Appendix V Functional Configuration Audit (FCA) Checklist
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			 CI Nomenclature: ___________________________________________________ Date: ________________ CI/CSCI Identifier: ___________________________________________________ Release # ____________  | 
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			 Requirements  | 
			
			 Yes  | 
			
			 No  | 
			
			 NA  | 
		
			
 
 
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			 Signature of FCA Team Members: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________  | 
			
			 Date: ______________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________  | 
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			 Check one:  | 
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			 o Results reviewed satisfy the requirements and are accepted (see attached comments).  | 
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			 o Results reviewed do not satisfy requirements (see attached comments and list of deficiencies).  | 
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			 Approved by: ________________________________________________ Date: ____________________  | 
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