Attachment 3 - Sample Review Form for U1 Blanks.pdf

This is a sample review form template for evaluating U1 upright headstones in marble (blank) and granite (blank) materials, as well as V1 and W1 upright granite variants.

The form is designed to document the inspection and acceptance of headstone samples against specified criteria. It captures administrative information including date prepared, offeror name, cemetery location, solicitation number, date received, shipping details, and tracking information. The evaluation section assesses dimensional specifications (13" x 24" x 3/4" with 1/16" tolerance, 14-1/2" segmental arch radius, and 1/4" edge radius with +1/16" tolerance), finish quality (stone coloration per Marble NE–N6.75 or Granite NR-75 and above standards, smooth satin finish on front and sides, grit 80 finish, and specified pad type), and includes reference to applicable drawing revisions (U1-1 & 2 Rev B dated 2019-08-14; V1-1 & 2 Rev B dated 2019-08-15; W1-1 & 2 Rev B dated 2019-08-15). Each criterion is marked as either acceptable or unacceptable with provision for comments. The form concludes with fields for sample recommendation (approved or disapproved), reviewer signature (e-sig), and concurrence signature (e-sig).