7. CDRL A001- Calibration Certificate__Redacted.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

TBD A

QCIC

Single-CMM Dryer / Filter N64267-25-R-XXXX TBD

A001 CALIBRATION CERTIFICATION Calibration Report with Data

DI-QCIC-80798C (See Block 16) NAWCAD BL31400

LT

N/A A

(See Block 16)

N/A

(See Block 16)

N/A 0 1 0

NAWCAD BL31400

0 1 0

NAWCAD AA1420

0 1 0

NAWCAD BL31400

Copies with each uni 0 1 0

0 4 0

Block 4/5: DI-QCIC-80798C and SOW paragraph 5.3.2 shall be used as guidance and are provided for reference. Information items in DI-QCIC-80798C that are not relevant to the procured unit do not need to be included in format. Actual calibration data should be contained in the calibration report related to the certificate.

Block 9: DISTRIBUTION Statement "A" will be added in accordance with DoD Directive 5230.24. Distribution Statement A. Distribution authorized to U.S.

Government Agencies and their contractors to protect publications required for official use or for administration or operational purposes only. (31 Oct. 2023).

Other requests for this document shall be referred to NAWCAD Metrology and Calibration Office, ATTN: Calibration Standards Manager, NAWCAD, NAS Patuxent River, MD 20670-1118.

Block 10: Contractor shall provide the commercially available Calibration Certificate/Calibration Report with data, with each system delivered.

Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or MS Word. Electronic submission of data is also accepted on CD-ROM.

Quantity and copies shall be provided in accordance with (IAW) CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

Block 16: This CDRL refers only to the format of the Calibration Report printed by the calibration standards, it is not intended that the contractor run actual US Navy workload for calibration.

NAWCAD BL31400

JB MDL

Highway 547, Building Lakehurst, NJ 08733

NAVAIR Metrology and Calibration

NAWCAD BL31400

JB MDL

Highway 547, Building Lakehurst, NJ 08733

NAVAIR METCAL AA14200

Bldg 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670