3316772_SMW_REPORT.pdf
PDF 110 KB Posted
- Solicitation number
- FA812125Q0001
About this file
This is a Surplus Materiel Worksheet (AFMC Form 813) dated August 24, 2021, evaluating the potential use of surplus materials for an F100-PW-220 Core Engine Module part (NSN 2840016257347NZ, Part Number 4088962, CAGE 77445). The evaluation indicates that only new/unused government surplus materials will be considered acceptable, requiring part number verification, prior government ownership documentation, and 100% end item inspection.
The worksheet specifies strict acceptance criteria, including that parts must come in original packaging and must be new/unused with traceable pedigree, or they will be rejected. The evaluation requires compliance with various AFMCFARS requirements and references Technical Order 2J-F100-24 for testing and verification. The evaluation was completed by James D. Olsson from AFLCMC/LPEA2 on September 2, 2021, in response to a request from Jason W. Reaves of the 421 SCMS/GUMAD office.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
24 AUG 2021
I. REQUEST FOR EVALUATION
NSN
2840016257347NZ
PART NUMBER
4088962
CAGE
77445
APPLICATION
F100-PW-220 Core Engine Module
IMS
Reaves, Jason W
OFFICE SYMBOL
421 SCMS / GUMAD
PHONE
405-734-8708
SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED
IAW AFMC FAR SUPPLEMENT PART 5352.
THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIEL WILL BE CONSIDERED IN THE FOLLOWING TYPES / CATEGORIES
II. EVALUATION CRITERIA (For types/categories deemed acceptable)
ACCEPT-
ABLE (Y/N)
P/N AND
MFG
VERIFI-
CATION
PRIOR
GOV'T
OWNER-
SHIP
100% END
ITEM
INSPECT
TEST AND
VERIFI-
CATION
VERIFI-
ABLE
DIMEN-
SIONS
LOCATION
INSPEC-
TION
TESTING
INITIAL
ACCEPT-
ABILITY
ITEMS
OVERHAUL
AND
CERTIFI-
CATION
OTHER
(Explain in Remarks)
Y X X X
N
N
N
N
N
N
N
G O V T
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
C O M M L
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)
PART NUMBER VERIFICATION 77445(AFMCFARS 5352.211-9011) MFG 4088962P/N
PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)
100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)
TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER 2J-F100-24
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY
DRAWING NUMBER
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
OTHER SPECIAL REQUIREMENTS (Explain)
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
If parts do not come in (or include) original packaging, the parts will be rejected.
If the parts are not NEW, UNUSED or can't trace back its pedigree, the parts will be rejected.
EVALUATOR
Olsson, James D
OFFICE SYMBOL
AFLCMC / LPEA2
PHONE
405-622-7829 / 892-7829
COMPLETE DATE
02 SEP 2021
SIGNATURE
//SIGNED// Olsson, James D
USER TYPE
Engineer
SIGNATURE DATE
02 SEP 2021
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