3- TRADOC_928-R_Submittals.pdf

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Installation of Equipment- 13 Water Bottle Filling
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W91QF426BA009
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This is a Material Approval Submittal form (TRADOC Form 928-R, November 1991) used within the federal contracting process, specifically for Training and Doctrine Command (TRADOC) regulated material approvals under TRADOC Regulation 715-3.

The form is completed by contractors to submit materials for government approval and certifies that submitted materials comply with all specifications of the subject contract. Key fields include contract number, submission number, previous submission number, project number, and submission type (new or resubmit). Contractors must provide detailed descriptions of materials including type, model number, catalog number, and manufacturer information, organized by item number and corresponding specification/drawing references. The form contains a multi-row table allowing contractors to list multiple items requiring approval. Government evaluators check boxes indicating approval, disapproval, or request to see reverse side comments for each item. The contracting officer, contractor, and approving officials sign and date the form at designated signature blocks. The form includes spaces for evaluation and action, recommendation routing, and final approval or disapproval decisions. Disapproved items must be resubmitted within a specified number of days as indicated by the approving authority. This template serves as the standard submission mechanism for material compliance documentation in TRADOC-regulated federal contracts.

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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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