Attachment_1_Receipt_Inspection_Report.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 / DRAWING NUMBER

1220D1176 7345140

REV

PART NOMENCLATURE

END PLATE, HOUSING

SOURCE:

S/N:

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W02938

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:

Qty 20: P/N 1220D1176 Qty 20: P/N 7345140

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

Required – complies with provided files:

1220D1176 7345140

(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.

Required

(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. (Military Specifications will be provided upon request)

Required

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

Required

(CDRL A003)

Inspection is required by the vendor Required

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

Required - WPS must be on file with TAHEF prior to performing welds. Document NDT “VT” inspection, P/N 7345140 (see note 12).

(CDRL A004)

Special packaging requirements Required – protect all part machine features during handling & transportation – no scratches allowed

Test data to be provided Not Required

First Article Inspection required Not Required

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

1220D1176_54497_FN_A; 7345140_53711_FN_Rev_A; S9074-AR-GIB-010-278_1995.08.01;

S9074-AR-GIB-010-278_CHG_A_2013-02-14(MIL-STD-278); T9074-AS-GIB-010-

271_CHG_1_1999-02-16(MIL-STD-271)

RIR_QAP_W02938, VIR_W02938

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

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE