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Attached to
F-Kit Shielded Mild Detonation Cord (SMDC) Federal contract opportunity
Solicitation number
FA8213-22-R-3005
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

About this file

This document package includes a solicitation for shielded mild detonation cord (SMDC) and related technical specifications. The Air Force Materiel Command Lifecycle Management Center is seeking proposals to manufacture SMDC for the F-Kit system. Products required include SMDC meeting specifications for composition, packaging, and item marking. Proposals are due by the date listed in the solicitation. The technical specifications document product requirements in detail, covering composition and testing of materials, manufacturing and inspection processes, packaging, shipping, and item marking. Successful bidders will be expected to adhere to military standards and provide certificates of compliance for all materials used in production.

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FA8213-22-R-3005 - Extension Date 03.25.2022.pdf PDF
FA8213-22-R-3005 - Extension Date 03.25.2022.pdf PDF
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DEPARTMENT OF THE AIR FORCE

448 SUPPY CHAIN MANAGEMENT WING (AFMC)

HILL AIR FORCE BASE, UTAH

4 AUGUST 2020

MEMORANDUM FOR CONTRACTING AND AFLCMC/LZPEF

FROM: 429 SCMS/GUMAC

6038 Aspen Ave. Bldg 1289SW

Hill Air Force Base, Utah 84056-5825

SUBJECT: Data Package (Bid Sets)

NSN PR IMAGE COUNT BETA.SAM

1377-01-666-8565 21-50067 82

ABSS

1. In an effort to reduce costs and improve proficiency, the Engineering Data Services Center will no longer attach a copy of the Data Package to the Purchase Request (PR) Official File. The Solicitation Office will distribute copies of the Bid Set and a master set of the PR Data Package will be kept with the latest revision and PR number referenced.

2. When questions arise from the contractor concerning the data package, the buyer will perform one of the following:

a. Initiate a Procurement Technical Assistance Request for Spares (PTARS) for data changes. Forward to cognizant engineering group referencing current engineer as found on current Screening Analysis Worksheet (SAW) in Purchase Requirement Process System (PRPS).

The PR number, National Stock Number (NSN), phone number and mailing address must be included.

b. Web based solicitation data packages can be obtained at https://beta.sam.gov/. To register contact the help desk at, 1-866-606-8220 toll free or DSN : 94-606-8220

3. If copies of the CD are required, contact AFLCMC/LZPEF, Vickie Inlow, at AFLCMC.LZPEF.CDRoom@us.af.mil, DSN 777-6228, Com (801) 777-6228.

a. They will respond to the request within 2 working days whenever possible. If you have any questions or need further information please contact AFLCMC/LZPEF.

Vincent M. Villagomez Chief, Material Integrity Section

DSN 586-0460, Com (801) 586-0460

CAD/PAD Item Marking Instruction, V 1.5

CAD/PAD Item Marking Instruction

Prepared By CAD/PAD Joint Program Office

NSWC IHEODTD and AFLCMC/EBHJ

Version 1.5 Dated 01 May 2019

1.

Purpose

Table of Contents

2. Scope Page 5

3. Marking Requirements Page 6

4. Placement of UID Markings Page 8

5. Items delivered in kit format Page 9

6. Waivers Page 9

References

NOTE: Use latest revision of all reference documents.

1. MIL-STD-130 Department of Defense Standard Practice Identification Marking of U.S.

Military Property

2. MIL- STD-1168 (current revision) Ammunition Lot Numbering and Ammunition Data Card

(Note section 3.1 for new lot assignment for “remanufactured CAD/PAD Components”)

3. ISO/IEC 16022 Information technology - Automatic identification and data capture techniques - Data Matrix bar code symbology specification

4. ISO/IEC 15434 Information technology - Automatic identification and data capture techniques - Syntax for high capacity ADC media

5. ISO/IEC 15418 Information technology - Automatic identification and data capture techniques - GS1 Application Identifiers and ASC MH10 Data Identifiers and maintenance

6. UNDER SECRETARY OF DEFENSE FOR ACQUISITION POLICY AND

TECHNOLOGY Department of Defense Guide to Uniquely Identifying Items version 1.6 (this document is available on line at http://www.acq.osd.mil/dpap/pdi/uid/index.html or from Defense Procurement & Acquisition Policy, 3060 Defense Pentagon, Room 3E1044, Washington, DC 20301-3060)

7. DEFENSE FEDERAL ACQUISITION REGULATION SUPPLEMENT 252.211-7003

Item Identification and Valuation (Copies of this document are available on line at http://farsite.hill.af.mil/ or from the Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954)

8. AFSCM 21-556 Vol. 2 Julian Date format

9. ANS MH10.8.2 - 2006 Data Application Identifier Standard

10. –ISO 28219 Labeling and Direct Product Marking with Linear Bar Code and Two- Dimensional Symbols http://www.acq.osd.mil/dpap/pdi/uid/index.html http://farsite.hill.af.mil/ http://farsite.hill.af.mil/

Figures

1. Determining IUID requirement

2. Sample UID Data Stream

3. Sample CAD/PAD Data Plate/Label

4. Sample of Etched Data

5. Sample CAD/PAD Small Item Data Plate/Label

1. Purpose.

The Under Secretary of Defense has implemented policy requiring DoD components meeting the requirements identified in Figure 1 to be marked with Item Unique Identifiers (IUID). Cartridge Actuated Devices and Propellant Actuated Devices (CAD/PAD) items, regardless of dollar value, are typically serially managed in aircraft maintenance data systems and therefore are applicable to the IUID requirement.

Additionally, the Air Force Aircrew Escape System Executive Working Group (AESEWG) and the egress system maintenance community has requested that CAD/PAD items be marked with Data Matrix ECC 200 on item data plates or items to enhance accuracy of aircraft maintenance data.

In accordance with MIL-STD-130, this marking instruction identifies marking requirements that meet the above objectives by tailoring Unique Identification (UID) requirements to include aircraft maintenance data requirements for both free text Human Readable Information (HRI) and Machine Readable Information (MRI), which are both mandated requirements for CAD/PAD items.

Figure 1. Determining UID Requirement

2. SCOPE.

This instruction identifies marking requirements applicable to suppliers/manufacturers of CAD/PAD components. It is applicable to both production of new CAD/PAD components and remanufacture of service returned, over-aged components. It identifies marking methods applicable to the various sizes and shapes of CAD/PAD components.

As of this writing, guidance regarding mandated transfer of data to the IUID registry can be found at “http://www.acq.osd.mil/dpap/pdi/uid/index.html”. Go to Training and Communication link, select IUID Toolkit (www.IUIDtoolkit.com), and select “Defense Suppliers”, then under “Submit”, select subsection “Registration of IUID Data11”, under Support Tools select “Data Submission”.

http://www.iuidtoolkit.com/

3. Marking Requirements.

Both Human Readable Information (HRI) and Machine Readable Information (MRI) are required (see section 4). In accordance with the Defense Federal Acquisition Regulation Supplement (DFARS), DoD has mandated the use of Data Matrix ECC 200 as the standard format for UID MRI markings. Guidance for the construct and application of Data Matrix markings is contained in MIL-STD-130 and the DoD UID Guide located at http://www.acq.osd.mil/dpap/pdi/uid/index.html, select Guides link.

3. 1. HRI Marking Requirements. The following HRI data is required (as a minimum):

- Item Nomenclature; Per applicable manufacturer drawing

- Manufacturer’s Commercial and Government Entity (CAGE); Five (5) alpha/numeric characters.

- Item Lot Number; Lot numbers shall be assigned IAW MIL-STD-1168 (current revision), unless otherwise directed. A new lot number and serial number shall also be assigned for “remanufactured” CAD/PAD components as opposed to adding a suffix to the original lot number for a “rework, overhaul or renovation” effort.

NOTE: The requirement for unique lot number has been deleted.

DOM is NOT required if the lot number contains the DOM as identified in MIL-STD-1168

- Item Serial Number; Serial number shall be up to eight (8) numeric characters.

