DID.pdf

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

PART I (To be completed by PMS Seller)

1. FORM INITIATION DATE

08 APR 2020

2. FORM PRIORITY

3. NSN

6695013633031PR

4. PART NUMBER

8524-0102

5. PART NUMBER CAGE CODE

99564

6. NOUN

TRANSDUCER,MOTIONAL

7. ANNUAL REPAIR

QUANTITY

8. LATEST REPAIR COST

$9,100.0000

9. ANNUAL REPAIR

BUDGET VALUE

$455,000.00

10. FORECAST UNIT

PRICE

$17,568.0000

11. ERRC

T

12. WEAPON SYSTEM

F16

13. END ITEM APPLICATION

F110 Engine

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

Ametek Aerospace & Defense 28 SEP 201897424 FA812218C0010

AMETEK, INC. 30 MAR 201799564 FA812217F0057

AMETEK, INC. 04 MAY 201699564 FA812216F0039

AMETEK, INC. 02 JUL 201599564 FA812215C0006

AMETEK, INC. 01 SEP 201199564 FA812211C0010

15. PMS SELLER NAME

Ross, Tamara K

CODE

AKT

OFFICE SYMBOL

421 SCMS / GUMC

PHONE

405-734-8696

COMPLETION DATE

08 APR 2020

PART II (To be completed by Equipment Specialist)

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

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

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

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

Mackey, Jonathan J

CODE

UK

OFFICE SYMBOL

AFLCMC / LPSBD

PHONE

405-734-3402

COMPLETION DATE

08 APR 2020

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

21. REQUESTED ENGINEERING DATA

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

NO X YES

25. CAN THIS ITEM BE COMMERCIALLY

OVERHAULED / REPAIRED (FAR Part 12)

X NO YES

26. PRECONTRACT QUALIFICATION

REQUIRED

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

27. RDL REQUIRED FOR

SOLICITATION

X NO YES

28. RMC / RMSC CODE

R3 / D

29. RMC / RMSC EXPIRATION DATE

07 OCT 2024

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

Data not available

31. APPROVED / POTENTIAL SOURCES

CAGE

CODE DATE APPROVED

AMETEK INC 99564 04 APR 2018

Page 1 of 2AFMC FORM 762, 20060201, V1 Version 9Generated by PRPS using Jasper Reports on 07 Dec 2020

CONTRACT REPAIR SCREENING ANALYSIS WORKSHEET

32. ENGINEER NAME

Pierce, Adam J

CODE

N/A

OFFICE SYMBOL

AFLCMC / LPEA1

PHONE

405-622-7567

COMPLETION DATE

24 APR 2020

PART V (Miscellaneous, if needed)

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

USER TYPE: Production Management Specialist - Seller NAME: Ross, Tamara K DATE: 08 APR 2020

ORG / OFFICE SYMBOL: 421 SCMS / GUMC COMMERCIAL PHONE: 405-734-8696 DSN PHONE: 884-8696

This item is repaired due to a pass/fail in the field. This item is sole source to Ametek

Page 2 of 2AFMC FORM 762, 20060201, V1 Version 9Generated by PRPS using Jasper Reports on 07 Dec 2020