A01- EX. C CDRL M914.pdf

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Attached to
Family of Extrudable C-4 Items
Solicitation number
W52P1J-18-R-0049
Issued by

About this file

This document package includes a Contract Data Requirements List (CDRL) and details of a related federal contract opportunity. The CDRL outlines fourteen required data items for a munitions procurement, including ammunition data cards, statistical process control plans, inspection procedures and reports, failure analyses, and engineering change proposals. Delivery dates and approval processes are specified for each item. The related opportunity is solicitation number W52P1J-18-R-0049 for various demolition charges including the M112, M58A4, M68A2, M59A1, M69A1, with the Department of the Army as the issuing agency. Relevant details include national stock numbers, part numbers, and Dodge Index codes for the required munition items.

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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 (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 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

A001 Ammunition Data Card (ADC) Data Input (ADC)

DI-MISC-80043B Section: C, MIL-STD-1168 AMSJM-QAO/P

XX

A B

ASREQ

N/A

ASREQ

ASREQ

WARP 1

Lot Shipment 1 Mail to Dest 1

0 3 0

BLK 12: Sample Ammunition Data Cards (ADCs) shall be submitted into the Munitions History Program (MHP) system and approved prior to First Article Testing (FAT) or initiation of production if FAT is not required. ADCs shall be prepared IAW MIL-STD-1168 by accessing the data repository system WARP on the Munitions History Program website at https://mhp.redstone.army.mil/. For assistance, please contact WARP helpdesk 256-313-2143

Government will reply within 10 working days of submission from GARA.

BLK 10/13: ADC shall be submitted with each lot.

Hard copy ADC provided with lot shipments shall be generated from the WARP and signed/dated by the Government Agency Responsible for Acceptance (GARA).

Producers and their vendors are required to use the Critical Characteristics Module in WARP to report critical characteristics occurrences as applicable.

20 Feb 19

Adobe Professional 7.0

(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 (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 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

A002 Statistical Process Control (SPC)

DI-MGMT-81987 Section: E AMSJM-QAO/P

LT

A D

ONE/R

N/A

150DAC

ASREQ

PCO 0 1 0

PQM 1

NSWC Crane (JXRT) 1

QAR 1

0 4 0

BLK 12: AIE must be approved prior to SPC submission. General and Detailed SPC plan approval is required prior to first article test (FAT), or initiation of production if FAT is not required. The Government requires 30 days for review. Disposition of the general and detailed sections will be provided through the procuring contracting officer (PCO).

BLK 13: If further revisions are necessary, the contractor shall have 15 days to provide revisions and the Government shall review and provide disposition within 15 calendar days of receipt.

Detailed SPC plan shall include, at a minimum: Sample size and frequency of sampling, contractor reaction point and reaction plan, detailed rationale for excluding specific characteristics from SPC and detailed charting analysis/methodology to be used.

BLK 14: Submit via email to all addressees and usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

A003 Quality Program Plan

DI-QCIC-81722 Section: E AMSJM-QAO/P

LT

A D

ONE/R

N/A

ASREQ

ASREQ

PCO 1

PQM 1

NSWC Crane (JXRT) 1

QAR 1

0 4 0

BLK 12: Quality Program Plan (QPP) shall be approved prior to initiation of FAT. The Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Approval is required prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting Officer (PCO).

BLK 13: Submit updates/revisions for review and approval prior to implementation.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

A004 Test Procedure First Article Test Plan and Procedures

DI-NDTI-81307A Section: E AMSJM-QAO/P

LT

A D

ASREQ

N/A

ASREQ

ASREQ

PCO 1

PQM 1

NSWC Crane (JXRT) 1

QAR 1

0 4 0

BLK 12: First Article Test Plans shall be approved prior to initiation of FAT. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Disposition will be provided by the procuring contracting officer (PCO). Approval of the plan shall be obtained prior to

FAT.

