807 (0712).pdf
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
5985015369700FD
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Smith, Courtney M / 801-586-1111
6. EQUIPMENT SPEC / PHONE
Richard, Mickey / 801-777-7551
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
X YES X NEW SOURCE
PREVIOUS SOURCENO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Fischback, Michael A
ORGANIZATION / SYMBOL
415 SCMS / GUMBB
PHONE
801-586-2884 / 586-2884
DATE
19 JUL 2021
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 20 Apr 2022
File details come from the government source that posted it. Updated .