Attachment 02- Certificate of Analysis .pdf

CERTIFIED MATERIAL TEST REPORT / CERTIFICATE OF ANALYSIS

For those material(s) identified below, a Certificate of Analysis (C of A) test report shall be provided to the government at time of delivery to CAAA (Crane Army Ammunition Activity). The test results contained on the Certificate of Analysis report(s) shall be adequate to determine compliance with all applicable requirements of the material specification(s) listed below. Availability of the Certificate of Analysis may be in addition to other Purchase requirements and does not reduce or prejudice the Government’s right to inspect supplies under other provisions of this contract.

The test report(s) shall contain the following:

a. Name and address of Manufacturer and Supplier when *applicable.

(*If not manufactured by the Supplier.)

b. Purchase order number.

c. Identification of material by specification, revision, amendment and dates, together with type, grade, size etc. number.

d. Quantity of material.

e. Material testing results shall address drawing specifications.

Component / Item: Square Seal Drawing: 3976AS120 Rev. B

Note 1. ONLY THE ITEM DESCRIBED ON THIS DRAWING WHEN

PROCURED FROM THE VENDOR(S) LISTED HEREON IS APPROVED BY

NAVSURFWARCENDIV CRANE FOR USE IN THE APPLICATION(S) SPECIFIED

HEREON. A SUBSTITUTE ITEM SHALL NOT BE USED WITHOUT PRIOR

APPROVAL BY NAVSURFWARCENDIV CRANE OR NAVAIRSYSCOM.

Note 3. O-RING COMPOUND SHALL MEET THE REQUIREMENTS OF

AMS-P-83461 EXCEPT FOR DUROMETER REQUIREMENTS.

Above Requirement to AMS-P-83461 Waived Per Variance.

Supplier / Vendor: Parco Inc.

Part No. 8780-2532

Note: Component (Square Seal) shall be identified with a traceable lot number at time of delivery.

f. Quantity tested, sample size, and specimen type as applicable.

g. Date, signature, and title of the authorized representative of the contractor that is attesting to the accuracy of test report content.

Component: Square Seal.

Requirements for: MJU-76/B Program.