RIR_QAP_W05287.pdf
PDF 4 MB Posted
- Attached to
- Build to Print Polycarbonate Parts
- Solicitation number
- N6660426Q0119
About this file
The document is a TAHE Facility Quality Provisions Receipt Inspection Report for a TE Coil Form (Part Number 6764012) to be manufactured for Future Builds. The report specifies multiple quality requirements for the vendor, including providing a Certificate of Compliance, a Mercury Free Statement, a Certificate of Analysis of raw material, and adherence to specific packaging and product identification guidelines. Quantity ordered is 51 units, and the order is for inventory. Key documentation requirements include compliance with ASTM D3935-21, MIL-STD-130N, and other referenced standards. The enclosure notes detail specific material specifications, such as using unfilled polycarbonate rod per ASTM D3935, and require documentation including a Certificate of Compliance, Mercury Free Statement, Certificate of Analysis, and Process Certification.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ N6660426Q0119-0002.pdf | ||
| RFQ N6660426Q0119-0001.pdf | ||
| ASTM D3935-21_2021-12-01.pdf | ||
| MIL-STD-130N_with_Change-1_2012-11-16.pdf | ||
| ASTM E1417_E1417M_2025-09-19.pdf | ||
| RFQ N6660426Q0119.pdf | ||
| CDRL A001-A004 (signed).pdf | ||
| CDRL Blk 16 Addendum.pdf | ||
| VIR_W05287.pdf |
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Text version
TAHEF-Form-No. 008 Rev C
8/29/2025
TAHE FACILITY NUWC, BLDG. 6
NEWPORT, RI 02841
TAHE FACILITY QUALITY PROVISIONS
RECEIPT INSPECTION REPORT
1. PART NUMBER 2. PART NOMENCLATURE
3. DRAWING NUMBER REV
4. WORK ORDER: 5. S/N:
6. STATEMENT OF WORK: 7. SALES ORDER: 8. UNIT THE ORDER IS FOR: 9. ORDER IS FOR INVENTORY:
10. PURCHASE/OUTSIDE SERVICE 11. PURCHASER/OSS COORDINATOR SIGNATURE
12. CHARACTERISTIC MEASURED / VERIFIED DISPOSITION-REMARKS
THE FOLLOWING QUALITY DOCUMENTATION / INFORMATION /
INSTRUCTIONS MUST BE PROVIDED / ADHERED TO:
13. GFI: DOCUMENTATION PROVIDED
VENDOR DO NOT WRITE BELOW. FOR TAHEF QA ONLY.
14. SOURCE: 15. PURCHASE ORDER: 16. PURCHASE REQUEST: 17. QTY RECEIVED:
18. TOTAL ACCEPTED 19. TOTAL REJECTED 20. INSPECTOR 21. DATE
TAHEF-Form-No. 008 Rev C
8/29/2025
22. Enclosure
| RIR_test_iii.pdf |
| Enclosure Page.pdf |
| PART NUMBER: 6764012 |
| DRAWING NUMBER: 6764012_53711_FN_A_D19-014 |
| REV: A |
| PART NOMENCLATURE: OK-542 TE COIL FORM |
| WORK ORDER: W05287 |
| SN: N/A |
| STATEMENT OF WORK: N/A |
| SALES ORDER: FUTURE BUILDS |
| UNIT THE ORDER IS FOR: OK-542 TE |
| DISPOSITIONREMARKSTHE FOLLOWING QUALITY DOCUMENTATION INFORMATION INSTRUCTIONS MUST BE PROVIDED ADHERED TO: QTY: 51 |
| Text1: Certificate of Compliance: that items were manufactured in accordance with all applicable instructions and specifications. |
| Req1: Required |
| Text2: Mercury Free Statement: A signed document from the supplying vendor certifying that mercury and mercury containing compounds were not intentionally added to nor came in contact with hardware or supplies furnished under this work order. ROHS is not an acceptable substitute. |
| Text3: Certificate of Analysis of raw material stating that it meets the specifications identified. |
| Req3: Required: See Enclosure Note 1. |
| Text4: Domestically Sourced Material: all raw material must be sourced domestically or from a qualified country per DFARS Part 225: Foreign Acquisition. |
| Req4: Not Required. |
| Text5: Product Identification: identification must appear on external surfaces of items or packages. Parts must be returned with associated tags. (Military specifications will be provided upon request) Parts must be returned with associated tags. |
| Req5: Required: See Enclosure Note 2. |
| Text6: Process Certification: that items were manufactured in accordance with special processes identified. |
| Req6: Required: See Enclosure Note 3. |
| Text7: Special Packaging Requirements: protect parts to prevent damage during handling and transportation. |
| Req7: Required. |
| Text8: |
| Req8: |
| Text9: |
| Req9: |
| Req2: Required - ROHS is only acceptable for the procument of electronic components. |
| Text14: ASTM D3935-21_2021-12-01 |
| Text16: ASTM E1417_E1417M_2025-09-19 |
| Text17: MIL-STD-130N_with_Change-1_2012-11-16 |
| Text18: RIR_QAP_W05287 |
| Text20: W05287 |
| Text21: |
| Text22: |
| Text23: |
| Text24: |
| Text25: |
| Text13: 6764012_53711_FN_A_D19-014 |
| Dropdown1: [Purchasing - New Manufacture] |
| Text19: VIR_W05287 |
| Text26: Enclosure Note 1: Material must be unfilled polycarbonate rod per ASTM D3935, PC0130B34720, PC0150B34840, or equivalent, per Drawing Note 4. |
Enclosure Note 2: Mark numbers 1-5 as shown in the drawing IAW MIL_STD_130 on the far side only, per Drawing Note 7.
Enclosure Note 3: Provide documentation of annealing per Drawing Note 5. Also provide documentation of ultraviolet light inspection IAW ASTM-E-1417, per Drawing Note 6, Reject any units showing cracks.
CDRLs - A001 Certificate of Compliance, A002 Mercury Free Statement, A003 Certificate of Analysis, and A004 Process Certification Check Box1: Yes
File details come from the government source that posted it. Updated .