First Article Test Plan shall include, at a minimum: A summary of testing to be performed, with all applicable specification and drawing references cited, a summary and rationale for any analysis identified in requirement in TDP but excluded from test plan, contractor marked drawings, contractor inspection record sheets, reference to approved AIE gages, test/analysis methodology to be employed and sample size to be tested/analyzed (to include rationale as to why sample size differs from sample size identified in TDP when applicable).

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

A005 Test/Inspection Report First Article Test Report (FATR)

DI-NDTI-80809B Section: E AMSJM-QAO/P

LT

A D

ASREQ

N/A

ASREQ

ASREQ

PCO 1

PQM 1

NSWC Crane (JXRT) 1 Thru QAR 1

0 4 0

FAT report shall include, at a minimum: results of ALL dimensional analysis, all destructive and non-destructive test results, all material certifications and summary of any/all failures.

BLK 12: The First Article Test report shall be submitted with QAR findings on DD Form 1222. The FATR shall be submitted no later than 30 days after completion of the FAT. The Government requires 30 days for review. Disposition of the FAT report will be provided through the Procuring Contracting Officer.

If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. PCO approval of the FATR shall be obtained prior to start of production.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

MGMT

A006 Test Procedure Production Acceptance Inspection and Test Procedure

DI-NDTI-80603A AMSJM-QAO/P

LT

A D

ASREQ

N/A

SEE BLK 16

SEE BLK 16

PCO 1

NSWC Crane (JXRT) 1

QAR 1

0 3 0

BLK 10- See CDRL MATRIX

BLKS 8, 12 & 13:

Procedures shall be approved prior to production of FAT sample, or prior to initiation of production if FAT is not required.

Request to Restart Operations:

Contractor shall submit to Government for approval and will receive response within 3 business days of receipt.

BLK 14: Submit to all addressees via e -mail.

(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 (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 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

A007 Test/Inspection Reports Lot Acceptance Test Report

DI-NDTI-80809B Section: E AMSJM-QAO

NO

B

ASREQ

N/A

30DATC

ASREQ

WARP 1

thru NSWC (JXRT) 1

QAR 1

0 3 0

BLK 10/12: Lot Acceptance Test Reports (LATRs) shall be submitted for each lot and contain full lot acceptance test results including, but not limited to dimensional analysis, destructive and non-destructive test results. LATRS shall be submitted within 30 calendar days of lot acceptance.

BLK 14: LATRs shall be submitted by accessing the worldwide ammunition data card repository program which is located on the munitions history program website at https://mhp.redstone.army.mil/. LATR shall be submitted via electronic means to JXRT.

** LATR will be reviewed by both JXRT and QAR. DD-250 acceptance will not occur without report approval from JXRT and QAR

(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 (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 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

A008 Engineering Change Proposal (ECP)

DI-SESS-80639D Section: C NSWC (JXRT)

LT

A D

ASREQ

N/A

ASREQ

ASREQ

NSWC (JXRT) 1

PCO 1

QAR 1

0 3 0

BLK 10/12/13: As applicable, the contractor shall prepare and submit an ECP on DD form 1692. DD Form 1692 is located at http://www.dtic.mil/whs/directives/forms/index.htm.

BLK 14: DD Form 1692 shall be submitted electronically to distribution list.

Shall be numbered serially with the number constructed as follows:

a. Last 4 digits of contract

b. E C. Sequential serial number starting with 0001.

Example: 0756E0001

Submit text files in Government compatible Microsoft Word and view files in Government compatible Adobe Acrobat. For drawings submit PDF view files in Government compatible Adobe Acrobat.

(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 (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 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

A009 Request For Variation (RFV)

DI-SESS-80640D Section: C NSWC Crane (JXRT)

LT

A D

ASREQ

N/A

ASREQ

ASREQ

Thru QAR 1

NSWC (JXRT) 1

PCO 1

0 3 0

BLK 4: Delete para 2, submit RFV on DD Form 1694, and include in the content of the RFV adequate data/analysis/testing to support the request.

BLK 10: for NAVY drawings enter "DOD-STD-2101"

Shall be numbered serially with the number constructed as follows:

a. Last 4 digits of contract

b. V C. Sequential serial number starting with 0001.

