions:
Send Final Reports To: Client Vendor Factory
© Specialized Technology Resources, Inc.
Page 1 of 2 Specialized Technology Resources, Inc. ~ 10 Water Street ~ Enfield, CT 06082 ~ Tel: 1-860-749-8371 IG Submittal Rev. 1

2. GARMENT INSPECTION
Sample Submission Form
Date:
Sample Information
Item Description: Item Description:
PO Number: PO Number: PO Number: PO Number:
Quantity: Quantity: Quantity: Quantity:
Style: Style: Style: Style:
Color: Color: Color: Color:
Item Description: Item Description:
PO Number: PO Number: PO Number: PO Number:
Quantity: Quantity: Quantity: Quantity:
Style: Style: Style: Style:
Color: Color: Color: Color:
Authorized Signature
Under this program, invoices should be sent to, and will be paid by the Client Vendor
Signature: Title: Date:
Print Name: Company:
The above signature, by an authorized company representative, confirms that the company is responsible for all payments to STR for services described herein. This
signature also acknowledges that the STR Standard Terms and Conditions (12/06/05), a copy of which is attached, apply to these services unless they are covered under a
separate agreement.
Submittal Information & Addresses
United States:
Specialized Technology Resources, Inc.
Attn: Robert Cammilleri
10 Water Street
Enfield, CT 06082
Tel: 860-749-8371
Fax: 860-749-8234
Email: Robert.Cammilleri@STRQuality.com
© Specialized Technology Resources, Inc.
Page 2 of 2 Specialized Technology Resources, Inc. ~ 10 Water Street ~ Enfield, CT 06082 ~ Tel: 1-860-749-8371 IG Submittal Rev. 1