ATTACHMENT- D - Supplementary Quality Assurance Provisions.pdf

ATKINS.RENRICK.L.10

24389320

Digitally signed by

ATKINS.RENRICK.L.1024389320

Date: 2025.03.11 15:58:35 -04'00'

ROSE.JAMAAL.R.10502

93366

Digitally signed by

ROSE.JAMAAL.R.1050293366

Date: 2025.03.11 14:30:04 -04'00'

BANISZEWSKI.DANIE

L.J.1287388698

Digitally signed by

BANISZEWSKI.DANIEL.J.1287388698

Date: 2025.03.13 08:11:54 -06'00'

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

Prescribed by: eSOP 4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.01 02/06/2026

C16.01 TURBINE FUEL, AVIATION (JP5) (DLA ENERGY FEB 2026)

National Stock Number: Product Nomenclature: DLA Energy Product Code:

9130-00-273-2379 Turbine Fuel, Aviation, JP-5 JP5

9130-01-499-9521 Turbine Fuel, Aviation, JP-5 (Bunker JP5 fuel overseas locations only)

(a) Product shall meet MIL-DTL-5624X, Turbine Fuel, Aviation, Grade JP-5 (NATO F-44), dated February 12, 2024.

(b) SPECIFICATION MODIFICATION: The requirements of Table I in the specification are modified as follows:

(1) PROPERTIES:

(i) Conformance to specification requirements at the custody transfer point is required, however, prior to shipment, a laboratory hand blend of JP-5 fuel with all additives required by this contract shall be tested to verify compliance with the required specification (except for Micro- Separometer (MSEP)). MSEP analysis shall be performed per the Contractor's election in MIL-DTL-5624X, dated February 12, 2024.

(2) SYNTHETIC BLEND COMPONENT (SBC) and CO-HYDROPROCESSED SYNTHESIZED KEROSENE:

(i) If a fuel containing an SBC or a co-hydroprocessed synthesized kerosene is being offered, notification shall be made to the contracting point of contact with submission of relevant details regarding the blend percentage and which Annex of ASTM D7566 for the SBC used, and which feedstocks and co-processing percentage for co-hydroprocessed synthesized kerosene. Only SBCs approved in ASTM D7566, MIL-DTL-83133L, MIL-DTL-5624X, and co-hydroprocessed synthesized kerosene produced from approved feedstock and percentage in ASTM D1655, MIL-DTL-83133L, and MIL-DTL-5624X shall be acceptable to the government

(3) TEST MODIFICATIONS:

(i) Filtration Testing: Round upwards when reporting the filtration time, in minutes. For example, a filtration time of 4 minutes, 22 seconds, would be reported as 5 minutes.

(ii) Flash Point Testing: The referee procedure for performing flash point testing of JP-5 shall be the manual method of the latest revision of ASTM D93, as opposed to the automated version of ASTM D93.

(iii) Micro-Separometer Testing:

(A) Prior to initial production under this contract, the Contractor shall elect, on a one-time basis, which MSEP limit to meet for the balance of the contract. If the Contractor introduces Fuel System Icing Inhibitor (FSII) and/or Corrosion Inhibitor/Lubricity Improver (CI/LI) after verification of product conformance with the MSEP requirement, the product is not required to meet a fixed limit on subsequent MSEP tests. This process will be repeated if the composition of the fuel changes due to changes in processing or blending operations.

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION

STATEMENT - A

APPROVED FOR

PUBLIC RELEASE

DISTRIBUTION IS

"UNLIMITED"

PREPARED BY DATE

2/10/2026

ITEM

C16.01 TURBINE FUEL, AVIATION (JP5)

REVIEWED BY DATE

02/10/2026

NSN

MULTIPLE

CODE ID NO.

52838

APPROVED BY DATE

02/10/2026

SIZE

A

SCALE

1:1

DRAWING NUMBER

MACLANE.SKYLLAR.BRYA

NNA.1252141827

Digitally signed by

MACLANE.SKYLLAR.BRYANNA.1252141827

Date: 2026.02.10 06:37:51 -05'00'

NICHOLS.MATTHEW.STEP

HEN.1267972229

Digitally signed by

NICHOLS.MATTHEW.STEPHEN.1267972229

Date: 2026.02.10 06:41:24 -05'00'

BANISZEWSKI.DANIEL.J.12

87388698

Digitally signed by

Date: 2026.02.10 08:57:50 -07'00'

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

(4) LOCATION:

(i) All batches of JP-5 that are presented for Government acceptance at origin and for subsequent shipment through a multiproduct pipeline, shall meet a minimum flash point requirement of 62.5°C. This requirement is meant to address multiproduct commercial pipelines and does not apply to multiproduct systems within a facility.

