4 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 related to a pump assembly with National Stock Number 4320013554464QS. The form specifies source inspection and acceptance requirements, with both points of inspection and acceptance designated as "source" per DFARS 246.402.

The document indicates standard inspection requirements under FAR 52.246-2,-3,-4,-5 or -6 will apply. It includes an Ozone Depleting Substances (ODS) statement confirming the contract does not require use of Class I ODS. The form is signed by Technical Authority Zakary Nichols from the 410 SCMS/GUMA organization on August 27, 2021. Additional personnel listed include Item Manager Phillip Glenn and Equipment Specialist Zakary Nichols. The form indicates this is for a previous source, with no quality pre-award survey required, and assigns codes of "1" for I&A and "C" for CQR.

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Text version

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

4320013554464QS

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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