SMW_REPORT.pdf
PDF 110 KB Posted
- Solicitation number
- FA812125Q0003
About this file
This is a Surplus Materiel Worksheet (AFMC Form 813) dated May 2, 2023, evaluating the potential use of surplus materiel for NSN 3110014544610NZ (Part Number 4083144, CAGE 77445) for F100 aircraft application. The document indicates that only new/unused surplus materiel will be considered acceptable, requiring specific verification criteria including part number verification, 100% end item inspection, test and verification per Tech Order 2J-f100-54, and verifiable dimensions.
The evaluation was completed by Engineer Hanson V. Nguyen on July 7, 2023, and stipulates that all surplus material requires 100% inspection during acceptance to ensure compliance with engineering and technical requirements, or a letter of conformance from the OEM and PVT if needed. The material must be new/unused in original packaging (no repacking), and acceptance inspection will be conducted by ES/Engineer. The document specifies that parts must conform to engineering before approval criteria and requires notification to ESA engineering/technical at 734-7603 when parts are received.
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| 4054256_PKGRQMT_REPORT.pdf | ||
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| FA_REPORT.pdf | ||
| Pricing_Matrix_FA812125Q0003.xlsx | XLSX spreadsheet | |
| Engineering_Instructions.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
02 MAY 2023
I. REQUEST FOR EVALUATION
NSN
3110014544610NZ
PART NUMBER
4083144
CAGE
77445
APPLICATION
F100
IMS
Billingsley, Sarah B
OFFICE SYMBOL
AFLCMC / LPSB
PHONE
405-734-3255
SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED
IAW AFMC FAR SUPPLEMENT PART 5352.
THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIEL WILL BE CONSIDERED IN THE FOLLOWING TYPES / CATEGORIES
II. EVALUATION CRITERIA (For types/categories deemed acceptable)
ACCEPT-
ABLE (Y/N)
P/N AND
MFG
VERIFI-
CATION
PRIOR
GOV'T
OWNER-
SHIP
100% END
ITEM
INSPECT
TEST AND
VERIFI-
CATION
VERIFI-
ABLE
DIMEN-
SIONS
LOCATION
INSPEC-
TION
TESTING
INITIAL
ACCEPT-
ABILITY
ITEMS
OVERHAUL
AND
CERTIFI-
CATION
OTHER
(Explain in Remarks)
Y X X X X
N
N
N
Y X X X X
N
N
N
G O V T
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
C O M M L
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)
PART NUMBER VERIFICATION 77445(AFMCFARS 5352.211-9011) MFG 4083144P/N
PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)
100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)
TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER 2J-f100-54
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 77445
DRAWING NUMBER 4083144
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE see the remark
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
see the remark
OTHER SPECIAL REQUIREMENTS (Explain)
Nguyen, Hanson VNAME: 07 JUL 2023DATE:
All Surplus material requires 100 percent inspection during acceptance when received to ensure compliance with engineering and technical requirements or a letter of conformance from the OEM and PVT is required if it need, Notify ESA engineering/technical at 734-7603 when parts are received. NEW/UNUSED material only in original packaging (Not repacking). Acceptance inspection will be conducted by ES/Engineer. Parts must conform to engineering before approval criteria.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
EVALUATOR
Nguyen, Hanson V
OFFICE SYMBOL
AFLCMC / LPSEA3
PHONE
405-734-7603 / 884-7603
COMPLETE DATE
07 JUL 2023
SIGNATURE
//SIGNED// Nguyen, Hanson V
USER TYPE
Engineer
SIGNATURE DATE
07 JUL 2023
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