28B_2098-1290 LIQUID PENETRANT TEST (PT) REPORT CDRL.doc
DOC document 93 KB Posted
- Attached to
- SPHERICAL BEARING Federal contract opportunity
- Solicitation number
- SPMYM222Q1735
About this file
This document is a DD Form 1423-1 data item description outlining the requirements for a liquid penetrant test report to be delivered under contract number 2098-1290. The report must include test procedures, personnel qualifications when ordered separately, and test results. The distribution of the report is limited to the Department of Defense and contractors for administrative and operational purposes only. One electronic copy must be submitted through the Wide Area Workflow system to the Naval Sea Systems Command concurrent with delivery of the tested materials.
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Text version
Form Approved
(1 Data Item)
OMB No. 0704-0188
The 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 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 Directorate (0704-0188). 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 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: |
| 002902 |
| B |
| TDP |
TM
| OTHER NDTI |
| X |
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B001 |
| TEST/INSPECTION REPORT |
| LIQUID PENETRANT TEST REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-NDTI-80809B |
| TDP: Section 3 |
| 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 |
| Repro |
| 16. REMARKS |
| N4523A |
| 0 |
| 1 |
| 0 |
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g. 10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/23/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, must 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 documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No.: 2098-1290
| 15. Total |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| /s/ KNOWLES, BENJAMIN W |
| 5/23/2022 |
| /s/ LEACH, WILLIE |
| 5/23/2022 |
DD FORM 1423-1, FEB 2001
| Page |
| 1 |
| of |
| 1 |
| Pages |
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