QualityAssuranceAFMC807.pdf

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Attached to
2840, Remanufacture F100-220 Combustion Chamber
Solicitation number
FA8121-25-R-0002
Issued by

About this file

This is an AFMC Form 807 detailing quality assurance provisions and special inspection requirements for a Combustion Chamber Assembly (NSN: 2840-01-267-1605, P/Ns: 4064106, 4080447, 4070810 and 4080446). The form specifies source inspection and acceptance points, with inspection required at source per DFARS 246.402.

The quality requirements include Higher Level Contract Quality Requirements under ISO 9001:2000/2008. The form indicates this is for a new source, with both Critical Application Item (CAI) and Critical Safety Item (CSI) designations. There is a certification that no Class I Ozone Depleting Substances are required. The technical authority is from AFLCMC/LPSEBB at Tinker Air Force Base, with the form dated December 2, 2016. The document includes codes of I&A: 1 and CQR: G, and specifies that quality provisions 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

2840012671605NZ

3. POINT OF INSPECTION

SOURCE DESTINATION

X

SEE DFARS 246.402

4. POINT OF ACCEPTANCE

SOURCE DESTINATION

X

5. ITEM MANAGER / PHONE

Cliburn, Deanne M / 405-582-5275

6. EQUIPMENT SPEC / PHONE

Newcomer, Wayne / 405-734-8789

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

Walters, Brian DNAME: 02 DEC 2016DATE:

CAI: YES

CSI: YES

P/N: 4064106, 4080447, 4070810 and 4080446

NSN: 2840-01-267-1605

Combustion Chamber Assembly

ISO 9001:2008 is also acceptable

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 X NEW SOURCE

PREVIOUS SOURCEX NO

AFMC PARTICIPATION

RECOMMENDED

10. CODES

A. I&A

B. CQR

G

11. SIGNATURE OF TECHNICAL AUTHORITY

Walters, Brian D

ORGANIZATION / SYMBOL

AFLCMC / LPSEBB

PHONE

405-734-3458 / 336-3458

DATE

02 DEC 2016

Page 1 of 1AFMC FORM 807, 20060111, V1 Version 4Generated by PRPS using Jasper Reports on 01 Mar 2024

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