A002 CDRL CAL-30 KVA Oil Air Pressure Sets.pdf

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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.

TBD

B. Exhibit

A

C. Category: TDP ( ) TM ( ) OTHER (XX)

D. System/Item

MQ-4C – 30 KVA OIL PRESSURE SERVICE SET–

P/N 3673310G01075-9 & 30 KVA AIR PRESSURE

TEST SET—P/N 3673310M01127-301

E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A002

2. Title of Data Item

Calibration Certificate

3. Subtitle

N/A

4. Authority (Data ID No.)

DI-NDTI-80809B See Block 16

5. Contract Reference SOW Para. 3.2

6. Requiring Office

NAVAIR LKE, UAS SE BR, BL24100

7. DD 250 REQ

LT

9. Dist. Statement Req.

“D”

10. Frequency

ASREQ

See Block 16

12. Date of first submission

See Block 16

14. Distribution

8. APPCODE

N/A

11. As of Date N/A

13. Date of Subsequent Submission See Block 16

Address Dr aft

Reg Tape

16. Remarks Block 4: Contractor format acceptable. Use DID for guidance. luis.e.figueroa-toro.civ@us.navy.mil

Block 9: Use Distribution Statement D. Distribution authorized to DoD and DoD elizabeth.a.reid16.civ@u s.navy.mil

Contractors only, (30 January 2007) other U.S. requests shall be referred to Commanding michael.j.klavens.civ@ us.navy.mil

Officer, Naval Air Warfare Center, Aircraft Division, Lakehurst, NJ 08733-5000 maureen.e.gearity.civ@u s.navy.mil

Blocks 10, 12: A Calibration Certificate shall be shipped with each unit.

It shall be placed in a plastic pouch/bag/envelope and secured to the item using a zip tie or similar temporary fastening device.

Block 13: An electronic copy of each Calibration Certificate shall also be distributed within 15 days of actual hardware delivery for each unit.

Block 14: Delivery Media: Distribution of data shall conform to Electronic Media Compatible with MS Word or MS-Excel or PDF. Calibration Certificates shall be emailed to the following individuals:

Luis E. Figueroa-Toro at luis.e.figueroa-toro.civ@us.navy.mil Elizabeth (Lizzy) Reid at elizabeth.a.reid16.civ@us.navy.mil

Michael Klavens at michael.j.klavens.civ@us.navy.mil Maureen Gearity at maureen.e.gearity.civ@us.navy.mil

TOTAL 4

G. Prepared By

Jennifer M. Etri

H. Date

I. Approved By

Alyne M. Corrigan

J. Date

17. Price Group 18. Estimated Total Price:

mailto:luis.e.figueroa-toro.civ@us.navy.mil mailto:luis.e.figueroa-toro.civ@us.navy.mil mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:michael.j.klavens.civ@us.navy.mil mailto:michael.j.klavens.civ@us.navy.mil mailto:maureen.e.gearity.civ@us.navy.mil mailto:maureen.e.gearity.civ@us.navy.mil mailto:luis.e.figueroa-toro.civ@us.navy.mil mailto:elizabeth.a.reid16.civ@us.navy.mil mailto:michael.j.klavens.civ@us.navy.mil mailto:maureen.e.gearity.civ@us.navy.mil

DD FORM 1423-1, JUN 90 PREVIOUS EDITION ARE OBSOLOTE PAGE (1) OF (1)