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A PDF document (87 KB) attached to Power Supply Assembly, from the Department of the Air Force. Due Dec 10, 2026, 4:30 PM (UTC-7).
File name: QA.pdf
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1. PR / MIPR NUMBER
RECOMMENDED QUALITY ASSURANCE PROVISIONS
AND SPECIAL INSPECTION REQUIREMENTS
2. NATIONAL STOCK NUMBER
1190012440693NP
3. POINT OF INSPECTION
SOURCE
4. POINT OF ACCEPTANCE
DESTINATION
SOURCE
X
DESTINATION
X
5. ITEM MANAGER / PHONE
Bodily, Brandon K
/ 801-777-1743
6. EQUIPMENT SPEC / PHONE
SEE DFARS 246.402
Martin, Daryl S
/ 801-777-3299
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
CONTRACT RESPONSIBILITY FOR INSPECTION
FAR 52.246-15
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
X STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT
FAR 52.246-11
OTHER (Describe in Block 8)
8. REMARKS
NAME: Murrison, Ray D
DATE: 20 AUG 2026
Office: GUEA
- At their discretion, gov't agency will review ATPs used in production testing. - Configuration: Overall to Dwg, No Damage, Clean Finishes and Threaded holes, No Seal material chips, around sockets or pins. - Complete Certs Package; Materials, Components, Vendor Inspection, Tests Results. - Marking; Correct, Readable
- Packaging; Protective Caps, Individually Packaged, Sufficient Padding, Inner/Outer Package Markings Correct, Sufficient Outer Package Protecting Cables, Addressed Correctly
- Any FA or Production discrepancies Noted and Corrected
INFO:
PN: 47C530433G1
Noun: Power Supply Assy - Radar Range Simulator
Function: Power Supply within the RRS Chassis Assembly.
CAGE: 98747
NHA: 47E527343G2
Approximate Size: 4.9 x 5.6 x 4.0 inches
ESD Sensitive: No
T.O. Numbers: 11N-TRV5392-2
ES Code: 47
8a. OZONE DEPLETING SUBSTANCES (ODS)
X STATEMENT
"I HAVE REVIEWED THE REQUIREMENT, INCLUDING AVAILABLE TECHNICAL DOCUMENTATION, AND BELIEVE THAT IT DOES NOT REQUIRE THE CONTRACTOR USE CLASS I OZONE DEPLETING SUBSTANCES (ODS) IDENTIFIED IN AIR FORCE POLICY, NOR IS IT WRITTEN SO THAT IT CAN
ONLY BE MET BY THE USE OF A CLASS I ODS."
WAIVER (SEE DAFFARS 5323.8)
NOTE: Quality provisions as annotated hereon will not be downgraded without Technical Authority coordination. The Technical Authority must be notified if award selection is made to a new source using Acquisition Method Code (AMC) 3, 4, or 5.
9. QUALITY PRE-AWARD SURVEY
YES
X NO
10. CODES
11. SIGNATURE OF TECHNICAL AUTHORITY
NEW SOURCE
A. I&A
Murrison, Ray D
PREVIOUS SOURCE
ORGANIZATION / SYMBOL
AFMC PARTICIPATION
RECOMMENDED
B. CQR
414 SCMS / GUEA
C
PHONE
DATE
801-775-2147 / 775-2147
31 AUG 2026
AFMC FORM 807, 20230130
Prescribed by: AFMCI20-102
PREVIOUS EDITION IS OBSOLETE
Generated by PRPS using Jasper Reports on 02 Nov 2026
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