5189-1225 CDRL 2.pdf

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Attached to
PIPE
Solicitation number
SPMYM225Q2196
Issued by

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This document is a Contract Data Requirements List (CDRL) for a hydrostatic test report related to a pipe contract. The CDRL (Document No. 5189-1225) specifies requirements for a test/inspection report with the data item number B001, issued under the authority DI-QCIC-82089. Key details include a distribution statement limited to DoD and DoD contractors for administration and operations purposes, effective 7/9/2025. The report must ensure traceability of the hydrostatic test to material via unique marking, and certification/data documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. The document was prepared by Nicholas B. Kistler and approved by Willie Leach on 7/9/2025, associated with a pipe-related contract opportunity from the Defense Logistics Agency Land and Maritime.

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SPMYM225Q2196 Amendments 2.pdf PDF
SPMYM225Q2196 Conform copy 2.pdf PDF
5189-1225 CDRL 1.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST 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:

TDP TM OTHER

NDTI

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

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

GROUP

TEST/INSPECTION REPORT

HYDROSTATIC TEST REPORT

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

TOTAL PRICE

DI-QCIC-82089 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: 2.a Ensure hydrostatic test report is traceable to material via unique marking.

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

Administration and operations only, effective 7/9/2025. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

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.: 5189-1225

15. Total 0

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

/s/ KISTLER, NICHOLAS B 7/9/2025 /s/ LEACH, WILLIE 7/9/2025

DD FORM 1423-1, FEB 2001

Page 1 of 1 Pages

0002AB B

PIPE

B001

SEE BLOCK 16
N4523A

File details come from the government source that posted it. Updated .