013009618 762.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

06 MAR 2024

2. FORM PRIORITY

3. NSN

5998013009618JX

4. PART NUMBER

BH26573-1

5. PART NUMBER CAGE CODE

98869

6. NOUN

CIRCUIT CARD ASSEMB

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$3,788.0000

9. ANNUAL REPAIR

BUDGET VALUE

$3,788.00

10. FORECAST UNIT

PRICE

$9,728.3400

11. ERRC

T

12. WEAPON SYSTEM

Jet Engine Test Cell, various models

13. END ITEM APPLICATION

JETCAL Analyzer

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

HOWELL INSTRUMENTS, INC. 28 JUN 202198869 FA851721F0037

HOWELL INSTRUMENTS, INC. 19 MAY 201498869 FA851714D00030001

HOWELL INSTRUMENTS, INC. 17 JUN 201198869 FA851711D00060001

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED NO YES (annotate required data and availability on RDL) X UNKNOWN

18. X THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE X NOT REQUIRED REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

King, Oscar L

CODE

OC

OFFICE SYMBOL

410 SCMS / GULB

PHONE

478-222-1393

COMPLETION DATE

08 MAR 2024

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

NO X YES

26. PRECONTRACT QUALIFICATION

REQUIRED

X NO YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

X NO YES

28. RMC / RMSC CODE

R3 / R

29. RMC / RMSC EXPIRATION DATE

07 MAR 2030

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

The Government does not own the data or the rights to the data needed to contract repair of this part from additional sources. It has been determined to be uneconomical to buy the data or rights to the data. It is uneconomical to reverse engineer the part.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

HOWELL INSTRUMENTS, INC. 98869

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 8Generated by PRPS using Jasper Reports on 12 Mar 2024

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

32. ENGINEER NAME

Tobias, Mario A

CODE

N/A

OFFICE SYMBOL

410 SCMS / GUEA

PHONE

478-222-0023

COMPLETION DATE

08 MAR 2024

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 8Generated by PRPS using Jasper Reports on 12 Mar 2024