SurplusWorksheet.pdf
PDF 110 KB Posted
- Attached to
- F-15 Valve, Safety Relief
- Solicitation number
- SPRHA1-26-Q-0583
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is an AFMC Form 813 Surplus Materiel Worksheet dated 15 February 2024 evaluating the acceptability of surplus government property for the F-15 AMAD (Air-to-Air Missile Dispenser) application.
The item under evaluation is part number 367510-1, manufactured by CAGE 81833, with NSN 4820010143610RP. The evaluation was requested by Daniel B. Newquist (401 SCMS/GUEA, 801-586-3788) to determine if surplus materiel can fulfill government needs for this component. The worksheet indicates that Government Surplus items classified as "Used/Overhauled" are acceptable and will undergo comprehensive evaluation criteria including part number and manufacturer verification, prior government ownership confirmation, 100% end-item inspection, test and verification per Tech Order 2JA16-3-3, verifiable dimensions review, location of inspection/testing, initial acceptability testing, and overhaul and certification. All items must be inspected according to TO 2JA16-3-3 WP 015 Table 2 and tested per TO 2JA16-3-3 WP 015 paragraph 9.1. Overhaul must be completed using only TO 2JA16-3-3 with an approved overhaul facility per current regulation 762. The worksheet specifies that each part must be inspected prior to testing, and if assets fail testing or inspection per Technical Order instructions, the part shall be returned to the vendor with all shipping, inspection, and testing costs reimbursed to the purchasing party. The evaluation was completed and signed by Lance K. Moss (419 SCMS/GUEA, 801-586-3767) as Engineer on 15 February 2024.
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| File | Type | Posted |
|---|---|---|
| SOW.pdf | ||
| SPRHA126Q0583.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
15 FEB 2024
I. REQUEST FOR EVALUATION
NSN
4820010143610RP
PART NUMBER
367510-1
CAGE
81833
APPLICATION
F-15 AMAD
IMS
Newquist, Daniel B
OFFICE SYMBOL
419 SCMS / GUEA
PHONE
801-586-3788
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
Y X X X X
N
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 81833(AFMCFARS 5352.211-9011) MFG 367510-1P/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 2JA16-3-3
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY
DRAWING NUMBER
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
All items shall be inspected according to TO 2JA16-3-3 WP 015 Table 2 and tested in accordance with TO 2JA16-3-3 WP 015 paragraph 9.1.
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
Overhaul shall be completed using only 2JA16-3-3 and overhaul facility shall be approved per current 762.
OTHER SPECIAL REQUIREMENTS (Explain)
Newquist, Daniel BNAME: 15 FEB 2024DATE:
Inspect each part prior to testing.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
If assets fail testing and/or inspection per TO instructions, part shall be returned to vendor and the purchasing party shall be reimbursed for all shipping, inspection, and testing costs.
EVALUATOR
Moss, Lance K
OFFICE SYMBOL
419 SCMS / GUEA
PHONE
801-586-3767 / 586-3767
COMPLETE DATE
15 FEB 2024
SIGNATURE
//SIGNED// Moss, Lance K
USER TYPE
Engineer
SIGNATURE DATE
15 FEB 2024
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