II.G-2. Attachment 2 RIR_QAP_W04260_R3 #21.pdf

TAHEF-Form-No. 008 Rev A

04-14-2021

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

8-52-142M-1, 8-52-142M-2 8-52-159M-2, 8-52-143M-1 8-52-143M-2

Rev

PART NOMENCLATURE

276 CDU/Cable Pulley & Cable Pusher

SOURCE:

S/N:

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W04260

OUTSIDE SERVICES SOW:

SALES ORDER:

Future Builds

QTY RECEIVED SAMPLE SIZE** UNIT ORDER IS FOR:

276 CDU

ORDER IS FOR INVENTORY

PURCHASE NON-TACTICAL OUTSIDE SERVICE

New Manufacture

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT DISPOSITION - REMARKS

THE FOLLOWING QUALITY

DOCUMENTATION/INFORMATION/INSTRUCTIONS

MUST BE PROVIDED/ADHERED TO:

P/N: 8-52-142M-1 QTY: 5

P/N: 8-52-142M-2 QTY: 10

P/N: 8-52-159M-2 QTY: 5

P/N: 8-52-143M-1 QTY: 3

P/N: 8-52-143M-2 QTY: 2

Certificate of Compliance: that items were manufactured in accordance with all applicable instructions and specifications.

Required (A001)

Mercury Free Statement: document certifying that mercury and mercury containing compounds were not intentionally added to nor came in contact with hardware or supplies furnished under this work order.

Required (A002)

Certificate of Analysis of raw material stating that it meets the specifications identified.

Required (A003)

Domestically Sourced Material: all raw material must be sourced domestically or from a qualified country per DFARS Part 225:

Foreign Acquisition.

Required (A004)

Product Identification: identification must appear on external surfaces of items or packages. (Military specifications will be provided upon request).

Required

P/N: 8-52-142M-1 QTY: 5; P/N: 8-52-

142M-2 QTY: 10 – Mark IAW Note 5 on drawing 8-52-142M per MIL-

STD-130

P/N: 8-52-159M-2 QTY: 5 – Mark IAW Note 5 on drawing 8-52-159M per MIL-STD-130

P/N: 8-52-143M-1 QTY: 3; P/N: 8-52-

142M-2 QTY: 2 – Mark IAW Note 5 on drawing 8-52-143M per MIL-

STD-130

Process Certification: that items were manufactured in accordance with special processes identified.

Required

P/N: 8-52-142M-1 QTY: 5; P/N: 8-52-

142M-2 QTY: 10 – Heat treat per Note 2, Lubri-bond per Note 6 on drawing 8-52-142M

P/N: 8-52-143M-1 QTY: 3; P/N: 8-52-

143M-2 QTY: 2 – Heat treat per Note 2 on drawing 8-52-143M (A005)

Special Packaging Requirements: protect parts to prevent damage during handling and transportation.

Required

TAHEF-Form-No. 008 Rev A

04-14-2021

8-52-142M_32386_FN_C; 8-52-159M_32386_FN_B; ASME B46.1-2019_2020-06-30; ASME

Y14.100-2017_2017-11-14; ASTM A582-A582M-21_2021-11-01; MIL-STD-130N_CHG-

1_2012-11-16; SAE AMS5659_REV-T_2021-10-01; 8-52-143M_32386_FN_A

RIR_QAP_W04260; VIR_W04260

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQ Z1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE