Receipt Inspection Report.pdf

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Attached to
Check Valves and Rod Seals - Amendment 002 Federal contract opportunity
Solicitation number
N6660422Q0350
Issued by
Department of the Navy Naval Sea Systems Command

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N6660422Q0350P0001.pdf PDF
CDRL A001 - A002_Redacted.pdf PDF
N6660422Q0350.pdf PDF

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TAHEF-Form-No. 008 Rev A

04-14-2021

TAHE FACILITY

NETC, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NUMBER / DRAWING NUMBER

3144690

3335767-212N

Rev

PART NOMENCLATURE

OK-542 HCU – Check Valve / Seal Rod

SOURCE:

S/N:

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W03911

OUTSIDE SERVICES SOW:

SALES ORDER:

FUTURE BUILDS

QTY RECEIVED SAMPLE SIZE** UNIT ORDER IS FOR:

OK-542 HCU

ORDER IS FOR INVENTORY

PURCHASE NON-TACTICAL OUTSIDE SERVICE

COTS

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT DISPOSITION - REMARKS

THE FOLLOWING QUALITY

DOCUMENTATION/INFORMATION/INSTRUCTIONS

MUST BE PROVIDED/ADHERED TO:

QTY: 10, P/N: 3144690

QTY: 2, P/N: 3335767-212N

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

Required

(A001)

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

(A002)

Domestically Sourced Material: all raw material must be sourced domestically or from a qualified country per DFARS Part 225:

Foreign Acquisition.

Not Required

TAHEF Incoming Inspection: Quality Notes.

SPECIAL INSTRUCTIONS/REMARKS/ENCLOS URES

RIR_QAP_W03911, VIR_W03911

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQ Z1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE

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