762.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

30 JUN 2022

2. FORM PRIORITY

3. NSN

5895013093076ZR

4. PART NUMBER

U-15341-0-MIL

5. PART NUMBER CAGE CODE

0DBW2

6. NOUN

INDICATOR,AZIMUTH-R

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$3,902.0800

9. ANNUAL REPAIR

BUDGET VALUE

$7,804.16

10. FORECAST UNIT

PRICE

$14,930.0000

11. ERRC

T

12. WEAPON SYSTEM

AN/TYQ-23

13. END ITEM APPLICATION

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

UNITED STATES TECHNOLOGIES, INC. 02 MAY 20131D8S5 FA825013M0085

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED NO X YES (annotate required data and availability on RDL) UNKNOWN

18. X THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE X NOT REQUIRED REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

Vopilov, Ilya I

CODE OFFICE SYMBOL

415 SCMS / GUMAB

PHONE

801-800-1819

COMPLETION DATE

30 JUN 2022

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

X LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

NO X YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

NO X YES

28. RMC / RMSC CODE

R1 / C

29. RMC / RMSC EXPIRATION DATE

21 JUN 2027

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

This part requires engineering source approval by the design control activity in order to maintain the quality of the part. Existing unique design capability, engineering skills,and manufacturing knowledge by the qualified source(s) require acquisition of the part from the approved source(s). An alternate source must qualify in accordance with the design control activity's procedures, as approved by the cognizant Government engineering activity. The qualification procedures must be approved by the Government engineering activity having jurisdiction over the part in the intended application.

Market Research.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

CALIBER SALES ENGINEERING 0JB79 30 JUN 2022

PHOTONICS SYSTEMS INC 0DBW2 30 JUN 2022

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 7Generated by PRPS using Jasper Reports on 21 Dec 2022

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

US TECHNOLOGIES 1D8S5 30 JUN 2022

32. ENGINEER NAME

Powell, William E

CODE

N/A

OFFICE SYMBOL

415 SCMS / GUEA

PHONE

801-668-1674

COMPLETION DATE

30 JUN 2022

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 7Generated by PRPS using Jasper Reports on 21 Dec 2022