3 - POM_CONST_Submittals.pdf
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- W91QF4-25-B-0001
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The Material Approval Submittal form is a TRADOC Regulation 715-3 document used by contractors to certify material compliance with contract specifications. The form provides a structured template for contractors to submit material details for government review and approval, with sections for contract number, submission type (new or resubmit), item specifications, material descriptions, and approvals. It includes checkboxes for government personnel to mark approval status and spaces for signatures at various review stages. The form is designed to track and document the material approval process, with columns for specification details, material descriptions, and government approval actions.
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[ ] NEW [ ] RESUBMIT
ITEM SPECIFICATION SECJ AP- DISAP- SEE INITIAL
No PARA. NO./DWG. NO. PROVED PROVED REVERSE
TYPE OR PRINT NAME TITLE
TYPE OR PRINT NAME AND GRADE
TYPE OR PRINT NAME AND GRADE
TYPE OR PRINT NAME AND GRADE
TRADOC FORM 928-R, Nov 91
TO:
[ ] Approved [ ] Disapprove as indicated Above and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved.
items Within _______________ Days of Date Shown Below.
DATE SIGNATURE
TO:
DATE SIGNATURE
Recommend [ ] Approval [ ] Disapproval as indicated Above and Subject to Any Applicable Comments on the Reverse
TO:
FOR GOVERNMENT USE ONLY
For Evaluation and Action
DATE SIGNATURE
MATERIAL APPROVAL SUBMITTAL
TRADOC Reg 715-3
BY COMPLETEING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT
THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.
DATE
PREVIOUS SUBMISSION NUMBER PROJECT NUMBER
SUBMITTALSUBMISSION NUMBER
DESCRIPTION OF MATERIAL
DATE SIGNATURE
TO: (Contracting Officer) FROM: (Contractor)
TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY
(Include Type, Model Number, Catalog Number, Mfg., etc.)
CONTRACT NUMBER
(for Digital Signature)
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