807_QAIRQMT_REPORT.pdf

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Attached to
B-1B Power Take-Off (PTO) Shaft Remanufacture IDIQ
Solicitation number
FA8206-25-Q-0613
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This document is an AFMC Form 807 (Recommended Quality Assurance Provisions and Special Inspection Requirements) for a B-1B Power Take-Off (PTO) Shaft Remanufacture contract. The quality assurance provisions specify detailed inspection requirements for the shaft manufacturing process, including production lot testing using ANSI/ASQ Z1.4 standards with General Inspection Level II and an Acceptance Quality Limit of 1.0. Contractors must inspect all shaft dimensions per drawing 3609195-1 and provide test reports to the local Defense Contract Management Agency (DCMA) representative or 419 SCMS/GUEA if no local representative is available. The document includes contact information for key personnel, including Item Manager Justin T. Ross and Equipment Spec Troy Rackham, and indicates the technical authority is Taylor D. Olpin from the 419 SCMS/GUEA organization.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

2835015373778RP

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Ross, Justin T / 801-775-4959

6. EQUIPMENT SPEC / PHONE

Rackham, Troy / 801-586-3675

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

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

X OTHER (Describe in Block 8)

8. REMARKS

Hull, Carter ANAME: 14 APR 2025DATE:

Perform production lot testing in accordance with ANSI/ASQ Z1.4, using General Inspection Level II and an Acceptance Quality Limit of 1.0. Inspect all shaft dimensions of part, per drawing 3609195-1. Test Report Required may be satisfied by sending lot inspection results to local DCMA representative. If a local DCMA representative is not available, send results to 419 SCMS/GUEA.

Olpin, Taylor DNAME: 11 JAN 2023DATE:

Perform production lot testing in accordance with ANSI/ASQ Z1.4, using General Inspection Level II and an Acceptance Quality Limit of 1.0. Inspect all shaft dimensions of part, per drawing 3609195-1. Test Report Required may be satisfied by sending lot inspection results to local DCMA representative. If a local DCMA representative is not available, send results to 419 SCMS/GUEA.

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

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

I

11. SIGNATURE OF TECHNICAL AUTHORITY

Olpin, Taylor D

ORGANIZATION / SYMBOL

419 SCMS / GUEA

PHONE

801-775-2073 / 775-2073

DATE

14 APR 2025

Page 1 of 1Prescribed by: AFMCI20-102 Version 4Generated by PRPS using Jasper Reports on 27 May 2025

AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE

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