3138106_QAIRQMT_REPORT.pdf
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- FA8121-22-R-0007
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
2840003437939NZ
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Franzoni, Jacob R / 405-734-5507
6. EQUIPMENT SPEC / PHONE
KOPP, STEPHEN / 405-734-0244
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6
AS APPLICABLE TO CONTRACT
X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
ISO 9001:2000
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
Olsson, James DNAME: 20 NOV 2020DATE:
This is a Critical Safety Item (CSI)
Sanor, Dacota RNAME: 02 APR 2019DATE:
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
FAR 52-246-11
ISO 9001-2008
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
X PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
G
11. SIGNATURE OF TECHNICAL AUTHORITY
Olsson, James D
ORGANIZATION / SYMBOL
AFLCMC / LPEA2
PHONE
405-622-7829 / 892-7829
DATE
20 NOV 2020
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 4Generated by PRPS using Jasper Reports on 29 Jul 2021
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