807.pdf

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LINER, COMBUSTION CH
Solicitation number
FA812126R0016
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Summary: AFMC Form 807 - Quality Assurance Provisions and Special Inspection Requirements

This is a quality assurance documentation form used by the Air Force Materiel Command (AFMC) to establish inspection and quality requirements for a federal contract. The document specifies quality standards for National Stock Number 2840014491573NZ, with inspection occurring at the source and acceptance also at the source per DFARS 246.402. The item manager is Tommy J. Sneed (405-734-5446) and the equipment specialist is Donald Brown (405-734-8718). The contract quality requirement is designated as "Higher Level Contract Quality Requirements AS 9100," indicating aerospace and defense quality standards must be met.

The form confirms that inspection and acceptance responsibilities fall on the contractor, with no pre-award survey required for this previous source. The technical authority, Eric C. Shelley of AFLCMC/LPSEA1, approved the requirements on 10 January 2022 and certified that the procurement does not require Class I ozone-depleting substances. The codes assigned are 1 for Inspection & Acceptance and G for Contract Quality Requirements. Quality provisions outlined in this form are not to be downgraded without technical authority coordination, and the technical authority must be notified if award selection is made to a new source using specified acquisition method codes.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

2840014491573NZ

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Sneed, Tommy J / 405-734-5446

6. EQUIPMENT SPEC / PHONE

Brown, Donald / 405-734-8718

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

AS 9100

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Shelley, Eric CNAME: 10 JAN 2022DATE:

CSI item.

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

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Shelley, Eric C

ORGANIZATION / SYMBOL

AFLCMC / LPSEA1

PHONE

405-734-0001 / 884-0001

DATE

10 JAN 2022

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 9Generated by PRPS using Jasper Reports on 23 Apr 2026

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