0112-9616 CDRLs.pdf

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Attached to
Lower Rudder Stock Sleeve Federal contract opportunity
Solicitation number
SPMYM220Q1942
Issued by
Defense Logistics Agency Land and Maritime

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SPMYM2-20-Q-1942-0001.pdf PDF
SOLE SOURCE_Redacted.pdf PDF
SPMYM2-20-Q-1942.pdf PDF
01129614-01115-0112-9614 Ordering Data.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.

Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

MISC

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

CERTIFICATION/DATA REPORT

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 0112-9615

15. Total 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Mize, Jordan 4/23/2020 /s/ Gilger, Frank R. 4/23/2020

DD FORM 1423-1, JUN 90 (EG)

0002AA A

A001

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP ______ TM ________ OTHER___NDTI/MISC_________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

3. SUBTITLE

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT

4. AUTHORITY (Data Acquis ition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

N4523A 0 1 0

15. TOTAL 0 1 0

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

07DAC 14. DISTRIBUTION

a. ADDRESSEE b. COPIES

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft Final

Reg Repro

16. REMARKS

Block 4 - Tailored to allow vendor to provide only 10.2.4.

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

Document number: 0112-9616

N4523A

0 1 0

15. TOTAL

G. PREPARED BY

/S/ Mize, Jordan

H. DATE

23-Apr-20

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

23-Apr-20

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/A

0002AB B

A002

A002 mailto:ddpw_wawf_group.fct@navy.mil

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704- 0188). Respondents should be aware that notwithstanding any other provis ion of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP ______ TM ________ OTHER___MISC_________

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

DI-MISC-80678

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

a. ADDRESSEE b COPIES

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.

Document number: 0112-9617

16. TOTAL

G. PREPARED BY

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

4/23/2020

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

0002AC C

A003

A003

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.

Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

NDTI

TEST/INSPECTION REPORT

LIQUID PENETRANT (PT) TEST

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: 0112-9618

Page 1 of 1 Pages

0002AD D

A004

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.

Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

MISC

WELDABILITY CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: 0112-9619

0002AE E

A005

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

WELDING PERSONNEL QUALIFICATIONS

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any welding.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any welding.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

WELDING PERSONNEL QUALIFICATIONS

PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

12. DATE OF FIRST SUBMISSION

07DAC

14. DISTRIBUTION

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Personnel Qualifications Report prior to performance of any welding.

performance of any welding.

Document number: 0112-9620

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

0002AF F

A006

A006

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

WELDING PROCEDURE QUALIFICATION TEST REPORT

WELDING PROCEDURE

DI-MISC-80876

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Welding Procedure Qualification Test Report unless proof of prior acceptance by NAVSEA Activity.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any welding.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

WELDING PROCEDURE QUALIFICATION TEST

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Welding Procedure Qualification Test Report prior to performance of any welding.

Document number: 0112-9621

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/A

0002AG G

A007

A007

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

WELD REPAIR CERTIFICATION

DI-NDTI-80809B

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

n/a Draft

Final

Reg Repro

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 – Submit documentation per DI-NDTI-80809B stating weld repairs performed.

Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

WELD REPAIR CERTIFICATE OF COMPLIANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

SEE BLOCK 16 14. DISTRIBUTION

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.

Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document no.: 0112-9622

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/A

0002AH H

A008

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

RADIOGRAPHY (RT) TEST PROCEDURES REPORT

DI-NDTI-80603A

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

N?AReg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

RADIOGRAPHY (RT) TEST PROCEDURES

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

a. ADDRESSEE b COPIES

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.

Document number: 0112-9623

G. PREPARED BY

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

N/A

0002AJ

A009

J

A009

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

RADIOGRAPHY TEST (RT) PERSONNEL

QUALIFICATIONS REPORT

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to material shipment

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

RADIOGRAPHY TEST (RT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

12. DATE OF FIRST SUBMISSION

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Personnel Qualifications Report prior to performance of any test.

Document number: 0112-9624

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

0002AK K

A010

A010

Type text here

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.

Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

NDTI

RADIOGRAPHY FILM AND TEST

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: 0112-9626

0002AL L

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Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t io n, i nc luding s ug ge s t io ns f or re duc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

3. SUBTITLE

RADIOGRAPHIC SHOOTING SKETCHES (RSS)

DI-MISC-80678 (RSS)

PURCHASING ACTIVITY

7. DD 250 REQ

DD

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 4/23/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior acceptance by NAVSEA Activity.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

RADIOGRAPHIC SHOOTING SKETCHES (RSS)

PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquis ition Document No.)

DI-MISC-80678 (RSS)

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

12. DATE OF FIRST SUBMISSION

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Radiographic Shooting Sketches

Document number: 0112-9627

G. PREPARED BY

/S/ Mize, Jordan

H. DATE

4/23/2020

I. APPROVED BY

/S/ Gilger, Frank R.

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

0002AM M

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File details come from the government source that posted it. Updated .