Surplus Material Worksheet.pdf
PDF 110 KB Posted
- Attached to
- TH-1H Helicopter Pilot Warning Alarm Sets
- Solicitation number
- SPRWA125Q0012
- Issued by
-
Defense Logistics Agency Aviation
About this file
This Surplus Material Worksheet documents an evaluation for potential surplus materiel for a TH-1H Helicopter part (NSN 6340011538073HL, Part Number 205-074-033-103) through the Air Force Materiel Command (AFLCMC). The document indicates new stock is available from Bell Textron at $19,100 per unit, and the evaluation process requires testing 3 initial acceptance items to meet requirements outlined in drawing 205-074-033. The worksheet was completed by Charles A. Foley from AFLCMC/WIU on 11 MAR 2025, with the intent to determine the suitability of surplus materials for government use according to specific evaluation criteria including part number verification, prior government ownership assessment, and end item inspection.
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
10 MAR 2025
I. REQUEST FOR EVALUATION
NSN
6340011538073HL
PART NUMBER
205-074-033-103
CAGE
97499
APPLICATION
TH-1H Helicopter
IMS
Foley, Charles A
OFFICE SYMBOL
AFLCMC / WIU
PHONE
478-327-6967
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 X
N
N
N
Y X X 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 97499(AFMCFARS 5352.211-9011) MFG 205-074-033-103P/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
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY 97499
DRAWING NUMBER 205-074-033
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS 3(AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
Must meet the requirements outlined in drawing 205-074-033
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
OTHER SPECIAL REQUIREMENTS (Explain)
Foley, Charles ANAME: 11 MAR 2025DATE:
New Stock is available from Bell Textron, quoted a price of $19,100 EA
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
If returned from the field as a PQDR
EVALUATOR
Foley, Charles A
OFFICE SYMBOL
AFLCMC / WIU
PHONE
478-327-6967 / 497-6967
COMPLETE DATE
11 MAR 2025
SIGNATURE
//SIGNED// Foley, Charles A
USER TYPE
Engineer
SIGNATURE DATE
11 MAR 2025
Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 2Generated by PRPS using Jasper Reports on 20 May 2025
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