(ii) In the U.S. all JP-5 deliveries in California, Oregon, Washington, and Alaska shall have a minimum Flash Point of 62.5oC at the custody transfer point.

(iii) All JP-5 procured for delivery to Australia shall have a minimum Flash Point of 61.5°C at the origin custody transfer point.

(iv) For JP-5 delivered to Kodiak Island, Alaska, the maximum total acid number shall be 0.020 mg KOH/g.

(v) For the deep freeze program, for Antarctic operations of the Department of Defense and other federal agencies; whereby JP-5 sulfur content shall not exceed 0.0015 mass-percent (15 ppm).

(c) ADDITIVES: Additives are required for deliveries of JP-5, per MIL-DTL-5624X, dated February 12, 2024, unless addition is excluded by specific solicitation line item, applicable contract clause, or another contractual requirement.

(1) FSII included in jet fuel shall conform to MIL-DTL- 85470C, Inhibitor, Icing, Fuel System, High Flash, dated March 5, 2024. The CI/LI additive(s) used shall conform to MIL-PRF-25017H Inhibitor, Corrosion/Lubricity Improver, Fuel Soluble, w/Amendment 1, dated August 4, 2011, and revalidated May 25, 2021.

(2) Line injection of additives (FSII and CI/LI) from shipping tank to delivery conveyance or other free on board (FOB) point is permitted under the following conditions:

(i) Additives must be proportionately injected throughout the entire loading process to ensure the additive is homogeneously blended into the jet fuel. The Contractor shall maintain records evidencing the homogeneous blending of all line injected additives. Such methods may include meter or tank gauge readings or test results taken at intervals to provide confidence in the injection process.

(ii) When FSII is required, additive concentration must be verified based on a representative sample from each shipping conveyance.

(d) OTHER REQUIRMENTS:

(1) ADDITIONAL SAMPLING: The government may request a sample of JP5 during each quarter of contract performance not to exceed 5 gallons. Samples shall be shipped in a 5-gallon epoxy lined can (preferred) or five 1-gallon epoxy lined cans. (NOTE: These samples are in addition to those required in accordance with Quality Assurance Provision (QAP) E1). The sample shall be shipped to

Naval Air Station HAZMART 5-Gallon TEST SAMPLE 22680 Hammond Road Bldg. 2385 Patuxent River, MD 20670 Attn: Terrence Dickerson, AB44100 Fuels & Lubricants Phone: (301) 757-0447; Email: terrence.w.dickerson.civ@us.navy.mil

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SQAP)

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

52838

DRAWING NUMBER

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

The paperwork provided with these samples shall include the following information:

Contract Number Contractor's Name Product Refinery Location Quantity of Tank/Batch Full-Specification Test Report

(2) BATCH SAMPLING: The Contractor shall provide one 20 mL sample per each individual tank in a procurement batch upon completion.

The Sample shall be shipped within 30 days of the procurement batch delivery. A batch is defined as: A specific quantity of product that is processed or utilized as a single unit and tested to meet test criteria and specifications.

(i) For each 20 mL sample provided by the Contractor, the Contractor shall also submit a Refinery Certificate of Quality (RCQ), or

Certificate of Analysis (CoA), as applicable, with the JP-5 sample when submitting to the US Naval Air Station. The RCQ or CoA for each individual tank shall be representative of Level A testing for the JP-5 product.

