807 Inspection Form.pdf
PDF 87 KB Posted
- Attached to
- ICBM MMIII PINS
- Solicitation number
- FA822626Q0580
About this file
This is an AFMC Form 807, a Recommended Quality Assurance Provisions and Special Inspection Requirements document for a federal procurement action. The document outlines quality assurance and inspection requirements for National Stock Number 1680ND101814GXM under PR/MIPR Number 1680ND101814GXM. Inspection will occur at the destination point, with acceptance also at the destination. The item manager is David M. Walker (760-855-6560) and the equipment specification manager is Niel Nielson (801-775-6387).
The contract requires a Certificate of Conformance under FAR 52.246-15, with inspection and acceptance/rejection to be performed by a member of the 406 SCMS at the dear John Bay facility. The contractor must provide an inspection report and certificate of conformance to the cognizant contract administration office to receive shipment authorization. Notification will be sent to contracting officer David Walker at david.walker.86@us.af.mil. The quality pre-award survey is not required as this involves a previous source. The technical authority, Niel S. Nielson of the 414 SCMS/GUMAA organization, certified on 18 MAR 2026 that the requirement does not require the use of Class I Ozone Depleting Substances. The I&A code is 2 and the CQR code is A. Quality provisions will not be downgraded without Technical Authority coordination.
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Other files
| File | Type | Posted |
|---|---|---|
| FA822626Q0580 Amend0001 Solicitation.pdf | ||
| FA822626Q0580 Solicitation.pdf | ||
| Packaging SOW.pdf | ||
| Transportation Info.pdf | ||
| DD 1348 Shipping Label.pdf | ||
| Packaging Requirements.pdf |
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1680ND101814GXM
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
WALKER, DAVID M / 760-855-6560
6. EQUIPMENT SPEC / PHONE
NIELSON, NIEL / 801-775-6387
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
X CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY FOR INSPECTION
FAR 52.246-15
STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS FAR 52.246-11
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
Nielson, Niel SNAME: 18 MAR 2026DATE:
- A member of the 406 SCMS will inspect and accept/reject at the dear John Bay and notify the contracting officer David Walker david.walker.86@us.af.mil
- Contractor to provide inspection report and certificate of conformance per FAR 52.246-15 to the cognizant contract administration office to receive shipment authorization.
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 DAFFARS 5323.8)
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
A
11. SIGNATURE OF TECHNICAL AUTHORITY
Nielson, Niel S
ORGANIZATION / SYMBOL
414 SCMS / GUMAA
PHONE
801-775-6387 / 775-6387
DATE
18 MAR 2026
Page 1 of 1Prescribed by: AFMCI20-102 Version 1Generated by PRPS using Jasper Reports on 19 Mar 2026
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
File details come from the government source that posted it. Updated .