The serial numbers shall be sequentially assigned and shall not be repeated until serial number 99,999,999 has been reached.

- Item manufacturer’s Part Number

NOTE: The weapon system Specification Number does not meet this requirement

- Optional markings: Additional markings (such as manufacturer’s name, logo, contract number) are acceptable, provided that space is available on the item/data label. Date of Manufacture (DOM); DOM shall be MM/YYYY and be the same date that is coded into the lot number.

NOTE: Markings and/or attachments shall make no reference to item installation requirements/procedures or shelf/service lives

S S S S S o

3.2. MRI Data Construct.

Data Matrix ECC200 markings shall be developed based on UID Data Construct #2 using Data Identifiers (DIs) in accordance with MIL-STD-130 and the DoD UID Guide (see Figure 2). To facilitate durability throughout the scanning life cycle, the largest symbol size, including quiet zone, shall be fitted within the available marking real estate. The symbol’s internal module (cell) sizes shall be no smaller than 0.0075 inch (0.19 mm) and no larger than 0.025 inch (0.64 mm). Marks shall contain only the data elements identified below:

NOTE: The actual UII will be comprised of CAGE, Part Number, and Serial Number data. The parenthesis surrounding the Data Identifiers are NOT encoded in the 2D symbol

(17V) Manufacturer’s Commercial and Government Entity (CAGE) code, 5 alpha/numeric characters

- (1P) Manufacturer’s Item Part Number, 18 alpha/numeric characters maximum

NOTE: The weapon system specification numbers do not meet this

- (S) Item Serial Number, IAW HRI requirement, up to eight (8) numeric characters

- (30T) Item production Lot Number, IAW HRI requirement, 15 alpha/numeric characters maximum

NOTE: The data identifier for Lot Number has been changed from 1T to 30T

- (4D) Date of Manufacture (DOM), in Julian Date format, five (5) numeric characters:

Example: 08151 = 31 May 2008

The first two positions are the last two digits of the year, the last three positions are the Julian Date (001 through 366)

[)> R 06 G 17V 12345 G 1P 123456789-ABCDEFGH G S 12345678 G 30T ABC06D123-001 G 4D 08151 R E

Figure 2. Sample UID Data Stream

S S T

4. Placement of UID Marking. CAD/PAD items vary considerably in size and shape. A large percentage of these items are currently marked with HRI printed on data plates or labels permanently affixed to the item. The preferred method for incorporating the UID required MRI is to include it on the current data plate/label and, wherever possible, the supplier is to incorporate this concept. The following identifies known variations in marking and preferred MRI incorporation methods.

Note: Unless specifically identified as a requirement in the procurement contract, subcomponents of the End Item Assembly shall not be UID marked.

4.1. CAD/PAD Items Currently Marked with Data Plates, Labels, or Flag-Tags. The data plates/labels for these items shall be modified/arranged to allow space for the MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 3).

Figure 3. Sample Data Plate/Label

4.2. CAD/PAD Items Currently Marked With Ink or Laser Etching Directly on the Item.

Item marking shall be modified/arranged to allow space for the incorporation of ink or laser etched MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 4).

CAD/PAD Builder Inc.

Acft Explosive Component Noun

CAGE: 12345

P/N: 123456789-1234

Ser No: 0001 Lot No: ABC08D001-001

DOM: 04/2008

Figure 4. Sample of Etched Data

CAD/PAD Builder Inc.

Acft Explosive Component Noun

CAGE: 12345

P/N: 123456789-1234 Ser No: 0001

4.3. CAD/PAD Items Considered to be Too Small for HRI and MRI. These items shall be physically marked using currently approved methods for HRI. A self-adhesive label shall be supplied in the item inner packaging that includes the minimum HRI (per paragraph 3.1) and the MRI Data Matrix marking (per paragraph 3.2). The label shall be as small as possible (meeting MIL-STD-130 requirements for HRI) and will include only the minimum required data (see figure 5).

