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This is an AFMC Form 807 "Recommended Quality Assurance Provisions and Special Inspection Requirements" form detailing the quality requirements for NSN 2915012261047NZ, which is identified as a Critical Safety Item (CSI).

The form specifies source inspection and acceptance requirements per DFARS 246.402, with higher-level contract quality requirements of ISO 9001:2000. The item requires no Class I Ozone Depleting Substances (ODS) in its manufacture. The form indicates this is for a previous source, not a new one, and does not require a quality pre-award survey. The technical authority is William L. McCaughan from AFLCMC/LPEA2, with the form dated January 31, 2023. Additional points of contact include Barbara A. Bland (Item Manager) and James Roush (Equipment Specialist), both at the Oklahoma City location based on their phone numbers.

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RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

2915012261047NZ

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Bland, Barbara A / 405-734-9816

6. EQUIPMENT SPEC / PHONE

Roush, James / 405-734-8716

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY

FOR INSPECTION

FAR 52.246-1

STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6

AS APPLICABLE TO CONTRACT

X HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS

ISO 9001:2000

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

McCaughan, William LNAME: 31 JAN 2023DATE:

This is a Critical Safety Item (CSI).

8a. OZONE DEPLETING SUBSTANCES (ODS)

X STATEMENT

"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN

ONLY BE MET BY THE USE OF A CLASS I ODS."

WAIVER (SEE AF FARS 5323)

NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.

9. QUALITY PRE-AWARD SURVEY

YES NEW SOURCE

X PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

McCaughan, William L

ORGANIZATION / SYMBOL

AFLCMC / LPEA2

PHONE

405-736-3946 / 336-3946

DATE

31 JAN 2023

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 10Generated by PRPS using Jasper Reports on 28 Oct 2024

File details come from the government source that posted it. Updated .