43113070 cdrl 1.pdf

PDF 449 KB Posted

Attached to
WASTEWATER STORAGE TANKS Federal contract opportunity
Solicitation number
SPMYM225Q0734
Issued by
Defense Logistics Agency Land and Maritime

About this file

This is a Contract Data Requirements List (CDRL) Form 1423-1 for a data item related to Polychlorinated Biphenyl (PCB) Certification for tanks. The document specifies requirements for certification and data reporting under contract line item 0002AA.

The CDRL requires the contractor to provide PCB certification documentation through the Wide Area Workflow (WAWF) e-Business Suite, with email notifications to be sent to PSNS.WAWFQACertifications.FCM@navy.mil. The certification must include specific values per procurement specifications and ensure traceability to materials via unique markings. Distribution is limited to DoD and DoD contractors only (Distribution Statement D). The document is effective November 8, 2024, and requires one final reproducible copy to be provided to addressee N4523A. Personnel qualifications and test procedures must be submitted and approved before testing when ordered as a separate contract line item. The certification will be accepted/rejected along with the corresponding material and not prior to shipment.

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AMENDED SOLICITATION SPMYM225Q0734.pdf PDF
43113070 cdrl 5.pdf PDF
43113070 cdrl 7.pdf PDF
43113070 cdrl 8.pdf PDF
43113070 cdrl 9.pdf PDF
43113070 cdrl 2.pdf PDF
43113070 cdrl 4.pdf PDF
43113070 cdrl 6.pdf PDF
SOLICITATION SPMYM225Q0734.pdf PDF
43113070 tech data.pdf PDF
43113070 cdrl 3.pdf PDF
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Text version

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget.

Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses.

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:

TDP TM OTHER

MISC

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

CERTIFICATION/DATA REPORT POLYCHLORINATED BIPHENYL (PCB)

CERTIFICIATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 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 Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 11/8/2024. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall 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.

Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. 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.: 4311-3070

15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Trung Luu C/900F.34 11/8/2024 /s/ R. Balter C/900F.32 11/8/2024

DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages

0002AA

TANKS

A

A001

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