RIR_QAP_W02819.pdf

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

REV. 06/08/2009

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER

0081A0273-1

0081C0153-1

0081C0153-2

REV

AS

NOTED

PART NOMENCLATURE

Bulkhead Receptacle

SOURCE: S/N:

N/A

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W02819

OUTSIDE SERVICES SOW:

TRAVELER:

QTY RECEIVED

SAMPLE SIZE**

AQL

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT

DISPOSITION-REMARKS

THE FOLLOWING QUALITY DOCUMENTATION /

INFORMATION / INSTRUCTIONS MUST BE PROVIDED /

ADHERED TO:

VENDOR QUOTE (LABOR/MAT’L & DELIVERY) REQUIRED

(REF BELOW “SPECIAL

INSTRUCTIONS/REMARKS/ENCLOSURES” FOR WORK

ORDER INFORMATION)

VENDOR SHALL RECEIVE DOCUMENTATION CD FROM

TAHEF (WILL INCLUDE ALL SPECIAL ENCLOSURES NOTED

BELOW). CD IS REQUIRED FOR FORMAL QUOTE & WORK

ORDER DELIVERABLE REF INFORMATION UPON CONTRACT

AWARD.

QTY-15 REQ’D P/N: 0081A0273-1

QTY-50 REQ’D P/N: 0081C0153-1

QTY-50 REQ’D P/N: 0081C0153-2

Certificate of Compliance (CoC) that items were manufactured in accordance with all applicable drawings, instructions and specifications.

Not Required

(CDRL A001)

Mercury Free Statement: Mercury or mercury compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract.

(CDRL A002)

Material Identification must be in accordance with attached drawings/documentation. If not specified then identification must appear on external surfaces of items or packages.

Required

Certificate of Analysis of Raw Material stating that it meets the specifications identified

Inspection is required by the vendor Not Required

Process Certification that items were manufactured in accordance with special processes identified i.e., Welding, Post Weld Anneal, Painting

Not Required

Special packaging requirements Required – protect all part features during handling

& transportation

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

0081A0273_54497_FN_D; 0081C0153_54497_FN_D

RIR_QAP_W02819, VIR_W02819

Technical questions pertaining to this order shall be formally adjudicated utilizing provided Vendor Information Request (VIR) form “VIR_W02819”. Please complete box 2 thru 16 of provided VIR word document form and e-mail to the Towed Array Handling Equipment Facility (TAHEF). If assistance is required, contact TAHEF personnel.

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQZ1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE