5343VL25 A004 CDRL_Hydrostatic_Test_Report_Material_Test - Signed.pdf
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- Attached to
- Demineralizer
- Solicitation number
- N4523A26Q4033
About this file
This is a Contract Data Requirements List (CDRL) form (DD Form 1423-1) that specifies contractual deliverables for a demineralizer procurement.
The contractor must deliver a single data item: a Test/Inspection Report (Data Item A004) documenting a Hydrostatic Test Report for equipment designated 5343VL25. The report is required under Technical Specification Sheet paragraph 3.4.1 as referenced in contract DI-NDTI-80809B*. The requiring office is PSNS & IMF, Code 2305.3. The final Hydrostatic Test Report must be submitted to the Government within 15 working days after government acceptance of the draft report and prior to shipment of the demineralizer. The contractor shall first submit a draft report to the PSNS & IMF Contract Representative for evaluation and approval, with the Government providing written acceptance or rejection within five working days of receipt. The final report must be delivered in electronic PDF format via email to PSNSINF-MATERIAL.FCT@NAVY.MIL with the subject line beginning with the contract/PR number. A hard copy of the final report shall also be included with each demineralizer shipment. Distribution requirements specify two copies to PSNS & IMF C2305.3 and one copy to PSNS & IMF C2310.3. The form was prepared on March 27, 2026, and approved on March 30, 2026.
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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved 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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
Reg Repro
16. REMARKS
15. TOTAL ▬▬▬▬►
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages
| A CONTRACT LINE ITEM NO: TBD |
| B EXHIBIT: A |
| D SYSTEMITEM: Demineralizer |
| E CONTRACTPR NO: TBD |
| F CONTRACTOR: TBD |
| 1 DATA ITEM NO: A004 |
| 2 TITLE OF DATA ITEM: Test/Inspection Report* |
| 3 SUBTITLE: Hydrostatic Test Report |
5343VL25
| 17 PRICE GROUP: | |
| 4 AUTHORITY Data Acquisition Document No: DI-NDTI-80809B* | |
| 5 CONTRACT REFERENCE: Technical Specification Sheet para. 3.4.1 | |
| 6 REQUIRING OFFICE: PSNS & IMF Code 2305.3 | |
| 7 DD 250 REQ: XX | |
| 8 APP CODE: A | |
| 9 DIST STATEMENT REQUIRED: A | |
| 10 FREQUENCY: ASREQ* | |
| 12 DATE OF FIRST SUBMISSION: ASREQ* | |
| 11 AS OF DATE: N/A | |
| H DATE: 3/27/2026 | |
| a ADDRESSEE16 REMARKS: PSNS & IMF C2305.3 | |
| Draft16 REMARKS: 0 | |
| Reg16 REMARKS: 2 | |
| Repro16 REMARKS: 0 | |
| a ADDRESSEE16 REMARKS_2: PSNS & IMF C2310.3 | |
| Draft16 REMARKS_2: 1 | |
| Reg16 REMARKS_2: 1 | |
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| Draft15 TOTAL: 1 | |
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| J DATE: 3/30/2026 | |
| 18 ESTIMATED TOTAL PRICE: | |
| Repro15 TOTAL: 0 | |
| Pages: 1 | |
| Page: 1 | |
| 2026-03-27T08:46:37-0700 | |
| DRUSCHKE.KARL.E.1161638567 |
| 2026-03-30T09:42:53-0700 | |
| FLORES.MANUEL.B.1161645229 |
| 13 DATE IF SUBSEQUENT SUBM: N/A |
| Remarks: BLOCK 4: The contractor is only required to provide data associated with the selected portions of DI-NDTI-80809B in conjunction with the contract. |
BLOCK 10 & 12: The final Hydrostatic Test Report shall be provided to the Government within 15 working days after government acceptance of the draft prior to shipment of the Demineralizer procured under this contract.
BLOCK 14: The Government requires at least five working days for evaluation and acceptance of the (draft) Hydrostatic Test Report. The Hydrostatic Test Report shall be evaluated and approved by PSNS & IMF prior to the contractor beginning shipment of the Demineralizer. Government acceptance of the (draft) Hydrostatic Test Report fulfills the contract reference requirements delineated herein.
The contractor shall provide the (draft) Hydrostatic Test Report to the PSNS & IMF Contract Representative; the government will evaluated the draft and provide acceptance/rejection via reply-to-all with in five working days of receipt.
The final copy of the Hydrostatic Test Report shall be submitted in PSNS & IMF in electronic (PDF) format using the email address below. Ensure the email subject title and its attached files begin with the "CONTRACT/PR NO." (BLOCK E).
PSNSIMF-MATERIAL.FCT@NAVY.MIL
A hard copy of the (final) Hydrostatic Test Report shall also be included with each Demineralizer shipment under this contract.
DOCUMENT NO: 5343VL25
| C CATEGORY TDP TM OTHER: NDTI |
| TM: |
| TDP: |
File details come from the government source that posted it. Updated .