NOTE: The above sample is in addition to those required in accordance with Quality Assurance Provision (QAP) E1

The sample from each tank/batch shall be either an all-level sample or a composite of upper, middle, and lower samples. A copy of the batch's full-specification test report shall accompany each sample. The sample container shall be any 20 mL amber borosilicate vial with a polytetrafluoroethylene (PTFE) lined screw cap. A tracking number for the samples shall be provided to: Terrence Dickerson at terrence.w.dickerson.civ@us.navy.mil or (301) 757-0447. Samples shall be shipped to:

20mL TEST SAMPLE 22680 Hammond Road Bldg. 2385 Patuxent River, MD 20670

Contractor's Name Product Refinery Location Quantity of Tank/Batch

For samples containing synthetic components, include the following additional information:

Manufacturer of synthetic component Batch Number Date of Test Report Quantity of Tank/Batch Percent Composition Production Process of Synthetic Component Feedstock Full-Specification Test Report

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SQAP)

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.23 02/06/2026

C16.23 FUEL, NAVAL DISTILLATE (F-76) (DLA ENERGY FEB 2026)

National Stock Number: Product Nomenclature: DLA Energy Product Code:

9140-00-273-2377 Fuel, Naval Distillate F76

(a) Naval Distillate Fuel (F-76) shall conform to the requirements of Military specification MIL-DTL-16884R dated 03 Jan 2025. Nomenclature for Naval Distillate Fuel (F-76) is shown above.

(b) SPECIFICATION MODIFICATIONS:

(1) PROPERTIES: The F-76 supplied under this contract shall not contain un-hydrotreated light cycle oils or contain any stabilizer additives, or any other additive or material not explicitly allowed per section 3.2 of MIL-DTL-16884R.

(2) SYNTHETIC COMPONENTS:

(i) For F-76 containing a synthetic component, the synthetic component shall be certified to Tables A-I and A-II of MIL- DTL-16884R; for synthesized iso-paraffins, the synthetic component shall be certified to Tables B-I and B-II of MIL-DTL-16884R.

It is not necessary to analyze each batch of the synthetic component for compliance with Table A-II (or Table B-II, as applicable) once it is demonstrated that the process scheme is adequately controlled and if no significant changes to existing production operations have been made, such as a turnaround event on a refinery unit used to produce the synthetic component or a change in feedstock material. The signed F-76 synthetic component certification page shall be supplied for each shipment which includes synthetic paraffinic materials, attesting that no changes to the production process have been made, and certifying that the last certificate of analysis, dated and including Table A-II (or Table B-II, as applicable) results, is still valid.

(3) TEST MODIFICATIONS:

(i) Flash Point: All batches of F-76 that are presented for Government acceptance at origin shall meet a minimum flash point requirement of 62.5 degrees Celsius (°C).

(ii) FAME: F-76 offered from a location other than where refined (excludes synthesized material as defined in section 3.2.2 and 3.2.3 of MIL- DTL-16884R) requires testing for FAME content by the latest revisions of test methods ASTM D7963, BS EN 14078, or IP 579. The latest revision of ASTM D7963 is considered to be the referee test method.

(4) LOCATION:

(i) In Australia, all deliveries of F-76 shall have a minimum Flash Point of 62.5°C at the custody transfer point.

(c) ADDITIVES:

(1) Lubricity Improver Additive (LIA) - Lubricity additives are allowed in F-76. The LIA additive(s) used shall conform to MIL-PRF- 32490A, Performance Specification, Additive, Lubricity Improver, Distillate Fuel, dated 24 May 2019 and found in ASSIST and shall be listed in the electronic Qualified Products List (QPL)-32490, located in the Qualified Products Database (QPD) found at https://assist.dla.mil/ (or http://quicksearch.dla.mil). Instructions on how to use ASSIST are located in QAP C1.02. Either Grade A, Grade B, or Grade C material is suitable for treatment of desulfurized F-76. Additive concentration shall not exceed the

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION

STATEMENT - A

APPROVED FOR

PUBLIC RELEASE

DISTRIBUTION IS

"UNLIMITED"

PREPARED BY DATE

2/10/2026

ITEM

ENERGY QAP C16.23

REVIEWED BY DATE

02/10/2026

NSN

9140-00-273-2377

CODE ID NO.

52838

APPROVED BY DATE

02/10/2026

SIZE

A

SCALE

1:1

DRAWING NUMBER

MACLANE.SKYLLAR.BRYA

NNA.1252141827

Digitally signed by

MACLANE.SKYLLAR.BRYANNA.1252141827

Date: 2026.02.10 07:42:22 -05'00'

NICHOLS.MATTHEW.STEP

HEN.1267972229

Digitally signed by

NICHOLS.MATTHEW.STEPHEN.1267972229

Date: 2026.02.10 07:58:00 -05'00'

BANISZEWSKI.DANIEL.J.12

87388698

Digitally signed by

Date: 2026.02.10 08:58:25 -07'00'

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.23 02/06/2026

Either Grade A, Grade B, or Grade C material is suitable for treatment of desulfurized F-76. Additive concentration shall not exceed the maximum allowable concentration applicable to the specific additive selected for inclusion in finished F-76.

(i) For pipeline deliveries only. Most pipelines do not allow the addition of diesel lubricity additives to be shipped via their system; therefore, the following guidelines apply:

For F-76 shipped via pipeline that does not allow LIA, no LIA is to be added to the fuel. Lubricity shall not be a criterion for acceptance in this scenario. Lubricity improver will be injected into the fuel upon receipt

(iii) Information pertaining to qualification of additives not currently listed on QPL-32490 may be obtained from Commander, Naval Sea Systems Command, ATTN: SEA 05S, 1333 Isaac Hull Avenue, SE, Stop 5160, Washington Navy Yard, DC 20376-5160, USA, or by e-mailing CommandStandards@navy.mil.

(d) DYES AND MARKERS:

(1) Red dye required in off-highway diesel fuel in accordance with 40 CFR Part 80 as modified by the Environmental Protection Agency's interim final rule published in the Federal Register dated July 14, 1994 shall not be added to F-76. The finished product shall show no visual evidence of red dye. This F-76 product is for military, off-highway use only and must be segregated at all times from any diesel fuel used on-highway. NOTE: Red dye does not apply to Atlantic/Europe/Mediterranean or Western Pacific Overseas Bulk purchase programs unless offering refinery is located in the United States or one of its possessions.

(e) OTHER REQUIREMENTS:

(1) Unless otherwise indicated by the Contractor in writing, prior to award, the product offered shall be required to fully meet all applicable specifications. The supplier shall provide to the receiving vessel a “Statutory Sample” of at least 400 mL in volume, taken from the receiving vessel's inlet bunker manifold, together with a Bunker Delivery Note (BDN).

This sample will be sealed and carry a sample tag that provides the documentation required per MARPOL 73/78, Annex VI Regulation 18.

(2) ADDITIONAL SAMPLING:

(i) The government may request a sample of F-76 during each quarter of contract performance not to exceed 5-gallons. Samples shall be shipped in a 5-gallon epoxy lined can (preferred) or five 1-gallon epoxy lined cans. (NOTE: These samples are in addition to those required in accordance with Quality Assurance Provision (QAP) E1). The sample shall be shipped to:

5-gallon TEST SAMPLE 22680 Hammond Road Bldg. 2385 Patuxent River, MD 20670

Phone: (301) 757-0447; Email: terrence.w.dickerson.civ@us.navy.mil

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.23 02/06/2026

The paperwork provided with these samples shall include the following information:

Contract Number Contractor's Name Product Refinery Location Quantity of Tank/Batch Full-Specification Test Report

(3) BATCH SAMPLING: The Contractor shall provide one 20 mL sample per each individual tank in a procurement batch upon completion. The Sample shall be shipped within 30 days of the procurement batch delivery. A batch is defined as: A specific quantity of product that is processed or utilized as a single unit and tested to meet test criteria and specifications.

(i) For each 20 mL sample provided by the Contractor, the Contractor shall also submit a Refinery Certificate of Quality (RCQ), or Certificate of Analysis (CoA), as applicable, with the F-76 sample when submitting to the US Naval Air Station. The RCQ or CoA for each individual tank shall be representative of Level A testing for the F-76 product.

NOTE: This sample is in addition to those required in accordance with Quality Assurance Provision (QAP) E1.

(ii) The sample from each tank/batch shall be either an all-level sample or a composite of upper, middle, and lower samples.

A copy of the full-specification test report shall accompany each sample. The sample container will be any 20 mL amber borosilicate vial with a polytetrafluoroethylene (PTFE) lined screw cap. A tracking number for the samples shall be provided to: Terrence Dickerson at terrence.w.dickerson.civ@us.navy.mil or (301) 757-0447. Samples shall be shipped to:

20mL TEST SAMPLE 22680 Hammond Road Bldg. 2385 Patuxent River, MD 20670

Contractor's Name Product Refinery Location Quantity of Tank/Batch

For samples containing synthetic components, include the following additional information:

Manufacturer of synthetic components Batch Number Date of Test Report Quantity of Tank/Batch Percent Composition Production Process of Synthetic Component Feedstock

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.23 02/06/2026

(4) TRACEABILITY:

(i) F-76 fuel supplied under this contract shall maintain traceability with respect to additives and materials, which is defined as the ability to trace the individual batch of fuel back to the original point of manufacture through documentation.

(ii) All traceability documentation shall be sufficient to guarantee that at no point any unauthorized materials or additives have been blended into the final product or any of its associated blend components per section 3.2 Material of MIL-DTL-16884R.

(iii) For all F-76 supplied, the traceability documentation shall consist of statement(s) attesting to the materials composition, which includes materials derived from non-petroleum sources, additives and their concentration levels. Additives and concentrations to be reported include LIAs outlined in section d.1 above and any trace additives resulting from existing tank heels, product trail-back in a multiproduct system, all product blending operations, etc.

(A) Attestation of Co-Processed Materials: The offeror shall explicitly disclose whether any portion of the F-76 product or any constituent blend component, has been produced by means of co-processing petroleum derived feedstocks with materials identified in section 3.2.4 of MIL-DTL-16884R, dated 03 Jan 2025. Failure to disclose the presence of co-processed materials shall constitute a non-conforming product.

(1) The offeror must identify the type and source of the feed stock utilized.

(2) The maximum percentage of co-processed materials shall constitute a non-conforming product.

(iv) If F-76 is produced by means of blending, the traceability requirement and documentation for additives and materials shall apply to each blending component used from the point of manufacture through the blend operation. Materials composition, additives and their concentration levels shall be included. The requirement and intent of traceability for blend components is not to obtain full certificates of analysis of each individual blend component, but for certification that no unapproved additives or materials are present in blend components used.

(v) The form titled: “F-76 Traceability Signature Page” (attached below) shall be used to document conformance with the provisions of this traceability paragraph. The offeror/supplier shall comply with this requirement utilizing one of the three options below and notification shall be provided to both the contracting office and QT@dla.mil during the pre-award phase which option was chosen for compliance. Documents provided in conjunction with individual shipments shall be uploaded into Wide Area Work Flow as attachments under the quality tab.

(A) OPTION 1 - As part of the offeror submission package the offeror shall provide the traceability signature page from each entity in the supply chain providing and/or handling F-76 product and/or blending components all the way back to the point of manufacture. For each individual shipment, the supplier will submit a traceability page signed only by the awardee.

(B) OPTION 2 - As part of the offer submission package the offeror shall provide the traceability signature page, signed only by the offeror. Upon award and prior to the first shipment the awardee shall provide the signed traceability signature page from each entity in the supply chain providing and/or handling F-76 product and/or blending components all the way back to the point of manufacture. For each individual shipment, the supplier will submit a traceability page signed only by the awardee.

(C) OPTION 3 - As part of the offeror submission package, the offeror shall provide the traceability signature page, signed only by the offeror. For each individual shipment, the awardee shall provide the signed traceability signature page from each entity in the supply chain providing and/or handling F-76 product and/or blending components all the way back to the point of manufacture.

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SQAP)

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

4155.05-001 Sponsor: J3

REVISIONS

REV DESCRIPTION DATE APPROVED

ENERGY QAP C16.23 02/06/2026

(vi) Regardless of the option chosen, the traceability sheet signed by offeror shall be submitted to both the contracting office and to QT@dla.mil during pre-award phase.

(vii) For OPTION 1 or OPTION 2, the purpose of the awardee submitting a signed traceability page with each shipment is to confirm that the initial traceability certification is still valid at the time of F-76 product shipment.

(A) If at any point during the contract period the traceability information provided under OPTION 1 or OPTION 2 becomes invalid (i.e. the supply chain is altered or the source of F-76 product or a blending component changes), the supplier shall notify both the contracting office and QT@dla.mil and updated documentation shall be provided.

DISTRIBUTION STATEMENT - A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

DEFENSE LOGISTICS AGENCY, ENERGY

8725 JOHN J. KINGMAN RD

FORT BELVOIR, VIRGINIA 22060-6222

SIZE

A

SCALE

1:1

CODE ID NO.

F-76 Traceability Signature Page

Contract or Solicitation Number:

CLIN:

Order Number:

Shipment Number:

Traceability OPTION selected per paragraph (4)(v) (circle or otherwise indicate which one of the three options is chosen): OPTION 1, OPTION 2, OPTION 3. F-76 fuel supplied under the above contract, CLIN, order number and shipment number maintains traceability with respect to the materials composition, additives and their concentration levels. This signed statement certifies that at no point have any unauthorized un- hydrotreated light cycle oils, other unauthorized materials, or additives been blended into the final product or any of its associated blend components per the most recent revision of MIL-DTL-16884 at date of contract award. All materials and additives are listed below. The percentage of each material as defined in sections 3.2, 3.2.2, and 3.2.3 (i.e. refined hydrocarbon distillate fuel, Fischer-Tropsch, Hydroprocessed Renewable Diesel, etc.) and the concentration level for each additive are also shown.

For the purposes of the offeror submission this signed statement attests that no unapproved additives or materials will be added to batches or components of batches of F-76 for delivery under government contracts.

Signature:

Printed Name:

Title:

Company Name:

Date:

Material Percent

Additive Concentration Responsible Party for Injection

F-76 Synthetic Component Certification

Contract or Solicitation Number:

CLIN:

Order Number:

Shipment Number:

Synthetic paraffinic materials supplied as indicated with the above contract, CLIN, order number, and shipment number is derived from either Fischer-Tropsch (FT) or Hydroprocessed Renewable Diesel (HRD) methods. This signed statement certifies that since the last certificate of analysis (COA) no changes have been made requiring a resubmission; including table A-II or B-II in the respective appendixes of MIL-DTL-16884R, dated 03 Jan 2025. Table A-II or B-II is required for initial approval and when there are changes to feedstock material, production location, or production processes. In addition, no turnaround events have been executed on any units utilized to produce the synthetic paraffinic materials since the last COA, including table A-II or B-II, properties were tested. Please supply the date of the most recent COA and an identifying number for that report in the space provided below.

DATE OF COA: LAB REPORT ID NUMBER

Signature:

Printed Name:

Title:

Company Name:

Date:

KNAPP.RICHARD.BRU

CE.1027134021

Digitally signed by KNAPP.RICHARD.BRUCE.1027134021 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=KNAPP.RICHARD.BRUCE.1027134021 Date: 2013.11.20 14:05:09 -05'00'

AYERS.QUENTIN.LER

OY.1059703664

Digitally signed by AYERS.QUENTIN.LEROY.1059703664 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=AYERS.QUENTIN.LEROY.1059703664 Date: 2013.11.20 13:46:40 -05'00'

TRELOAR.GEORGE.C.1

033837964

Digitally signed by TRELOAR.GEORGE.C.1033837964 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=TRELOAR.GEORGE.C.1033837964 Date: 2013.11.12 06:51:51 -05'00'

OPPENHEIM.LEE.B.122

9310131

Digitally signed by OPPENHEIM.LEE.B.1229310131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=OPPENHEIM.LEE.B.1229310131 Date: 2015.07.30 16:00:30 -04'00'

SHEPHERD.SANDRA.S.

1012568459

Digitally signed by SHEPHERD.SANDRA.S.1012568459 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SHEPHERD.SANDRA.S.1012568459 Date: 2015.07.30 15:38:32 -04'00'

SHANNON.MICHAEL.J.

1229294802

Digitally signed by SHANNON.MICHAEL.J.1229294802 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SHANNON.MICHAEL.J.1229294802 Date: 2015.07.30 14:17:00 -04'00'

Digitally signed by OPPENHEIM.LEE.B.1229310131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=OPPENHEIM.LEE.B.1229310131 Date: 2015.06.26 13:12:16 -04'00'

SHEPHERD.SANDRA.S.

1012568459

Digitally signed by SHEPHERD.SANDRA.S.1012568459 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SHEPHERD.SANDRA.S.1012568459 Date: 2015.06.26 12:47:33 -04'00'

SHANNON.MICHAEL.J.

