4102006_SMW_REPORT.pdf
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- Attached to
- NSN: 6685-00-684-1658 RK INDICATOR, TEMPERATU
- Solicitation number
- SPRTA1-25-Q-0227
- Issued by
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Defense Logistics Agency Aviation
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
20 FEB 2025
I. REQUEST FOR EVALUATION
NSN
6685006841658RK
PART NUMBER CAGE APPLICATION
F-5
IMS
Vu, Joseph P
OFFICE SYMBOL
422 SCMS / GUEA
PHONE
405-582-9711
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
Y X X X
N
Y X X X
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 (AFMCFARS 5352.211-9011) MFG P/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
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
EVALUATOR
Vu, Joseph P
OFFICE SYMBOL
422 SCMS / GUEA
PHONE
405-582-9711 / 852-9711
COMPLETE DATE
20 FEB 2025
SIGNATURE
//SIGNED// Vu, Joseph P
USER TYPE
Engineer
SIGNATURE DATE
20 FEB 2025
Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 4Generated by PRPS using Jasper Reports on 21 Feb 2025
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