ID.pdf
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- Attached to
- KC-46 Fire Extinguisher Cartridges
- Solicitation number
- FA821326R3031
About this file
This file contains procurement documentation for aircraft fire extinguisher cartridges and related munitions components for the KC-46 aircraft, including quality assurance provisions, item screening analysis, and contract data.
The procurement covers three primary items from Pacific Scientific Energetic (CAGE 54181): (1) Fire Extinguisher Cartridge (NSN 1377016765135ES, Part No. 30903928-1) at $400.00 per unit; (2) Fire Extinguisher Cartridge (NSN 1377016765136ES, Part No. 30903929-1) at $400.00 per unit; and (3) Squib Actuator Switch (NSN 1377016821910ES, Part No. 30903973) at $250.00 per unit with an estimated annual buy value of $20,000.00 for 80 units. All items are classified as munitions with Hazard Division 1.4, requiring source inspection and higher-level contract quality requirements including ISO 9001:2000 certification. Pacific Scientific Energetic holds proprietary data rights to these components, and the spares breakout program has identified them as single-source items with no known alternative suppliers. An Acquisition Method Code (AMC) of 3/R has been assigned with a five-year review date through November 2027 or April 2028. Quality pre-award surveys are not required as these are previous sources. Special test equipment and facilities are required for production due to explosive attributes, and the government does not own or control these facilities. All items include detailed item descriptions, dimensions, weights, material specifications, and demilitarization codes, with point of inspection and acceptance at the source per DFARS 246.402.
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Other files
| File | Type | Posted |
|---|---|---|
| SOW_Packaging.pdf | ||
| FA821326R3031.pdf | ||
| SPIS.pdf | ||
| AIR_SPEC.docx | DOCX document | |
| REPSHIP.pdf | ||
| ADC SOW Jan 2018.docx | DOCX document | |
| CDRLs.pdf | ||
| CADPAD Item Marking Instruction - Ver 1.6.pdf | ||
| Sow_ADC.pdf | ||
| AIR_SPEC.pdf | ||
| ES7034.pdf |
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RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1377016765135ES
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Reeder, Nikole / 801-777-4645
6. EQUIPMENT SPEC / PHONE
Wilson, Kenneth L / 801-586-9087
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
ISO 9001:2000
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
G
11. SIGNATURE OF TECHNICAL AUTHORITY
Swanson, Devin D
ORGANIZATION / SYMBOL
AFLCMC / EBHJ
PHONE
801-777-6106 / 586-6106
DATE
13 APR 2023
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AMC/AMSC SCREENING ANALYSIS WORKSHEET REPORT
PRIORITY CATEGORY
ITEM IDENTIFICATION AND INFORMATION
NSN
1377016765135ES
NOUN
CARTRIDGE,AIRCRAFT
END ITEM
MUNITIONS (KC-46)
PCC ERRC
N
QUANTITY
UNIT COST
$400.0000
IDENTIFYING NUMBER (Part No)
R/N
30903928-1
CAGE
54181
TOP DWG REV NO.
EST ANNUAL BUY VALUE
$400.00
COMM OFF-THE-SHELF ITEM
YES X NO UNKNOWN
NUC. CERT. END ITEM
YES X NO UNKNOWN
HARD CRIT. IND
YES X NO UNKNOWN
NEXT HIGHER ASSEMBLY
NSN NOUN R/N CAGE
SUMMARY OF SCREENING ACTION
DESIGN DISCLOSURE
X
SPEC CONTROL SOURCE CONTROL MIL / IND / CONTR PERF SPEC
ST/STE REQUIRED
X YES NO
UNKNOWN
ST/STE AVAILABLE
YES X NO
UNKNOWN
DATA COMPLETE
YES X NO
UNKNOWN
DATA RIGHTS LIMITED
X YES NO
UNKNOWN
AAC
D
AMC / AMSC
3 / R
AMC / AMSC EXP DT
30 NOV 2027
PRV AMC / AMSC
3 / R
PRV AMC / AMSC EXP DT
29 APR 2025
AMC COMPLETION DT
03 NOV 2022
ENGINEER AMC / AMSC
3 / R
USER TYPE DATE / TIME IN DATE / TIME OUT NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
Engineer 03 NOV 2022 / 1637 03 NOV 2022 / 1645 Swanson, Devin D AFLCMC / EBHJ 801-777-6106 586-6106 Screening Technician Workload Manager
03 NOV 2022 / 1457 03 NOV 2022 / 1637 Hunt, Bertley J 429 SCMS /
GUMACB
801-586-1032 586-1032
PROCUREMENT SUPPORT REQUIRED
FIRST ARTICLE TEST
YES X NO
ENGINEERING DATA LIST REQ
YES X NO
EXPORT CONTROLLED
YES X NO
PRODUCTION SAMPLE REQ
YES X NO
MLO / ARTWORK
Not required
PROD SAMPLE FURN
YES X NO
ENGR NOTES
YES X NO
APPROVED SOURCES
DESIGN ACTIVITY INFORMATION
CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
54181 30903928-1 PACIFIC SCIENTIFIC
ENERGETIC
Hunt, Bertley J 429 SCMS/
GUMACB
801-586-1032 586-10323 / 2
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
D 54181 30903928-1 PACIFIC SCIENTIFIC
ENERGETIC
3 / 2 Hunt, Bertley J 429 SCMS/
GUMACB
801-586-1032 586-1032
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SCREENING / EVALUATION / REMARKS
JUSTIFICATION FOR SUFFIX CODE OTHER THAN G
1. THIS COMPONENT IS A FIRE EXTINGUISHER CARTRIDGE THAT IS UTILIZED ON THE KC-46 AIRCRAFT.
2. PACIFIC SCIENTIFIC ENERGETIC HAS CLAIMED PROPRIETARY RIGHTS TO THEIR DATA (30903928-1) AND ARE NOT WILLING TO REMOVE THE
RIGHTS TO THIS DATA.
3. SPARES BREAKOUT PROGRAM HAS DETERMINED THAT THE ONLY KNOWN SOURCE FOR THIS ITEM AT THIS TIME IS PACIFIC SCIENTIFIC ENERGETIC. IF ANY OF THE ABOVE CONDITIONS CHANGE THIS ITEM MAY REQUIRE RE-EVALUATION.
ACTION TAKEN / BEING TAKEN TO IMPROVE COMPETITIVE STATUS
4. AN AMC/AMSC OF 3/R HAS BEEN ASSIGNED WITH A 5 YEAR REVIEW DATE AS AUTHORIZED BY THE OO-ALC SPARES BREAKOUT PROGRAM.
REMARKS
NAME: Hunt, Bertley J DATE: 03 NOV 2022
SPECIAL TEST/SPECIAL EQUIPMENT AND/OR SPECIAL FACILITIES ARE REQUIRED TO PRODUCE THESE COMPONENTS DUE TO THE EXPLOSIVE AND OTHER PRODUCT RELATED ATTRIBUTES. THE CURRENT QUALIFIED SUPPLIER(S) HAVE THESE CAPABILITIES; HOWEVER, THE GOVERNMENT DOES NOT OWN OR CONTROL THESE FACILITIES AND CANNOT PROVIDE ANY OF THEM IF ANOTHER POTENTIAL SOURCE IS INTERESTED IN UTILIZING
THEM FOR QUALIFYING THEIR COMPONENTS.
MISCELLANEOUS INFORMATION
BUY HISTORY (Last 5 Buys)
AWARD
DATE CONTRACT NUMBER UNIT PRICE
SUPPLIER
CAGE SUPPLIER REFERENCE NUMBER
AMC /
AMSC AMOC PLT
TERM
IND
POTENTIAL SOURCES
DESIGN ACTIVITY INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
Page 2 of 2AFMC FORM 761, 20060602, V1 Version 3Generated by PRPS using Jasper Reports on 30 Mar 2026
ITEM DESCRIPTION
NSN
1377016765135ES
CAGE
54181
REFERENCE NUMBER
30903928-1
NOUN
CARTRIDGE,AIRCRAFT
END ITEM TCTO NUMBER TO NUMBER
11A-18-14-7
CRITICALITY CODE
F
DEMILITARIZATION CODE
G
SECURITY CODE
MDC
WZJ
ES CODE
WR
REMARKS
INITIATOR
NAME
TERRY.L.LIGHTNER
ORGANIZATION / OFFICE SYMBOL
AFCMC / EBHJ
DSN PHONE
586-9087
COMMERCIAL PHONE
801-586-9087
ITEM DESCRIPTION DATA
LENGTH ( IN )
1.7000
WIDTH ( IN )
0.8750
HEIGHT ( IN )
2.0000
WEIGHT ( LB )
0.1600
OTHER DIMENSIONS
ITEM MATERIAL
Metal body, Hexagonal mid section, 3 pin electrical connector, explosive charge.
