12260 SOW.docx

I

Performance-Based Work Statement (PWS)

HYDROSTATIC & requalification Compressed Gas Cylinders TESTING SERVICES

U.S AIR FORCE

309 commodities maintenance group (309 CMXG) 531 CMMXS

5/28/2024 i

TABLE OF CONTENTS

3 GENERAL INFORMATION….…………………………………………………………….2

4 APPENDICES………………………………………………………………………………2

DESCRIPTION OF SERVICES

Contractor shall perform hydrostatic testing and requalification of compressed gas cylinders in accordance with the Code of Federal Regulations Title 49 (Subtitle B, Chapter I) and Compressed Gas Association (CGA) pamphlets CGA C-1, C-5, C-6, C-6.1, C-6.2, and C-8, as applicable. The work will be performed at the contractor’s facility in support of the 309th Commodities Maintenance Group (309 CMXG) at Hill Air Force Base (AFB), Utah.

BASIC SERVICES

The contractor shall receive, transport, inspect, test, stamp, and return the cylinders, Wheeled Unit-Part Number (PN) 07351 and Accumulator Bottle- (PN) 23711999 to Hill AFB within 14 business days.

Transfer of cylinders to/from contractor custody shall occur at Hill AFB, 7226 Southgate Ave, building 257.

Contractor shall properly mark and provide valve head rings for each requalified cylinder.

Contractor must possess a current Department of Transportation (DOT) issued Renewable Identification Number (RIN) stamp and be certified to requalify the following cylinder types:

2.4.1 Cylinder type: DOT 4BW240

· Cylinder capacity: 150 lb WC

· Service pressure: 240 psig

· Height: approx. 33”

· Diameter: approx. 19”

· Cylinder thread type: 2x8 (unknown specification); valve port is not centered on cylinder axis

· Test type: water jacket or direct expansion per CGA pamphlet C-1

· Test pressure: 480 psig

· Permanent volumetric expansion: 10% maximum

2.4.2 Cylinder type: N/A – no DOT specification (similar to DOT 3AA, but with welded seams)

· Cylinder capacity: 100 cu in

· Service pressure: 3000 psig

· Height: approx. 14”

· Diameter: approx. 4”

· Cylinder thread type: 1-5/16x12 UNJ-3B

· Test type: water jacket or direct expansion per CGA pamphlet C-1

· Test pressure: 5000 psig

· Permanent volumetric expansion: 10% maximum Contractor shall not repair or dispose of damaged/condemned cylinders unless specifically authorized by 309 CMXG Process Engineering (PE).

No minimum or maximum order quantity will be specified.

GENERAL INFORMATION

Government Furnished Property and Services Government Furnished Property will be identified and scheduled at the call level.

The cylinders will be identified at the call level on the Material Inspection and Receiving Report (DD250). The Contractor will complete the DD250 and return with completed cylinders for Government inspection and acceptance.

Agreement Changes: Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the Contracting Officer (CO).

Standard commercial warranty applies.

APPENDICES

Appendix A – Acronyms and Abbreviations

RIN Renewable Identification Number TO Technical Order

Appendix B- DD250 Material Inspection and Receiving Report image1.jpeg image2.emf

DD Form 250.pdf

DD FORM 250, AUG 2000

MATERIAL INSPECTION AND RECEIVING REPORT

PREVIOUS EDITION IS OBSOLETE.

Form Approved OMB No. 0704-0248

The public reporting burden for this collection of information is estimated to average 30 minutes 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0248). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

SEND THIS FORM IN ACCORDANCE WITH THE INSTRUCTIONS CONTAINED IN THE DFARS, APPENDIX F-401.

1. PROCUREMENT INSTRUMENT IDENTIFICATION

(CONTRACT) NO.

ORDER NO.

2. SHIPMENT NO. 3. DATE SHIPPED 4. B/L

TCN

5. DISCOUNT TERMS

6. INVOICE NO./DATE 7. PAGE OF 8. ACCEPTANCE POINT

9. PRIME CONTRACTOR CODE 10. ADMINISTERED BY CODE

11. SHIPPED FROM (If other than 9) CODE FOB: 12. PAYMENT WILL BE MADE BY CODE

13. SHIPPED TO CODE 14. MARKED FOR CODE

15.

ITEM NO.

16. STOCK/PART NO. DESCRIPTION

(Indicate number of shipping containers - type of container - container number.)

17. QUANTITY

SHIP/REC'D*

* If quantity received by the Government is the same as quantity shipped, indicate by (X) mark; if different, enter actual quantity received below quantity shipped and encircle.

18.

UNIT

19.

UNIT PRICE

20.

AMOUNT

21. CONTRACT QUALITY ASSURANCE

a. ORIGIN

CQA ACCEPTANCE of listed items has been made by me or under my supervision and they conform to contract, except as noted herein or on supporting documents.

DATE SIGNATURE OF AUTHORIZED

GOVERNMENT REPRESENTATIVE

TYPED NAME:

TITLE:

MAILING ADDRESS:

COMMERCIAL TELEPHONE

NUMBER:

b. DESTINATION

CQA ACCEPTANCE of listed items has been made by me or under my supervision and they conform to contract, except as noted herein or on supporting documents.

DATE SIGNATURE OF AUTHORIZED

22. RECEIVER'S USE

Quantities shown in column 17 were received in apparent good condition except as noted.

DATE RECEIVED SIGNATURE OF AUTHORIZED

23. CONTRACTOR USE ONLY

contract_no:

order_no:

2_SHIPMENT_NO:

3_DATE_SHIPPED:

B/L:

TCN:

5_DISCOUNT_TERMS:

6_INVOICE_NODATE:

page:

of_pages:

8_ACCEPTANCE_POINT:

prime_contractor:

code9:

administered_by:

code_10:

shipped_from:

code11:

fob11:

payment_by:

code12:

shipped_to:

code_13:

marked_for:

code_14:

item_1a:

item_1b:

description1:

quantity1:

xqty1: Off unit1:

unitprice1:

amount1:

item_2a:

item_2b:

description2:

quantity2:

xqty2: Off unit2:

unitprice2:

amount2:

item_3a:

item_3b:

description3:

quantity3:

xqty3: Off unit3:

unitprice3:

amount3:

item_4a:

item_4b:

description4:

quantity4:

xqty4: Off unit4:

unitprice4:

amount4:

item_5a:

item_5b:

description5:

quantity5:

xqty5: Off unit5:

unitprice5:

amount5:

item_6a:

item_6b:

description6:

quantity6:

xqty6: Off unit6:

unitprice6:

amount6:

xcqa21a: Off xaccept21a: Off date21a:

name21a:

title21a:

address21a:

phone21a:

xcqa21b: Off xaccept21b: Off date21b:

name21b:

title21b:

address21b:

phone21b:

date22:

name22:

title22:

address22:

phone22:

ctr_use:

Reset:

app: Adobe Professional 8.0