1229294802

Digitally signed by SHANNON.MICHAEL.J.1229294802 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SHANNON.MICHAEL.J.1229294802 Date: 2015.06.26 08:57:05 -04'00'

REVISIONS

REV DESCRIPTION DATE APPROVED

DLA ENERGY QAP E22 9 Feb 2022 9 Feb 2022

ENERGY QAP E22 LIST OF INSPECTION OFFICES FOR DLA ENERGY CONTRACTS (DLA ENERGY) (FEB 2022)

The following lists shall be used to identify the Government inspection office assigned inspection and/or acceptance responsibility for DLA Energy contracts in a particular geographic area. These contracts include, but are not limited to, those for bulk petroleum products and additives, into-plane refueling, petroleum storage and laboratory services, coal, aerospace energy (including compressed gases), and posts, camps, and stations. The area of inspection responsibility and corresponding office code are assigned in paragraphs (a) and (b). The address and phone number of each inspection office, by office code, is provided in paragraph (c). Unless a particular inspection office is identified in another part of the contract, the assignments in this QAP shall apply.

(a) AREAS OF RESPONSIBILITY AND OFFICE CODES WITHIN THE CONTINENTAL UNITED STATES

(CONUS):

Alabama 110 Maine 110 Oklahoma 110 Arizona 120 Maryland 110 Oregon 120 Arkansas 110 Massachusetts 110 Pennsylvania 110 California 120 Michigan 110 Rhode Island 110 Colorado 120 Minnesota 110 South Carolina 110 Connecticut 110 Mississippi 110 South Dakota 110 Delaware 110 Missouri 110 Tennessee 110 District of Columbia 110 Montana 120 Texas 110 I Florida 110 Nebraska 110 Utah 120 Georgia 110 Nevada 120 Vermont 110 Idaho 120 New Hampshire 110 Virginia 110 Illinois 110 New Jersey 110 Washington 120 Indiana 110 New Mexico 120 West Virginia 110 Iowa 110 New York 110 Wisconsin 110 Kansas 110 North Carolina 110 Wyoming 120 2

Kentucky 110 North Dakota 110 Louisiana 110 Ohio 110

EXCEPTIONS:

1 The El Paso, Texas, area is assigned to Code 120 (DLA Energy Americas West).

2 The Newcastle, Wyoming, area is assigned to Code 110 (DLA Energy Americas East).

SUPPLEMENTAL QUALITY ASSURANCE PROVISION (SQAP)

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION PREPARED BY DATE ITEM

STATEMENT -A DLA ENERGY QAP E22

APPROVED FOR REVIEWED BY DATE NSN CODE IDNO.

PUBLIC RELEASE MULTIPLE 52838

DISTRIBUTION IS APPROVED BY DATE SIZE SCALE DRAWING NUMBER

"UNLIMITED"

DLA FORM 1889, OCT 2011 PREVIOUS EDITION IS USABLE Add Continuation Page SHEET 1 OF 4 PDF(DLA)

REV DESCRIPTION DATE APPROVED

DLA ENERGY QAP E22 9 Feb 2022 9 Feb 2022

(b) AREAS OF RESPONSIBILITY AND OFFICE CODES OUTSIDE THE CONTINENTAL UNITED STATES (OCONUS) (INCLUDING ALASKA AND HAWAIi):

Afghanistan 400 Cyprus 200 Malaysia 300 Singapore 300 Africa 200 3 Egypt 400 3 Maldives 300 South America 110 Alaska 130 Europe (Continental) 200 Malta 200 South Korea 300 Antarctica 300 Georgia 200 Mauritius 200 Sri Lanka 300 Armenia 200 Greenland 200 Mexico 110 Syria 400 Ascension Island 110 Hawaiian Islands 300 Midway Island 300 Taiwan 300 Australia 300 Hong Kong 300 Mongolia 300 Tajikistan 400 Azerbaijan 200 Iceland 200 Myanmar 300 Thailand 300 Azores 200 India 300 Nepal 300 Turkey 200 Bahrain 400 Indonesia 300 New Zealand 300 Turkmenistan 400 Bangladesh 300 Ireland 200 North Korea 300 United Arab Bermuda 110 Iran 400 Oman 400 Emirates 400 Bhutan 300 Iraq 400 Pacific Islands United Kingdom 200 Brunei 300 Israel 200 (Central & South) 300 Uzbekistan 400 Cambodia 300 Japan 300 Pakistan 400 Vietnam 300 Canada 1104 Jordan 400 Papua New Guinea 300 Wake Island 300 Canary Island 200 Kazakhstan 400 Philippines 300 Yemen 400 Caribbean Islands 110 Kuwait 400 Qatar 400 Central America 110 Kyrgyzstan 400 Russia 200 Chagos Archipelago 300 Laos 300 Ryukus Islands, Japan 300 China 300 Lebanon 400 Saudi Arabia 400 Comoros 200 Madagascar 200 Seychelles Is. 200

EXCEPTIONS:

3 Except for Egypt, which is assigned to DLA Energy Middle East (Code 400), all other countries in Africa fall under DLA Energy Europe (Code 200).

