B08 - Attachment 0005 -DRW-11E421710.pdf

Contract Quality Requirements Worksheet Requisition/WBS Number

QA Specialist Date

Qualified Products/Producers List

X Government Actions will be performed by ACO authorized Representative at Source FAR 46.202, 46.405 X RIA JMTC FAR 46.403, 46.404

X Acceptance at Source X RIA JMTC

Government Reliance on Inspection by Contractor FAR 52.246 1

X Inspection by the Government FAR 52.246 2

Higher Level Contract Quality Requirements FAR 52.246 11 ANSI/ISO/ASQ Q9001 2015 Other

Applicable Documents Below Attached

X Certificate of Conformance FAR 52.246 15

X Certified Test Report (CTR)

Government Designed Acceptance Inspection and Test Equipment (Attached)

First Article Approval, Government Testing (Attached) FAR 52.209 4

First Article Approval, Contractor Testing (Attached) FAR 52.209 3

First Article Parts Required? No Yes Quantity

First Article Parts will be:

Accepted as Part of the Production Run Returned to Vendor

Preproduction Material Approval Government Testing (Attached)

Ballistic Testing (Attached)

Shelf Life: FAR 46.706 DOD 4140.27M (not less than 85% shelf life remaining upon receipt)

X Other:

RIA FORM 702 2, JUL 2010 Previous Editions may not be used

RIA PE v2.00

Part Number

11E421710 1RIA N/A

NSN/NIIN

Telephone Drawing Specification/Item

22_230113081623

EH21MRI928EHM5

JO_PCN End Item

FRS

HOSE,FITTING ASSY,HIGH PRESSURE,FUEL GAS

PURCHASE PER DRAWING 11E421710

FROM S.J. SMITH CO., INC., CAGE CODE 2N560, VENDOR PART NO. PF15CVI80BI, VENDOR DESCRIPTION HOSE, FITTING ASSY, HIGH PRESSURE, FUEL GAS, TYPE HIGH PRESSURE FUEL GAS HOSE, LENGTH 180 INCHES NOMINAL, HOSE SIZE 1/4 INCH, GAS TYPE ACETYLENE, HOSE TYPE 304 STAINLESS STEEL FLEXIBLE BRAID WITH TEFLON CORE, CONNECTIONS BRASS LH MALE THREAD WITH CHECK VALVE IN INLET SIDE, HOSE PRESSURE RATING 500 PSIG MAX, SPECIAL

FEATURES INCLUDES GAS SERVICE AND PRESSURE RATING LABELS

1/13/2023D. Rozkalns (309) 782 5565

C

A

D

D

C

B

A

CONTRACT NUMBER

DAISIZE

SCALE UNIT WT.

DESIGN ACTIVITY

CONTRACTOR

DRAWN BY DATE(YEAR-MO-DA)

CHECKER ENGINEER

ENGINEER QUALITY ENGINEER

DRAWING APPROVAL

DESIGN APPROVAL

B

MODELED BYMATL ENGR

SHEET

TOLERANCE ON ANGLES

2 PLACE DECIMALS

3 PLACE DECIMALS

FORMAT: C_TACOM_ENG_1_0

DRAWING SIZE C

DWG NO.

DISTRIBUTION STATEMENT A.

APPROVED FOR PUBLIC RELEASE;

DISTRIBUTION IS UNLIMITED.

(180.00)

1 OF 13/4

11E42171059678C

HOSE, FITTING ASSY,

HIGH PRESSURE, FUEL

GAS

US ARMY

COMBAT CAPABILITIES DEVELOPMENT COMMAND ARMAMENTS CENTER

ROCK ISLAND, ILLINOIS 61299-5000

YEAR-MM-DDC. HANEY

YEAR-MM-DDV. VONDERA

J. MILLERB. VERMULM

2019-05-22J. MILLER

J. MILLER

THIRD ANGLE PROJECTION

UNLESS OTHERWISE SPECIFIED

DIMENSIONS ARE IN INCHES

DO NOT SCALE DRAWING

APPLICATION

USED ONNEXT ASSY

FRS11E421700

PMIC

MECHANICAL

PROPERTIES

YP

TS

EL2

RA

BH

RH

REVISIONS

APPROVEDDATE(YEAR-MO-DA)DESCRIPTIONREVISION

CWH2019-07-18ERR K19O3003-

PART NO. 11E421710

THIS DRAWING WAS GENERATED FROM A SOLID MODEL

AND IS CAD MAINTAINED. CHANGES SHALL BE

INCORPORATED BY THE DESIGN ACTIVITY.

SPECIFICATIONS

TYPE HIGH PRESSURE FUEL GAS HOSE

LENGTH 180 INCHES NOMINAL

HOSE SIZE 1/4 INCH

GAS TYPE ACETYLENE

HOSE TYPE 304 STAINLESS STEEL FLEXIBLE BRAID WITH

TEFLON CORE

CONNECTIONS BRASS LH MALE THREAD WITH CHECK VALVE

IN INLET SIDE

HOSE PRESSURE RATING 500 PSIG MAX

SPECIAL FEATURES INCLUDES GAS SERVICE AND PRESSURE

RATING LABELS

SUGGESTED SOURCE(S) OF SUPPLY

PART NO.

VENDOR DATA

NAME & ADDRESS CAGE

CODE

VENDOR PART

NO. VENDOR DESCRIPTION

11E421710-1

S. J. SMITH CO., INC.

3707 W RIVER DR

DAVENPORT, IA 52802

2N560 PF15CV180B1

HOSE, FITTING ASSY,

HIGH PRESSURE, FUEL

GAS

NOTES:

1. APPLICABLE STANDARDS/SPECIFICATIONS:

ASME Y14.100-2013

ASME Y14.5-2009

2. IDENTIFICATION OF THE SUGGESTED SOURCE(S) OF SUPPLY

HEREON IS NOT TO BE CONSTRUED AS A GUARANTEE OF PRESENT

OR CONTINUED AVAILABILITY AS A SOURCE OF SUPPLY FOR THE

ITEM(S).

VENDOR ITEM CONTROL DRAWING