CRSAW (-2759).pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

23 FEB 2022

2. FORM PRIORITY

3. NSN

6610005312759

4. PART NUMBER

EA308-10

5. PART NUMBER CAGE CODE

89305

6. NOUN

INDICATOR,POSITION

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$295.0000

9. ANNUAL REPAIR

BUDGET VALUE

$5,900.00

10. FORECAST UNIT

PRICE

$416.2900

11. ERRC

T

12. WEAPON SYSTEM

KC-135

13. END ITEM APPLICATION

14. HISTORY

DOES ORGANIC REPAIR OR DMISA REPAIR CAPABILITY CURRENTLY EXIST? X NO YES (if yes, specify SOR)

HAS THE ITEM PREVIOUSLY BEEN CONTRACT REPAIRED?

IF YES, COMPLETE TABLE BELOW FOR LAST 5 YEARS (not to exceed last 3 contracts)

NO X YES

SOURCE NAME CAGE CONTRACT NUMBER AWARD DATE

AIRTRONICS, LLC 31 AUG 202158078 FA811721F0213

AIRTRONICS, LLC 20 MAR 201958078 FA811719F0064

AIRTRONICS, LLC 21 MAY 201858078 FA811718F0102

AIR SHUNT INSTRUMENTS, INC. 30 NOV 20171Y821 FA811718F0036

AIR SHUNT INSTRUMENTS, INC. 14 AUG 20171Y821 FA811717F0112

15. PMS SELLER NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART II (To be completed by Equipment Specialist)

16. TECHNICAL ORDERS REQUIRED NO YES (annotate required data and availability on RDL) X UNKNOWN

17. OTHER SPECIFICATIONS / SPECIAL REPAIR CRITERIA REQUIRED X NO YES (annotate required data and availability on RDL) UNKNOWN

18. THE DATA LISTED IN RDL COMPLETED SPECIFIES THE REPAIR REQUIREMENTS OR

X ADDITIONAL DATA IS REQUIRED (Coordinate with the engineer and screening office to determine information required. Document in Block 33)

19. SPECIAL TOOL / SPECIAL TEST EQUIPMENT IS NOT REQUIRED X REQUIRED REQUIRED BUT NOT AVAILABLE

SPECIAL FACILITIES ARE X NOT REQUIRED REQUIRED

GOVERNMENT FURNISHED MATERIAL IS X NOT REQUIRED REQUIRED REQUIRED BUT NOT AVAILABLE

20. EQUIPMENT SPECIALIST NAME

Gonterman, Gary R

CODE

DM

OFFICE SYMBOL

422 SCMS / GUMC820

PHONE

405-736-2351

COMPLETION DATE

28 FEB 2022

PART III (To be completed by Screening Technician if applicable)

21. REQUESTED ENGINEERING DATA

X LISTED AND ANNOTATED ON RDL NO DATA

22. SCREENING TECHNICIAN REMARKS

23. SCREENING TECHNICIAN NAME CODE OFFICE SYMBOL PHONE COMPLETION DATE

PART IV (To be completed by the Engineer)

24. CRITICAL SAFETY ITEM

X NO YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

NO X YES

26. PRECONTRACT QUALIFICATION

REQUIRED

NO X YES (JQR/QR, SQS, Waiver)

27. RDL REQUIRED FOR

SOLICITATION

NO X YES

28. RMC / RMSC CODE

R1 / C

29. RMC / RMSC EXPIRATION DATE

24 JUL 2027

30. REASON FOR OTHER THAN G CODE AND ACTION TO REMEDY

This item is subject to the RQR-848 approved on 19 June 2017 (valid through 19 June 2024).

The item is flight critical/mission essential and the government design control activity requires source approval.

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 6Generated by PRPS using Jasper Reports on 24 Mar 2022

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

Aero-labs, Inc 8N273 14 MAR 2017 Aerospace Instrument Support Inc 1UMC1 28 FEB 2002 Air Shunt Instrument Inc 1Y821 08 NOV 2001 Airtronics Inc 58078 08 NOV 2001

SIMMONDS PRECISION PRODUCTS, INC. 89305

William P Strube Inc 54034 08 NOV 2001

32. ENGINEER NAME

Dao, Dat T

CODE

N/A

OFFICE SYMBOL

422 SCMS / GUEAA

PHONE

405-582-5337

COMPLETION DATE

03 MAR 2022

PART V (Miscellaneous, if needed)

33. REMARKS (Remarks require Functional Responsibility / Name / Office Symbol / Phone)

USER TYPE: Engineer NAME: Dao, Dat T DATE: 24 JAN 2014

ORG / OFFICE SYMBOL: 422 SCMS / GUEA COMMERCIAL PHONE: 405-736-3961 DSN PHONE: 336-3961

The following is required: Government Source Inspection (GSI), Configuration Control (Class I and Class II Change approval), and in-plant DCMC contract administration.

The Initial Product Evaludation (IPE) is required if approved source has never repaired this item before.

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 6Generated by PRPS using Jasper Reports on 24 Mar 2022