1.03_DD Form 1423 A00010_Shaft Inspection Report.pdf

PDF 72 KB Posted

Attached to
Procurement of VA Class Submarine Main Shaft
Solicitation number
N0010421RFB15
Issued by

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S/N 0102-LF-010-5600

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

SHAFT,SUBMARINE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A00010

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

SHAFT INSPECTION REPORT

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (RIR)

5. CONTRACT REFERENCE

TDP: PARA 3

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION ASREQ

DATE: N/A

Number of Days: 0

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

DATE: N/A

Number of Days: 0

13. DATE OF SUBSEQUENT SUBMISSION

ASREQ

DATE: N/A

Number of Days: 0

Draft Final

Reg Repro

16. REMARKS

<Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

Blocks 12 and 14 - Inspection Reports shall be provided on CD.

CD mailed to:

NAVSUP WSS N97121A.

5450 Carlisle Pike Suite 311-WS-85 Mechanicsburg, PA 17055

Approval will be in the form of NAVSEA Certified Letter.

After NAVSEA approval of the Report, the NAVSEA Certified Letter shall be submitted in WAWF for acceptance.

Enter in WAWF as follows:

&quot;Ship to&quot; N00104 &quot;Inspect by&quot; S4306A &quot;Accept by&quot; N00104 and e-mail notification field: DCMA QAR & kyle.rhoades@navy.mil

No material is to be shipped prior to the receipt of Acceptance.>

NAVSUP WSS 0 1 0

DCMC QAR 0 1 0

15. Total 0 2 0

G. PREPARED BY

8322V

H. DATE

2020-09-23

I. APPROVED BY

Ryan Orzell

J. DATE

2020-09-23

DD Form 1423-1, JUN 90 Page 10 of 14 Page(s)

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