ITEM FUNCTION
Aircraft signal fires cartridge which bursts diskin container allowing agent to be released to point of fire.
SAFETY CRITICAL SCREW
THREADED COMPONENT
ESD CEMS SENSITIVE DATA
STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE
GFM REQUIRED GFE REQUIRED GFP REQUIRED
JEWEL BEARING JEWEL BEARING RELATED
LEGACY ITEM DESCRIPTION
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ITEM IDENTIFICATION AND INFORMATION
NSN
1377016765136ES
NOUN
CARTRIDGE,AIRCRAFT
END ITEM
MUNITIONS (KC-46)
PCC ERRC
N
QUANTITY
UNIT COST
$400.0000
IDENTIFYING NUMBER (Part No)
R/N
30903929-1
CAGE
54181
TOP DWG REV NO.
EST ANNUAL BUY VALUE
$400.00
COMM OFF-THE-SHELF ITEM
YES X NO UNKNOWN
NUC. CERT. END ITEM
YES X NO UNKNOWN
HARD CRIT. IND
YES X NO UNKNOWN
NEXT HIGHER ASSEMBLY
NSN NOUN R/N CAGE
SUMMARY OF SCREENING ACTION
DESIGN DISCLOSURE
X
SPEC CONTROL SOURCE CONTROL MIL / IND / CONTR PERF SPEC
ST/STE REQUIRED
X YES NO
UNKNOWN
ST/STE AVAILABLE
YES X NO
UNKNOWN
DATA COMPLETE
YES X NO
UNKNOWN
DATA RIGHTS LIMITED
X YES NO
UNKNOWN
AAC
D
AMC / AMSC
3 / R
AMC / AMSC EXP DT
30 NOV 2027
PRV AMC / AMSC
1 / R
PRV AMC / AMSC EXP DT
04 MAY 2025
AMC COMPLETION DT
03 NOV 2022
ENGINEER AMC / AMSC
3 / R
USER TYPE DATE / TIME IN DATE / TIME OUT NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
Engineer 03 NOV 2022 / 1638 03 NOV 2022 / 1646 Swanson, Devin D AFLCMC / EBHJ 801-777-6106 586-6106 Screening Technician Workload Manager
03 NOV 2022 / 1428 03 NOV 2022 / 1638 Hunt, Bertley J 429 SCMS /
GUMACB
801-586-1032 586-1032
PROCUREMENT SUPPORT REQUIRED
FIRST ARTICLE TEST
YES X NO
ENGINEERING DATA LIST REQ
YES X NO
EXPORT CONTROLLED
YES X NO
PRODUCTION SAMPLE REQ
YES X NO
MLO / ARTWORK
Not required
PROD SAMPLE FURN
YES X NO
ENGR NOTES
YES X NO
APPROVED SOURCES
DESIGN ACTIVITY INFORMATION
CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
54181 30903929-1 PACIFIC SCIENTIFIC
ENERGETIC
Hunt, Bertley J 429 SCMS/
GUMACB
801-586-1032 586-10323 / 2
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
D 54181 30903929-1 PACIFIC SCIENTIFIC
ENERGETIC
3 / 2 Hunt, Bertley J 429 SCMS/
GUMACB
801-586-1032 586-1032
Page 1 of 2AFMC FORM 761, 20060602, V1 Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
1. THIS COMPONENT IS A FIRE EXTINGUISHER CARTRIDGE THAT IS UTILIZED ON THE KC-46 AIRCRAFT.
2. PACIFIC SCIENTIFIC ENERGETIC HAS CLAIMED PROPRIETARY RIGHTS TO THEIR DATA (30903929-1)AND ARE NOT WILLING TO REMOVE THE
RIGHTS TO THIS DATA.
3. SPARES BREAKOUT PROGRAM HAS DETERMINED THAT THE ONLY KNOWN SOURCE FOR THIS ITEM AT THIS TIME IS PACIFIC SCIENTIFIC ENERGETIC. IF ANY OF THE ABOVE CONDITIONS CHANGE THIS ITEM MAY REQUIRE RE-EVALUATION.