Example: 0756V0001

(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 (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 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

A010 Failure Analysis Failure Analysis and Corrective Action report

DI-SESS-80255A Section: E AMSJM-QAO/P

LT

A D

ASREQ

N/A

ASREQ

ASREQ

QAR 1

PQM 1

PCO 1

NSWC Crane (JXRT) 1

0 4 0

BLK 10/12/13: Contractor shall notify the the addressee list in block 14 via email within 24 hours after the occurrence of a failure during acceptance testing, including but not limited to, any failures during FAT/LAT and any destructive/nondestructive test failures. Formal submittal shall be no later than 10 days after reported failure. Final report shall be submitted no later than 30 days after determining/conducting root cause/failure analysis.

The Government will provide a response within 15 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15calendar days to provide revisions. Disposition will be provided by the procuring contracting officer (PCO).

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

A011 OPSEC OPSEC PLAN

DI-MGMT-80934C

DD

A D

ONE/R

N/A ASREQ

JMC OPSEC 1

PCO 1

0 2 0

10 Calendar days required for USG review and approval. Due 30 days after PCO provides list of known critical information (CI)/threat information.

(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 (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 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

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

A012 Special Inspection Equipment (SIE) Drawings, Models and Associated Lists

3. SUBTITLE

Design Documentation (Minor Characteristics

DI-SESS-81004E Section: C, MIL-STD-1168 AMSJM-QAO/P

LT

A D

ASREQ

N/A

ASREQ

ASREQ

Thru QAR 1 NSWC Crane (JXRT) 1 NSWC Corona (MS22) 1 NSWC Corona (Fbk) 1

0 4 0

BLKs 4, 8, 10, 12: Drawings shall be provided in contractor format. All contractor acceptance inspection equipment designs for those characteristics classified as "minor" shall be submitted through the QAR for review and approval. Government will respond within 30 days.

(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 (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 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

MGMT

A013 Special Inspection Equipment (SIE) Drawings, Models and Associated Lists

Design Documentation (Major Characteristics)

DI-SESS-81004E AMSJM-QAO/P

LT

A D

ASREQ

N/A

SEE BLK 16

SEE BLK 16

Thru QAR 1

PCO 1

NSWC Crane (JXTR) 1 NSWC Corona (MS22) 1 NSWC Corona (FLBK) 1

0 5 0

BLK 8, 10, 12, 14- Drawings shall be provided in contractor format. All contractor special acceptance inspection equipment operating instructions for those acceptance inspection equipment designs for major or critical characteristics shall be submitted to distribution identified in BLK 14. NSWC Crane will provide approval/disapproval recommendation to PCO within 30 days.

20 Feb 2019

(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 (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 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

MGMT

A014 Measurement System Evaluation (MSE) Special Inspection Equipment (SIE) Operating Instructions

DI-QCIC-81960 AMSJM-QAO/P

LT

A D

ASREQ

N/A

As Req

As Req Thru QAR 1

PCO 1

NSWC Crane (JXTR) 1 NSWC Corona (MS22) 1 NSWC Corona (FLBK) 1

0 5 0

BLK 8, 10, 12, 14-

All contractor's SIE operating instructions for those Acceptance Inspection Equipment designs for characteristics classified as "minor" shall be submitted for review and approval to the QAR. Government will respond within 30 days.

All contractor's SIE operating instructions for those Acceptance Inspection Equipment designs for characteristics classified as "major" or "critical" shall be submitted for review and approval to NSWC Crane (JXRT) and NSWC Corona (MS22). The Government will respond within 30 days.

