1 QAIRQMT_REPORT.pdf

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Pump Assemblies
Solicitation number
FA851725RRepairofMechanicalTransmissionAssembly
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This is an AFMC Form 807 "Recommended Quality Assurance Provisions and Special Inspection Requirements" document for a mechanical transmission assembly (NSN 2520010103114QS). The document specifies source inspection and acceptance requirements, with standard inspection provisions under FAR 52.246-2,-3,-4,-5 or -6 as applicable to the contract.

Key details include the assignment of source inspection and acceptance points, overseen by Item Manager Phillip Glenn and Equipment Specialist Zakary Nichols from the 410 SCMS/GUMA organization. The form indicates this is for a previous source, not requiring a quality pre-award survey, and includes a statement confirming no Class I Ozone Depleting Substances (ODS) are required. The document was signed by the Technical Authority on August 27, 2021, with I&A code 1 and CQR code C assigned.

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Text version

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

2520010103114QS

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Glenn, Phillip C / 478-222-2226

6. EQUIPMENT SPEC / PHONE

Nichols, Zakary / 478-365-0937

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

C

11. SIGNATURE OF TECHNICAL AUTHORITY

nichols, Zakary G

ORGANIZATION / SYMBOL

410 SCMS / GUMA

PHONE

478-327-9552 / 497-9552

DATE

27 AUG 2021

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 5Generated by PRPS using Jasper Reports on 30 Jan 2025

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