ACTION TAKEN / BEING TAKEN TO IMPROVE COMPETITIVE STATUS
4. AN AMC/AMSC OF 3/R HAS BEEN ASSIGNED WITH A 5 YEAR REVIEW DATE AS AUTHORIZED BY THE OO-ALC SPARES BREAKOUT PROGRAM.
REMARKS
NAME: Hunt, Bertley J DATE: 03 NOV 2022
SPECIAL TEST/SPECIAL EQUIPMENT AND/OR SPECIAL FACILITIES ARE REQUIRED TO PRODUCE THESE COMPONENTS DUE TO THE EXPLOSIVE AND OTHER PRODUCT RELATED ATTRIBUTES. THE CURRENT QUALIFIED SUPPLIER(S) HAVE THESE CAPABILITIES; HOWEVER, THE GOVERNMENT DOES NOT OWN OR CONTROL THESE FACILITIES AND CANNOT PROVIDE ANY OF THEM IF ANOTHER POTENTIAL SOURCE IS INTERESTED IN UTILIZING
THEM FOR QUALIFYING THEIR COMPONENTS.
MISCELLANEOUS INFORMATION
BUY HISTORY (Last 5 Buys)
AWARD
DATE CONTRACT NUMBER UNIT PRICE
SUPPLIER
CAGE SUPPLIER REFERENCE NUMBER
AMC /
AMSC AMOC PLT
TERM
IND
POTENTIAL SOURCES
DESIGN ACTIVITY INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
Page 2 of 2AFMC FORM 761, 20060602, V1 Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1377016765136ES
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Reeder, Nikole / 801-777-4645
6. EQUIPMENT SPEC / PHONE
Lightner, Terry L / 801-586-9087
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
ISO 9001:2000
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
G
11. SIGNATURE OF TECHNICAL AUTHORITY
Swanson, Devin D
ORGANIZATION / SYMBOL
AFLCMC / EBHJ
PHONE
801-777-6106 / 586-6106
DATE
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
ITEM IDENTIFICATION AND INFORMATION
NSN
1377016821910ES
NOUN
SWITCH,SQUIB ACTUAT
END ITEM
KC-46 AIRCRAFT
PCC ERRC
N
QUANTITY
UNIT COST
$250.0000
IDENTIFYING NUMBER (Part No)
R/N
30903973
CAGE
54181
TOP DWG REV NO.
EST ANNUAL BUY VALUE
$20,000.00
COMM OFF-THE-SHELF ITEM
YES X NO UNKNOWN
NUC. CERT. END ITEM
YES X NO UNKNOWN
HARD CRIT. IND
YES X NO UNKNOWN
NEXT HIGHER ASSEMBLY
NSN NOUN R/N CAGE
SUMMARY OF SCREENING ACTION
DESIGN DISCLOSURE
X
SPEC CONTROL SOURCE CONTROL MIL / IND / CONTR PERF SPEC
ST/STE REQUIRED
X YES NO
UNKNOWN
ST/STE AVAILABLE
YES X NO
UNKNOWN
DATA COMPLETE
YES X NO
UNKNOWN
DATA RIGHTS LIMITED
X YES NO
UNKNOWN
AAC
D
AMC / AMSC
3 / R
AMC / AMSC EXP DT
30 APR 2028
PRV AMC / AMSC
PRV AMC / AMSC EXP DT
AMC COMPLETION DT
03 MAY 2023
ENGINEER AMC / AMSC
3 / R
USER TYPE DATE / TIME IN DATE / TIME OUT NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
Engineer 02 MAY 2023 / 2314 03 MAY 2023 / 1408 Kelly, Zachary A AFLCMC / EBH 832-381-7237 777-6365 Engineer 14 APR 2023 / 1703 02 MAY 2023 / 2314 Swanson, Devin D AFLCMC / EBHJ 801-777-6106 586-6106 Screening Technician 13 APR 2023 / 1817 14 APR 2023 / 1703 Fowers, Jennifer L 429 SCMS /
GUMACB
801-777-0649 777-0649
Screening Technician Workload Manager
13 APR 2023 / 1750 13 APR 2023 / 1817 Merrill, Michael S 429 SCMS /
GUMACB
801-777-1460 777-1460
Screening Technician Workload Manager
13 APR 2023 / 1717 13 APR 2023 / 1750 Hill AFB / Screening Technician Workload Manager
Item Manager 13 APR 2023 / 1710 13 APR 2023 / 1717 Warren, Jessica L AFLCMC / EBHJ 801-777-3080 777-3080
PROCUREMENT SUPPORT REQUIRED
FIRST ARTICLE TEST
YES X NO
ENGINEERING DATA LIST REQ
YES X NO
EXPORT CONTROLLED
YES X NO
PRODUCTION SAMPLE REQ
YES X NO
MLO / ARTWORK
Not required
PROD SAMPLE FURN
YES X NO
ENGR NOTES
YES X NO
APPROVED SOURCES
DESIGN ACTIVITY INFORMATION
CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
54181 30903973 PACIFIC SCIENTIFIC
ENERGETIC
Fowers, Jennifer L 429 SCMS/
GUMACB
801-777-0649 777-06493 / 2
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
D 54181 30903973 PACIFIC SCIENTIFIC
ENERGETIC
3 / 2 Fowers, Jennifer L 429 SCMS/
GUMACB
801-777-0649 777-0649
Page 1 of 2AFMC FORM 761, 20060602, V1 Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