20 Feb 2019

(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 (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 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

Multiple

A015 Critical Characteristics Control Plan (CCCP)

DI-MGMT-81986 Section: E AMSJM-QAO/P

LT

A D

ANNLY

N/A

See Blk 16

ASREQ

PCO 1

PQM 1

NSWC Crane (JXRT) 1

QAR 1

0 4 0

BLK 12: Critical Characteristics Control Plan (CCCP) shall be approved prior to FAT or initiation of production if FAT is not required. Government shall provide response within 45 calendar days of initial submission. Disposition of the CCCP will be provided by the procuring contracting officer (PCO). If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall provide a response within 15 calendar days. The CCCP shall be approved prior to first article test (FAT), if FAT is required, or the initiation of production.

BLK 13: Submit updates/revisions for review and approval prior to implementation.

Government shall provide a response within 30 calendar days of receipt and contractor shall respond to any comments within 15 calendar days.

* CCCP shall be updated on an annual basis through an amendment/appendix to the original document. Update shall be submitted for approval via original submission means.

A CCCP Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the CCCP requirement. The CCCP Review Guide's content, in its entirety, is provided solely for REFERENCE and GUIDANCE PURPOSES ONLY- it is not, nor is it intended to be, contractually binding. Accordingly, the information contained within the CCCP Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the CCCP requirement itself nor into the terms and conditions of any underlying contract which contains the CCCP requirement.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

Adobe Professional 7.0

D FORM 1423 1 FEB 2001

PREPARED BY

(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 (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 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

MGMT

Multiple

A016 CRITICAL SAFETY ITEM CICL

DI-MGMT-81988 AMSJM-QAO/P

LT

A B

ASREQ

N/A

120DAC

ASREQ

PCO 1

PQM 1

NSWC Crane (JXRT) 1

QAR 1

0 4 0

BLK 10/12: If applicable, the Contractor Identified Critical Listing (CICL) shall be approved prior to submission of AIE/MSE and prior to FAT. The Government shall provide a response within 45 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. if applicable, the CICL shall be approved prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the procuring contracting officer (PCO).

BLK 13: Submit updates/revisions for review and approval prior to implementation.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

MGMT

Multiple

A017 NOTIFICATION OF CRITICAL NON-CONFORMANCE

REPORT

DI-SAFT-81985 AMSJM-QAO/P

LT

N/A D

ASREQ*

N/A

SEE BLK 16

SEE BLK 16

QAR 1

NSWC (JXRT) 1

PQM 1

PCO 1

0 4 0

BLK 10: Whenever a Critical Defect occurs.

BLKS 8, 12 & 13:

Unless otherwise approved by the PCO, Notification of the occurrence of any critical defects shall be made via e mail to the identified distribution within 24 hours of discovery of the event.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil via e-mail.

(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 (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 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

MGMT

Multiple

A018 CRITICAL DEFECT INVESTIGATION REPORT

DI-MGMT-81989 AMSJM-QAO/P

LT

A D

ASREQ

N/A

SEE BLK 16

SEE BLK 16

QAR 1

PQM 1

PCO 1

NSWC Crane (JXRT) 1

0 4 0

BLK 10: Whenever a Critical Defect occurs.

BLKS 8, 12 & 13:

Root Cause Investigation and Corrective Action Report:

For those critical defects which are determined to be a "critical escape" or otherwise fall outside of an approved Critical Plan of Action (including no Critical Plan of Action in place), the contractor shall submit to Government for approval and will receive response within 10 business days of receipt of original and any required revisions.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

(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 (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 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

MGMT

Multiple

A019 CRITICAL DEFECT INVESTIGATION REPORT Production Restart Request

DI-MGMT-81989 AMSJM-QAO/P

LT

A D

ASREQ

N/A

SEE BLK 16

SEE BLK 16

QAR 1

PQM 1

PCO 1

NSWC Crane (JXRT) 1

0 4 0

BLK 10: Whenever a production shutdown occurs per Critical Characteristics Clause requirements.

BLKS 8, 12 & 13:

Contractor must submit restart request AFTER root cause investigation/corrective action report has been approved. Government will respond NLT 3 working days.

BLK 14: Submit to all addressees as well as usarmy.ria.jmc.mbx.qa-cdrl@mail.mil

**NOTE** Production restart request may not be submitted until Critical Investigation Report (CDRL AO13) is approved.

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