下記の製品の出荷の可否について、下記の通り決定する。
評価した結果、内容に逸脱はありましたか？あり／なし
逸脱があった場合の措置は適切ですか？適切／不適
製造所からの出荷の可否について。可（承認する）／否（承認しない）
決定年月日（Date of decision）と決定者。
We will determine the shipment of the following products as follows.
As a result of the evaluation, were there any deviation in the content? Yes / No
If there is a deviation, is the measurement appropriate? Appropriate / inappropriate
Will you approve the shipment from the manufacturing plant? Yes (approve) / No (not approve)
Decision date (Date of decision) and the person who made the decision