1. THIS COMPONENT IS A SQUIB SWITCH THAT IS UTILIZED ON THE KC-46 AIRCRAFT.
2. PACIFIC SCIENTIFIC ENERGETIC HAS CLAIMED PROPRIETARY RIGHTS TO THEIR DATA (30903973) AND ARE NOT WILLING TO REMOVE THE RIGHTS
TO THIS DATA. REFERENCE AFLCMC/LZPEM DO NOT SEND LIST.
3. SPARES BREAKOUT PROGRAM HAS DETERMINED THAT THE ONLY KNOWN SOURCE FOR THIS ITEM AT THIS TIME IS PACIFIC SCIENTIFIC ENERGETIC. IF ANY OF THE ABOVE CONDITIONS CHANGE THIS ITEM MAY REQUIRE RE-EVALUATION.
ACTION TAKEN / BEING TAKEN TO IMPROVE COMPETITIVE STATUS
4. AN AMC/AMSC OF 3/R HAS BEEN ASSIGNED WITH A 5 YEAR REVIEW DATE AS AUTHORIZED BY THE OO-ALC SPARES BREAKOUT PROGRAM.
REMARKS
NAME: Fowers, Jennifer L DATE: 13 APR 2023
SPECIAL TEST/SPECIAL EQUIPMENT AND/OR SPECIAL FACILITIES ARE REQUIRED TO PRODUCE THESE COMPONENTS DUE TO THE EXPLOSIVE AND OTHER PRODUCT RELATED ATTRIBUTES. THE CURRENT QUALIFIED SUPPLIER(S) HAVE THESE CAPABILITIES; HOWEVER, THE GOVERNMENT DOES NOT OWN OR CONTROL THESE FACILITIES AND CANNOT PROVIDE ANY OF THEM IF ANOTHER POTENTIAL SOURCE IS INTERESTED IN UTILIZING
THEM FOR QUALIFYING THEIR COMPONENTS.
MISCELLANEOUS INFORMATION
BUY HISTORY (Last 5 Buys)
AWARD
DATE CONTRACT NUMBER UNIT PRICE
SUPPLIER
CAGE SUPPLIER REFERENCE NUMBER
AMC /
AMSC AMOC PLT
TERM
IND
POTENTIAL SOURCES
DESIGN ACTIVITY INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
PHONE DSN PHONE
SUPPLIER INFORMATION
SOURCE
TYPE CAGE REFERENCE NUMBER CONTRACTOR NAME
RNCC /
RNVC NAME
ORGANIZATION /
OFFICE SYMBOL
COMMERCIAL
Page 2 of 2AFMC FORM 761, 20060602, V1 Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
1377016821910ES
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Reeder, Nikole / 801-777-4645
6. EQUIPMENT SPEC / PHONE
Lightner, Terry / 801-586-9087
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
ISO 9001:2000
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
Kelly, Zachary ANAME: 13 APR 2023DATE:
In accordance with AFMCI 23-102, paragraph 14.2.1, the chief engineer has determined source inspection is required for airmunitions procurements. The following statements, submitted by the chief engineer in accordance with FAR 46.402(f), provide further support for source inspection of munitions items: Quality assurance inspection of explosives and munitions items must be completed at the source to reduce the risk of defective or improperly marked explosives reaching the end-user. The safety consequences of a single defective explosive or improperly marked explosive reaching the end-user are very severe. Customers of typical industrial commodities may be able to tolerate a percent defective of 1% - 3%. In the case of explosives procurement, this percent defective may result in the maiming or death of personnel involved in the handling and use of the items. Airmunitions contracts are primarily for delivery of explosive components used in ammunition, precision guided weapons and the ejection seats of combat aircraft. The lives of transportation and combat personnel are directly related to the successful performance these items. Thus, to ensure explosives safety and quality, source inspection is required for this airmunition procurement.
Certification to ISO 9001:2015, or an equivalent quality management system, is acceptable to meet this requirement.
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
G
11. SIGNATURE OF TECHNICAL AUTHORITY
Kelly, Zachary A
ORGANIZATION / SYMBOL
AFLCMC / EBH
PHONE
832-381-7237 / 777-6365
DATE
Page 1 of 1AFMC FORM 807, 20060111, V1 Version 1Generated by PRPS using Jasper Reports on 30 Mar 2026
1377016821910ES
CAGE
54181
REFERENCE NUMBER
30903973
NOUN
SWITCH,SQUIB ACTUAT
END ITEM
OFF WING ESCAPE L/R, KC-46
TCTO NUMBER TO NUMBER
11A18-14-7
CRITICALITY CODE
F
DEMILITARIZATION CODE
G
SECURITY CODE
MDC
WZJ
ES CODE
WR
REMARKS
INITIATOR
NAME
TERRY.L.LIGHTNER
ORGANIZATION / OFFICE SYMBOL
AFCMC / EBHJ
DSN PHONE
586-9087
COMMERCIAL PHONE
801-586-9087
ITEM DESCRIPTION DATA
LENGTH ( IN )
0.9900
WIDTH ( IN )
0.7500
HEIGHT ( IN )
0.7500
WEIGHT ( LB )
0.5000
OTHER DIMENSIONS
ITEM MATERIAL
1.4 S
ITEM FUNCTION
A CONTROL SWITCH SENDING AN ELECTRICAL SIGNAL TO THE CARTRIDGE MOUNTED IN THE DISCHARGE OUTLET. THIS CAUSES THE CARTRIDGE TO DETONATE, WHICH FRACTURES A RUPTURE DISC AND RELEASES EXTINGUISHING AGENT TO EXTINGUISH THE FIRE.
SAFETY CRITICAL SCREW
THREADED COMPONENT
ESD CEMS SENSITIVE DATA
STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE
GFM REQUIRED GFE REQUIRED GFP REQUIRED
JEWEL BEARING JEWEL BEARING RELATED
Page 1 of 1ITEM DESCRIPTION Version 1Generated by PRPS using Jasper Reports on 30 Mar 2026
1377016765136ES
CAGE
54181
REFERENCE NUMBER
30903929-1
NOUN
CARTRIDGE,AIRCRAFT
END ITEM TCTO NUMBER TO NUMBER
11A-18-14-7
CRITICALITY CODE
F
DEMILITARIZATION CODE
G
SECURITY CODE
MDC
WZJ
ES CODE
WR
REMARKS
INITIATOR
NAME
TERRY.L.LIGHTNER
ORGANIZATION / OFFICE SYMBOL
AFCMC / EBHJ
DSN PHONE
586-9087
COMMERCIAL PHONE
801-586-9087
ITEM DESCRIPTION DATA
LENGTH ( IN )
1.7000
WIDTH ( IN )
0.8750
HEIGHT ( IN )
0.8750
WEIGHT ( LB )
0.1600
OTHER DIMENSIONS
ITEM MATERIAL
Metal body, Hexagonal mid section,3pin electrical connector, explosive charge.
ITEM FUNCTION
aircraft signal fires cartridge which bursts disk in container allowing agent to be released to point of fire.
SAFETY CRITICAL SCREW
THREADED COMPONENT
ESD CEMS SENSITIVE DATA
STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE
GFM REQUIRED GFE REQUIRED GFP REQUIRED
JEWEL BEARING JEWEL BEARING RELATED
Page 1 of 1ITEM DESCRIPTION Version 2Generated by PRPS using Jasper Reports on 30 Mar 2026
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| 1377016465135 807 |
| 1377016761535 JHCS |
| 1377016765135 761 |
| 1377016765135 ID |
| 1377016765136 761 |
| 1377016765136 807 |
| 1377016765136 JHCS |
| 1377016821910 761 |
| 1377016821910 807 |
| 1377016821910 ID |
| 1377016821910 JHCS |
File details come from the government source that posted it. Updated .