RIR_QAP_W03409.docx

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Keyence PX-10 Amplifiers and PX-H71 Sensors
Solicitation number
N6660420Q8000
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J:\LIBRARY\FORMS

FORM REV. 06/08/2009

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

PX-10, PX-H71

REV

PART NOMENCLATURE

OA-9070 DOTES Amplifier and Thrubeam

SOURCE:

S/N:

CONTRACT:

N66604-

PURCHASE ORDER:
PURCHASE REQUEST:
WORK ORDER:

W03409

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: 210, P/N: PX-10

QTY: 210, P/N :PX-H71

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

Not Required – OEM parts, comply with vendor specifications.

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

(A001)

Domestically Sourced Material: All raw material must be sourced domestically.

Required

Product 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

Not Required

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 - Package to protect part features during shipping and handling.

Test data to be provided

Not Required

First Article Inspection required

Not Required

TAHEF Incoming Inspection: *Quality Notes*

Required

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

PX-10_US_en-US; PX-H71_US_en-US

VIR_W03409, RIR_QAP_W03409

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

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE

REV. 06/08/2009

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