QAIRQMT_REPORT.pdf

PDF 84 KB Posted

Attached to
Repair of NSN # 6130-01-308-6188
Solicitation number
FA825025Q0584
Issued by

About this file

The document is an AFMC Form 807 detailing Recommended Quality Assurance Provisions and Special Inspection Requirements for a federal contract involving NSN 6130013086188ZR. The form specifies standard inspection requirements under FAR 52.246-2 through 52.246-6, with an Ozone Depleting Substances (ODS) statement confirming the contract does not require Class I ODS substances. Key personnel include Chelsea V. Potter (Item Manager) with phone 801-200-6163 and Bobby Masters (Equipment Spec) with phone 801-586-3054. The technical authority is Nghia T. Dam from 415 SCMS/GUEA, who signed the document on 28 JAN 2025. The form indicates no quality pre-award survey is needed and uses a previous source for the contract, with quality provisions that cannot be downgraded without technical authority coordination.

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Text version

RECOMMENDED QUALITY ASSURANCE PROVISIONS

AND SPECIAL INSPECTION REQUIREMENTS

1. PR / MIPR NUMBER

2. NATIONAL STOCK NUMBER

6130013086188ZR

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Potter, Chelsea V / 801-200-6163

6. EQUIPMENT SPEC / PHONE

Masters, Bobby / 801-586-3054

7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS

CERTIFICATE OF CONFORMANCE

FAR 52.246-15

CONTRACT RESPONSIBILITY FOR INSPECTION

FAR 52.246-15

X STANDARD INSPECTION

FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT

HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS FAR 52.246-11

COMMERCIAL ITEM INSPECTION

FAR 52.212-4

OTHER (Describe in Block 8)

8. REMARKS

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 DAFFARS 5323.8)

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

C

11. SIGNATURE OF TECHNICAL AUTHORITY

Dam, Nghia T

ORGANIZATION / SYMBOL

415 SCMS / /GUEA

PHONE

801-864-8625 / 864-8625

DATE

28 JAN 2025

Page 1 of 1Prescribed by: AFMCI20-102 Version 2Generated by PRPS using Jasper Reports on 18 Mar 2025

AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE

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