QAIRQMT_REPORTS.pdf
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RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
6680014421888GC
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Peacock, Andrew A / 478-222-4981
6. EQUIPMENT SPEC / PHONE
Mims, John C / 478-327-6920
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
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
X COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
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
X PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
H
11. SIGNATURE OF TECHNICAL AUTHORITY
Fairfield, Brandon K
ORGANIZATION / SYMBOL
AFLCMC / WIUEC
PHONE
478-327-6967 / 497-6967
DATE
11 SEP 2018
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 31 Jan 2019
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
6680014423181GC
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Peacock, Andrew A / 478-222-4981
6. EQUIPMENT SPEC / PHONE
Mims, John C / 478-327-6920
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
CONTRACT RESPONSIBILITY
FOR INSPECTION
FAR 52.246-1
X STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6
AS APPLICABLE TO CONTRACT
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
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
X PREVIOUS SOURCEX NO
AFMC PARTICIPATION
RECOMMENDED
10. CODES
A. I&A
B. CQR
C
11. SIGNATURE OF TECHNICAL AUTHORITY
Fairfield, Brandon K
ORGANIZATION / SYMBOL
AFLCMC / WIUEC
PHONE
478-327-6967 / 497-6967
DATE
12 SEP 2018
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 3Generated by PRPS using Jasper Reports on 31 Jan 2019
| 2558505_QAIRQMT_REPORT |
| 2558507_QAIRQMT_REPORT |
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