Attachment 0002 25-3-05 CDRL - Ultrasonics Cleaning.pdf

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 15 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), 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.

B. EXHIBIT

C. CATEGORY

D. SYSTEM/ITEM

25-3-05 Ultrasonic Cleaning

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Equipment Characteristics

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information in either electronic or paper format, no later than 30-calendar-days after award of the contract. The contractor shall provide this information in electronic format using Microsoft Excel format.

The specific data required is:

CAPACITY_GALLONS

DEPTH

SOLUTION_TYPE

TANK_APPLICATION

TANK_HOOD

TANK_LINING

TANK_MATERIAL

TEMP_MAX

WORK_LENGTH

WORK_WIDTH

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-LGC

Robert Mcclure Bldg 220-B-D28 Rock Island, IL 61299-6400

15. TOTAL

G. PREPARED BY

Chandler J.Work

H. DATE

20-Nov-2024

I. APPROVED BY

J. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

25-3-05 Ultrasonic Cleaner

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Installation Documentation List

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information in either electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and Microsoft Word (.doc).

A plainly visible cover sheet shall be provided with the Installation and Preparation Documentation package listing drawings and schematics required for installation.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-LGC

Robert Mcclure

Chandler J. Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Footprint Drawing

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

A dimensioned drawing shall be provided to accurately depict the layout of system, showing contours. It shall be fully dimensioned and include net operating clearance for moving components which travel beyond the gross contour. The drawing shall distinguish between the base of the equipment at floor level and the gross contour where it may overhang the base. Location of access doors for servicing of the equipment shall also be designated.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Machine Foundation Drawing

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this information no later than 60-calendar-days after award of contract. Of these, (2) will be paper, and

(1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The equipment requires a separate foundation, a drawing must be provided for approval. This will show all information necessary for a contractor to perform the required concrete preparation work prior to final installation of the system.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Installation Drawing

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

This drawing may be combined with either the Foundation Drawing or the Footprint Drawing, providing clarity is maintained. This drawing will provide location dimensions for anchor bolts including both the anchor bolt size and height of anchor bolt concrete surfaces clearly shown.

Dimensions will be from a common baseline, not chain dimensions. This is to prevent tolerance stack-up errors. Locations of the first connection points for all required power sources shall be shown and dimensioned.

Approximate gross weight of each separate component shall be indicated.

This drawing shall show capacity requirements at each utility point of first connection.

PROVIDE COPIES, AS REQUESTED TO THE FOLLOWING:

Rock Island Arsenal

ATTN: TARA-LGC

Robert Mcclure

Chandler J. Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 6 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Electrical Schematic

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The equipment includes this type of utility and a complete system schematic is required. The capacity required at the point of first connection must be clearly stated.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 7 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Pneumatic Schematic

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The equipment includes this type of utility and a complete system schematic is required. The capacity required at the point of first connection must be clearly stated.

ATTN: TARA-LGC

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 8 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Hydraulic Schematic

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The equipment includes this type of utility and a complete system schematic is required. The total amount of fluid in the system and the amount in the reservoir must be clearly identified along with the type and grade.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 9 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Water Piping Schematic

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment. The contractor shall provide a second copy of this information in electronic or paper format at the time of delivery of the equipment.

Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

The equipment includes this type of utility and a complete system schematic is required. The capacity required at the point of first connection must be clearly stated including flow rate, temperature requirements (if any), and any other specifications even if the vendor is providing equipment (e.g. filtration, pressure change, etc). Also, any requirement for discharge/drainage must be included along with the volume and quality of the discharge (will it have chemicals or is it completely isolated such as for some cooling coils).

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 10 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Installation and Preparation Documentation

3. SUBTITLE

Equipment Identification

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide a copy of this information either in electronic or paper format, a minimum of 60-calendar-days prior to delivery of equipment.

This document shall consist of the make & model of the equipment with a complete list of standard features, optional features being installed in order to meet the specification, and a list of optional features available for field installation but not included. Each section shall be clearly identified.

Also included will be any technical data or brochures applicable to the equipment being provided.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 11 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Maintenance Manual

3. SUBTITLE

Safety Lockout Procedure

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this manual/information with delivery of the equipment. Of these, (2) will be paper, and (1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

This shall be a written procedure describing safe machine shutdown and the sequence by which lockout devices, and if necessary, line blocks and other restraints are affixed and removed prior to maintenance and service.

This may include drawings or photographs for clarity.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 12 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Maintenance Manual

3. SUBTITLE

Preventive Maintenance Procedure

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this manual/information with delivery of the equipment. Of these, (2) will be paper, and (1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

This section of the documentation shall include: Daily Operator Checklist, Visual Inspections, and a Lubrication Schedule. Procedures and schedules for inspections, adjustments, cleaning, and component replacements.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 13 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Operator Manual

3. SUBTITLE

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (3) copies of this manual/information with delivery of the equipment. Of these, (2) will be paper, and (1) shall be electronic. Acceptable electronic formats include acrobat files (.pdf), drawing exchange files (.dxf), and initial graphic exchange specification (.igs).

This section of the documentation shall include: Procedures for safe operation of the equipment in all modes. It shall include information necessary for performing all the operations and utilizing all the functions listed in the purchase description.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 14 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Environmental Compliance Data

3. SUBTITLE

Material Safety Data Sheets (MSDS)

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (1) copies of this information in paper format no later than 30-calendar-days prior to delivery of the equipment.

MSDS Sheets for all liquids (e.g. oils or coolants) and any hazardous materials shall be provided.

ATTN: TARA-LGC

Robert Mcclure

Chandler J. Work

H. DATE

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 15 of 15 Pages

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the

2. TITLE OF DATA ITEM

Pre-Shipment Testing Report

3. SUBTITLE

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

The contractor shall provide (1) copies of this information in paper format no later than 10-calendar-days prior to delivery of the equipment.

ATTN: TARA-LGC

Robert Mcclure

Chandler J.Work

H. DATE

21-Nov-2024