Attachment 3 Contract Data Requirements Lists.pdf
PDF 507 KB Posted
- Attached to
- Payload Handling System
- Solicitation number
- N4523A20R1080
About this file
This document package includes a solicitation and attachments for a Payload Handling System. The Department of the Navy Naval Supply Systems Command is seeking the development of a Payload Handling System in accordance with the attached solicitation documentation and attachments. Products and services required include visual inspection reports, ultrasonic test reports, radiography test reports, liquid penetrant test reports, milestone schedules, first article test reports for forgings, welding procedure qualification test reports, and magnetic particle and liquid penetrant test procedure reports. Response and award dates are not specified. Pricing terms are not outlined. No set asides or incumbent are identified. Relevant federal agencies are the Department of the Navy and Naval Supply Systems Command.
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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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 thus burden estimate or any other aspect of this collection o f 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:
TDP
TM OTHER
NDTI
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT
VISUAL INSPECTION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/27/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No.: 00430050
15. Total 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Linda Cline 4/27/2020 /s/ James McCready 4/27/2020
DD FORM 1423-1, JUN 90 (EG)
Page 1 of 2 Pages
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 thus burden estimate or any other aspect of this collection o f 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.
ULTRASONIC TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
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 thus burden estimate or any other aspect of this collection o f 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.
RADIOGRAPHY TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
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 thus burden estimate or any other aspect of this collection o f 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.
LIQUID PENETRANT (PT) TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
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 thus burden estimate or any other aspect of this collection o f 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.
MISC
CERTIFICATION/DATA REPORT
MILESTONE/SCHEDULE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/27/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r red uc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
3. SUBTITLE
TEST PROCEDURE REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
to COMNAVSEASYSCOM.
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil.
N4523A 0 1 0
15. TOTAL 0 1 0
3. SUBTITLE
TEST PROCEDURE REPORT PRIOR
ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
Draft Final
Block 4 - Tailored to allow vendor to provide only 10.2.4.
to COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.
Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
Document number: 00430050
G. PREPARED BY
/S/ Linda Cline
H. DATE
4/27/2020
I. APPROVED BY
/S/ James McCready
J. DATE
4/27/2020
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
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 thus burden estimate or any other aspect of this collection o f 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.
FORG
FIRST ARTICLE FORGING REPORT FIRST ARTICLE TEST (FORGING) REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-FORG-80962 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.
Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r red uc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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___MISC_________
WELDING PROCEDURE QUALIFICATION TEST REPORT
WELDING PROCEDURE
DI-MISC-80876
PURCHASING ACTIVITY
7. DD 250 REQ
DD
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Final to COMNAVSEASYSCOM.
Block 10 - Submit Welding Procedure Qualification Test Report unless proof of prior acceptance by NAVSEA Activity.
performance of any welding.
WELDING PROCEDURE QUALIFICATION TEST
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
12. DATE OF FIRST SUBMISSION
a. ADDRESSEE b. COPIES
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Welding Procedure Qualification Test Report prior to performance of any welding.
15. TOTAL
/S/ Linda Cline
H. DATE
4/27/2020
I. APPROVED BY
/S/ James McCready
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r red uc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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
WELD REPAIR CERTIFICATION
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
ASREQ
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
n/a Draft
Final to COMNAVSEASYSCOM.
Block 10 – Submit documentation per DI-NDTI-80809B stating weld repairs performed.
Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
CERTIFICATE OF COMPLIANCE
3. SUBTITLE
WELD REPAIR CERTIFICATE OF COMPLIANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
a. ADDRESSEE b. COPIES
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
to COMNAVSEASYSCOM.
Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.
Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data
Document no.: 00430050
/S/ :Linda Cline
H. DATE
4/27/2020
I. APPROVED BY
/S/. James McCready
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r red uc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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
MAGNETIC PARTICLE (MT) TEST PROCEDURES
PURCHASING ACTIVITY
7. DD 250 REQ
DD
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final to COMNAVSEASYSCOM.
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity.
MAGNETIC PARTICLE (MT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
0 1 0
/S/ Linda Cline
H. DATE
4/27/2020
I. APPROVED BY
/S/ James McCready
TOTAL PRICE
17. PRICE GROUP
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r red uc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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
LIQUID PENETRANT (PT) TEST PROCEDURES
PURCHASING ACTIVITY
7. DD 250 REQ
DD
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Final
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
PSNS.WAWFQACertifications.FCM@navy.mil
LIQUID PENETRANT (PT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SEE BLOCK 16
PSNS.WAWFQACertifications.FCM@navy.mil.
15. TOTAL
G. PREPARED BY
/S/ Linda Cline
H. DATE
27-Apr-20
4/27/2020
I. APPROVED BY
/S/ James McCready
J. DATE
27-Apr-20
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
(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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.
Please DO NOT RETURN your form to either of these address. 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 MISC
MISCMISC____________________________________
CHEMICAL AND MECHANICAL
(PHYSICAL) PROPERTIES
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
REQUIRED
D*
ONE/R
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
A. ADDRESSEE
Final
N/A Draft Reg Repr
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/27/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:
Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).
Upon submission in iRAPT send email notifications to:
BREM.PSNS.WAWFQA.FCT@navy.mil . Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
TOTAL 0 1 0
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
For Document no: 00430050
18. ESTIMATED
TOTAL PRICE
mailto:BREM.PSNS.WAWFQA.FCT@navy.mil
| A17.6 VISUAL INSPECTION CDRL DI-NDTI-80809B REV 5-1-2019 |
| A17.7 ULTRASONIC TEST REPORT (UT) CDRL DI-NDTI-80809B REV 5-1-2019 |
| A17.8 RADIOGRAPHY TEST REPORT (RT) CDRL DI-NDTI-80809B REV 5-1-2019 |
| A17.10 LIQUID PENETRANT TEST (PT) REPORT CDRL DI-NDTI-80809B REV 5-2-2019 |
| A17.9 MILESTONE-SCHEDULE CDRL DI-MISC-80678 REV 5-2-2019 |
| A17.14 DD1423-2 NDT Test Procedure (Pre-Deliverabe) CDRL DI-MISC-80678 6-24-2019 |
| A17.11 FIRST ARTICLE TEST REPORT (FORGING) CDRL DI-FORG-80962 REV 5-2-2019 |
| A17.12 DD1423-2 WELDING PROCEDURE QUALIFICATION TEST REPORT (Pre-Deliverable) CDRL DI-MISC-80876 |
| A17.13 DD1423-2 WELD REPAIR CERTIFICATION C DRL DI-NDTI-80809 REV 02-26-2019 |
| A17.15 DD1423-2 MAGNETIC PARTICLE (MT) Test Procedure (Pre-Deliverable) CDRL DI-MISC-80678 6-24-2019 |
| A17.16 DD1423-2 LIQUID PENETRANT (PT) Test Procedure (Pre-Deliverable) CDRL DI-MISC-80678 6-24-2019 |
| A17.17 CHEMICAL AND MECHANICAL CDRL DI-MISC-80678 Non-Level 1 REV 06-19-2018 CANISTER |
File details come from the government source that posted it. Updated .