Figure 5. Sample Small Item Data Plate/Label

Note: This will allow the maintainer to scan the MRI from the label and the ability to affix it to the next higher assembly.

5. Kit Marking Requirements. Individual components procured and delivered in a “kit” or “ship-set” format shall each be marked with HRI and MRI as identified in sections 3 and 4.

The kit containers shall also be marked with HRI and MRI per sections 3 and 4.

Note: Individual components supplied in kits or ship-sets require unique item identifiers. Their markings shall not reflect those identifying the kit or ship-set.

5.1 Only the “kit “or “ship-set” will require data submission into the UID Registry. Data submission for individual components in a kit is not required, as these components were not individually priced as line items when placed on contract.

Note: To meet UID requirements, each kit will be assigned an individual serial number. Kits that are comprised of multiple containers will all be marked with the same serial number.

5.2 “Kits” or “ship sets” will typically be assigned lot numbers coinciding with the oldest individual component in the kit.

6. JSF F-35 Instructions. The marking instructions for F-35 components, labels, and packaging, shall be as outlined in this document. Additionally, contractors are required to submit an Electronic Equipment Logbook (EEL) for all serial numbers delivered to the Government. When submitting EELs, the lot number is limited to 10 characters and shall only include the year of production, month of production, interfix number, and sequence number with no dashes. Use of these nine characters will allow for an optional lot suffix as

Acft Explosive Item Noun

CAGE: 12345

P/N: 123456789-1234 Ser No: 0001 deemed necessary by procuring agency. The lot number identified on the Ammo Data Card (ADC) shall match the lot number used on the components and shall be generated

IAW MIL-STD-1168.

7. Waivers. Waivers to the UID requirement are not allowed. Requests for waivers to marking methods outlined in this instruction may be considered. Submit requests through appropriate contracting channels.

CAD/PAD Item

Dated 01 May 2019

Figures

1. Purpose.

2. SCOPE.

3. Marking Requirements.

Example: 08151 = 31 May 2008

Figure 2. Sample UID Data Stream

Figure 3. Sample Data Plate/Label

Figure 4. Sample of Etched Data

Figure 5. Sample Small Item Data Plate/Label

Contractor Name CAGE code

DCMA QAR Reviewer

Date Review Completed

Date Issued to Contractor

PR No. FD2020-

Date Contract Awarded

Final Delivery Date (FDD)

Program Name

DODIC

Part Number

The contractor is required to impose the listed below DCMA Inspection Points into the appropriate Work

Orders. All Work Orders pertaining to CRITICAL FLIGHT ITEMS must be identified on folders.

Mandatory - M: Stamp and/ or Signature on original documentation (i.e., Mfg. Planning, ATP, FAT Report, etc.)

Witness - W: GSI required to attend, may reduce level of effort after 50% of production lots found acceptable

Verification - V: Stamp and/or Signature required unless noted otherwise (may be done by written verification)

Monitor - R: Will monitor testing, may reduce to verification

Notify - N: By phone or email

Additional requirements: (DCMA reserves the right to impose additional inspection points as deemed necessary.)

Prepared by:

Date

Concurrence Signature by QAR/DCMA:

QAR/DCMA

THIS PLANNING SHEET WILL BE UPDATED IF NECESSARY.

QUALITY ASSURANCE LETTER OF INSTRUCTION

Planning Requirements

COMMENTS

NOTICE

Engineer

Date

Devin Swanson

Sheet1

Contract No: 21-50067

Date Contract Awarded:

Final Delivery Date FDD:

Program Name: B-1B SMDC

DODIC: MY31

undefined: V undefined_2: W/R undefined_3: V undefined_4: M undefined_5: W/R undefined_7: V undefined_8: V undefined_9: W/R undefined_10: V undefined_11: N

Text19: PSEMC

Text20: 06331

Text21:

Text22:

Text23:

Text24: 1.Inspection

Text25: 2. Leak Test

Text26: 3. X-Ray/N-Ray

Text27: 4. LAT Sample Selection

Text28: 5. FAT/LAT

Text29: 6. Preparation for Shipment

Text30: 7. AMMO Data Card Review

Text31: 8. Shippers (DD250, DD1149, Reports)

Text32: 9. Manufacturing Process

Text33: 10. In Process Inspections

Text34: 11. Additional Requirements

2021-02-18T13:39:58-0800

WIGINTON.JASON.L.1177644362

Text46: 02/18/2021

Text49: 02/18/2021

Type name_4:

Part Number:

Noun: K824522

Text1:

undefined_12: V

Text36: 1. Verify that the Explosive Weight is identified and meets drawing and hazard classification requirements.

