Surplus Material Worksheet.pdf
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- Solicitation number
- FA812124Q0008
About this file
This document is a surplus material worksheet evaluating the potential use of surplus material to fulfill requirements for part number 4032669 with CAGE code 77445 for the F100 engine program. Surplus material being considered includes new and unused government property in the form of identical, verifiable, and fully inspectable/testable parts. Acceptable surplus categories are identified as those meeting requirements for part and manufacturer verification, prior government ownership, 100% end item inspection, test and verification, and verifiable dimensions. Location for inspection and testing is also specified. An initial sample will undergo testing to verification acceptability, with full criteria provided. The evaluator approves the use of surplus new and unused material only, provided it meets attached source approval standards.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
15 JUN 2016
I. REQUEST FOR EVALUATION
NSN
2840003438336NZ
PART NUMBER
4032669
CAGE
77445
APPLICATION
F100
IMS
DiMaggio, Matthew J
OFFICE SYMBOL
AFLCMC / LPSEA
PHONE
405-734-8775
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 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 4032669P/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 4032669
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
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: 30 JUN 2016DATE:
Surplus buy is authorized. Surplus must be new/unused material only. All assets procured must meet the attached source approval criteria for purchase of new and unused material only.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
EVALUATOR
Nguyen, Hanson V
OFFICE SYMBOL
AFLCMC / LPSEA3
PHONE
405-734-8700 / 884-8700
COMPLETE DATE
30 JUN 2016
SIGNATURE
//SIGNED// Nguyen, Hanson V
USER TYPE
Engineer
SIGNATURE DATE
30 JUN 2016
Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 3Generated by PRPS using Jasper Reports on 25 Oct 2023
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