1300698835 RIR_ r3.pdf

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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

7443725-1 7443725-2 7443725-3 7443725-4

REV

AS

NOTED

PART NOMENCLATURE

Connector, Side Purge, Bulkhead (4 Pin) Connector, Side Purge, Bulkhead (3 Pin) Connector, Side Purge, Bulkhead (2 Pin) Connector, Side Purge, Bulkhead (2 Pin)

SOURCE: S/N:

N/A

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W02801

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-20 REQ’D P/N: 7443725-1

QTY-20 REQ’D P/N: 7443725-2

QTY-20 REQ’D P/N: 7443725-3

QTY-20 REQ’D P/N: 7443725-4

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

Note: CoC shall ensure strict compliance of all specifications/regulations and associated processes noted within contract provided documentation

(SEE BELOW - SPECIAL

INSTRUCTIONS/REMARKS/ENCLOSURES)

Required – Complies with drawing file: 7443725.

(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.

Required

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

Not Required

Inspection is required by the vendor

Required – All measured dimensions of each connector delivered to the government complies with drawing 7443725.

Inspection is required by the government

FAT is will be performed by the government for item part numbers 7443725-1 (2 each), 7443725-2 (2 each) and 7443725-3 (2 each)

Required - Each connector delivered to the Government shall meet all the requirements specified in 7443730.

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FORM REV. 06/08/2009

REV. 06/08/2009

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

Not Required

Special packaging requirements (attachment required)

Required – protect all part features during handling & transportation

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

7443725_53711_FN_A

RIR_QAP_W02801, VIR_W02801

Technical questions pertaining to this Outside Service Request (OSR) shall be formally adjudicated utilizing provided Vendor Information Request (VIR) form “VIR_W02801”. Please complete box 2 thru 17 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