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Quality Assurance and Inspection Report

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

5680013915100FW

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

6. EQUIPMENT SPEC / PHONE

Ellington, Kendrick / 405-736-3501

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

AS 9100

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

Cochran, RayAnn HNAME: 16 AUG 2018DATE:

Noun: MS-266 TY1 3.0TX960WX36.5L

Source is defined as the site of actual manufacturer, whether or not the prime contractor is the actual manufacturer.

A quality system compliant with AS9100 or ISO 9001:2008 is acceptable.

Compliance is demonstrated by certification or third party audit findings, i.e. a DCMA QMS audit.

REMINDER: Per DFAR 246.202-4 Higher-level Contract Quality Requirements

(1) Are used in ADDITION to a standard inspection requirement.

(2) Are listed, including nongovernment quality system standards adopted to meet DoD needs, in the DoD Index of Specifications and Standards.

Special processes shall be performed by organizations maintaining NADCAP approval for the relevant special process. See drawing 20145214 for NADCAP processes.

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 AF FARS 5323)

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

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Le, David D

ORGANIZATION / SYMBOL

424 SCMS / GUEAA

PHONE

405-736-5031 / 336-5031

DATE

17 AUG 2018

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 11 Sep 2018

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