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A PDF document (84 KB) attached to Magnetic Contactor, from the Department of the Air Force. Due Nov 21, 2026, 4:30 AM (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
6110010432504AH
3. POINT OF INSPECTION
SOURCE
4. POINT OF ACCEPTANCE
DESTINATION
SOURCE
X
DESTINATION
X
SEE DFARS 246.402
5. ITEM MANAGER / PHONE
Banks, Martez D
/ 801-777-7335
6. EQUIPMENT SPEC / PHONE
Armstrong, Kurt
/ 801-777-4777
7. CONTRACT QUALITY REQUIREMENTS/SPECIAL INSPECTION REQUIREMENTS
CERTIFICATE OF CONFORMANCE
FAR 52.246-15
HIGHER LEVEL CONTRACT QUALITY REQUIREMENTS
X CONTRACT RESPONSIBILITY FOR INSPECTION
FAR 52.246-15
STANDARD INSPECTION
FAR 52.246-2,-3,-4,-5 OR -6 AS APPLICABLE TO CONTRACT
FAR 52.246-11
COMMERCIAL ITEM INSPECTION
FAR 52.212-4
OTHER (Describe in Block 8)
8. REMARKS
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
X NEW SOURCE
11. SIGNATURE OF TECHNICAL AUTHORITY
A. I&A
Hancey, Brett D
PREVIOUS SOURCE
ORGANIZATION / SYMBOL
AFMC PARTICIPATION
RECOMMENDED
B. CQR
414 SCMS / GUEAC
B
PHONE
DATE
801-775-4929 / 775-4929
01 SEP 2026
AFMC FORM 807, 20230130
Prescribed by: AFMCI20-102
PREVIOUS EDITION IS OBSOLETE
Generated by PRPS using Jasper Reports on 16 Sep 2026
Version 4
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