4 For Canada locations, contact DLA Energy Americas East (Code 110) to confirm coverage.

(c) INSPECTION OFFICES AND CODES.

110. DLA Energy Americas East ATTN: Quality Manager 5

Federal Building, Suite 1005 2320 LaBranch Street Houston, TX 77004-1091 Phone: (713) 332-4113

FAX: (713) 718-3891

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SOAP)

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION STATEMENT -A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

SIZE SCALE CODE IDNO.

52838

DLA FORM 1889, OCT 2011 PREVIOUS EDITION IS USABLE Add Continuation Page SHEET 2 OF 4 PDF(DLA)

REV DESCRIPTION DATE APPROVED

DLA ENERGY QAP E22 9 Feb 2022 9 Feb 2022

120. DLA Energy Americas West ATTN: Quality Manager 5

S , CA 90

Phone: (424) 347-3101/3102

FAX: (424) 347-3120

130. DLA Energy Americas North ATTN: Quality Manager 5

1480 Sijan Street, Suite 300 Joint Base Elmendorf-Richardson, AK 99505 Phone: (907) 384-7180

FAX: (907) 384-1086

200. DLA Energy Europe and Africa

Military Mailing Address:

DLA Energy Petroleum Lab ATTN: Quality Manager 5

CMR422

APO AE 09067-0422

Phone: 49-63 l-3406-2285/2286 6

FAX: 49-631-3406-2289 6

Commercial Shipping Address:

DLA Energy Petroleum Lab ATTN: Quality Manager Bldg. 320, Rhine Ordinance Barracks Am Opelkreisel 67663 Kaiserslautern, Germany

300. DLA Energy lndo-Pacific ATTN: Quality Manager 5

Bldg. 17000, Room 21

APO AP 96543

Phone: (671) 366-7762

FAX: (671) 366-7767

[Location: Guam]

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SOAP)

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION STATEMENT -A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

SIZE SCALE CODE IDNO.

52838

DLA FORM 1889, OCT 2011 PREVIOUS EDITION IS USABLE Add Continuation Page SHEET 3 OF 4 PDF(DLA)

REV DESCRIPTION DATE APPROVED

DLA ENERGY QAP E22 9 Feb 2022 9 Feb 2022

400. DLA Energy Middle East ATTN: Quality Manager 5

PSC 851, Box 180

FPO AP 09834-2800

Phone: 973-1785-6493 6

FAX: 973-1785-4650 6

[Location: Bahrain]

5 Designated location of the DLA Energy Regional Quality Manager/Pre-Award Survey Monitor.

6 Dial 011 before these numbers when calling from the U.S. When calling these numbers from outside the U.S., use the appropriate international long distance prefix for the country where the call originates.

SUPPLEMENTAL QUALITY ASSURANCE PROVISION

(SOAP)

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION STATEMENT -A

APPROVED FOR PUBLIC RELEASE

DISTRIBUTION IS "UNLIMITED"

SIZE SCALE CODE IDNO.

52838

DLA FORM 1889, OCT 2011 PREVIOUS EDITION IS USABLE Add Continuation Page SHEET 40F 4 PDF(DLA)

Digitally signed by OPPENHEIM.LEE.B.1229310131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=OPPENHEIM.LEE.B.1229310131 Date: 2014.04.18 09:25:13 -04'00'

SHILLINGFORD.JAME

S.V.1046542440

Digitally signed by SHILLINGFORD.JAMES.V.1046542440 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=SHILLINGFORD.JAMES.V.1046542440 Date: 2014.04.17 12:04:54 -04'00'

TRELOAR.GEORGE.C.1

033837964

Digitally signed by TRELOAR.GEORGE.C.1033837964 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=DLA, cn=TRELOAR.GEORGE.C.1033837964 Date: 2014.04.14 07:40:29 -04'00'

JUN 2014 08 JUL 2014

8 Jul 2014.