QAIRQMT_REPORT.pdf
PDF 86 KB Posted
- Attached to
- REPAIR SERVICES FOR THE MINI MUTES PROGRAM Federal contract opportunity
- Solicitation number
- FA825025Q0011
About this file
This document is an AFMC Form 807 Recommended Quality Assurance Provisions and Special Inspection Requirements form for a power supply item. The document specifies quality assurance and inspection requirements for a power supply with part numbers 6694850CN2001205-002, 41538-101, and 2001205-002. The technical authority has determined that the item requires inspection at the contractor's facility per FAR 52.246-2 Standard Inspection, with both point of inspection and acceptance set at the source. The form indicates that destination inspection is not feasible due to lack of proper test equipment and potential packaging disruption. The document includes an Ozone Depleting Substances (ODS) statement confirming no Class I ODS are required, and was generated on 26 Jun 2025 with a technical authority signature date of 05 MAR 2025.
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Text version
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
1. PR / MIPR NUMBER
2. NATIONAL STOCK NUMBER
6130013147781FD
3. POINT OF INSPECTION
SOURCE DESTINATION
X
SEE DFARS 246.402
4. POINT OF ACCEPTANCE
SOURCE DESTINATION
X
5. ITEM MANAGER / PHONE
Weimer, Nickolas L / 801-821-8449
6. EQUIPMENT SPEC / PHONE
Canlas, Carl / 801-586-0990
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
Johnson, Penny LNAME: 22 MAR 2013DATE:
P/N: 6694850CN2001205-002, 41538-101, 2001205-002
Nomenclature: POWER SUPPLY
ESD: No
SPI: Yes, F013147781
"In accordance with FAR 46.2 Contract Quality Requirements, it has been determined by the Technical Authority that the item under this acquisition must meet critical technical/performance requirements and therefore inspection at the contractor's facility, per FAR 52.246-2 Standard Inspection, is necessary."
Block 3. This item meets all three criteria for inspection at Source.
Block 4. This item meets the criteria for acceptance at the Source.
Note: It is not feasible to inspect/accept these items at the destination. The RTS-SPO does not have the proper test equipment at this location, if the packaging of this item is disturbed, opened in any way, these item will have to be re-packed. Not cost effective, No Value Added.
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
Canlas, Carl R
ORGANIZATION / SYMBOL
415 SCMS / GUMAA
PHONE
801-895-1226 / 895-1226
DATE
05 MAR 2025
Page 1 of 1Prescribed by: AFMCI20-102 Version 4Generated by PRPS using Jasper Reports on 26 Jun 2025
AFMC FORM 807, 20230130 PREVIOUS EDITION IS OBSOLETE
File details come from the government source that posted it. Updated .