2. Witness initial setup of gross/fine leak checks are performed per ATP requirements. Thereafter, monitor to ensure production process compliance. DCMA may increase oversight should risk be detected.

3. At a minimum, ensure film labeling is complete and correct and that radiographic film is readable and well-defined.

4. LAT (P/N) units will be selected/provided by DCMA and USAF (coordinated effort) to PacSci prior to production operation. Selection will be IAW quantities outlined in the latest government approved ATP. Should sample availability be limited (S/N or P/N), acceptable deviations will be determined by the local DCMA representative.

5. Prior to LAT, ensure proper calibration and validation of all test equipment. Testing should occur in accordance with latest government approved ATP, and monitored as deemed necessary by DCMA. DCMA may increase oversight should risk be detected.

6. Ensure Paperwork is complete and correct WRT to inspection points and the build process.

7. Verify all energetic materials: list original manufacturer, original lot no., and latest certification/recertification date < 24 months, or in accordance with the latest Government approved Energetic Materials Recertification Plan.

8. Ensure Paperwork is correct WRT the Packaging, Packing, Preservation & Marking (PPP&M).

9. Witness initial setup of the production process for hyrdroforming, swaging, and squiggle formation. Ensure manufacturing process is IAW PSEMC documentation. Monitor thereafter to ensure production process compliance. DCMA may increase oversight should risk be detected.

10. Verify all traveler in-process checkpoints are signed/complete.

11. Notify and obtain approval from the Project Engineer for any additional requirements imposed by DCMA.

12. Verify explosive powder requirements from MP and AirSpec documentation - moisture content less than .05%; secured and appropriate overnight storage; maximum particle size less than 250 micron for HNS I in accordance with WS5003F; appropriate grain per foot core load.

13. Verify the MDC metal tube meets Quality Control requirements listed within specification, including verification of certificate of conformance.

Text35: 12. Explosive Powder Requirements

Text37: 13. Tube Certification undefined_6: V

Text38:

undefined_14:

undefined_13: V

REPSHIP Data Requirements for Individual Shipments of Hazardous Material (HAZMAT) and Inert Component Parts - Continental United States (CONUS) to CONUS, CONUS to Overseas or From All

Overseas Locations FROM: Shipping Activity To: Domestic Customer or Transshipping Activity Clearance Authority (Ocean) or Customer Service

Branch (CSB) (Air) or CONUS Sea Terminal

INFO: GACP TRANSPORTATION, HILL AFB UT - (AFLCMC / EBHMB)

email: ooalc.gacp.transportation@us.af.mil or FAX (801) 777-1089.

INFO: Sponsoring Service Accountable Supply Activity Ultimate Consignee/ Final Destination

SUBJ: Report of Shipment (REPSHIP)

1. Shipment Date written as a three-digit day of the year (Julian)

2. Estimated Time of Arrival (ETA) written as a three-digit day of the year (Julian) (Observe Standard Transit Time (STT), if CONUS Truck Shipment and no Required Delivery Date (RDD) identified)

3. Required Delivery Date (RDD) or Delivery Date (DD), if specified

4. Carrier

5. Bill of Lading (BL) Number (Notes 1, 2, 3, 4)

6. Military Traffic Expediting-Greater Security (MTX-GS) Service Number (Notes 1, 2, 3)

7. Air Release Number (Notes 1, 2, 3) or for Surface Shipments, Export Traffic Release (ETR) Number and Vessel Name and/or Voyage Document Number

8. Shipment (Cargo) Name (Example: Bombs)

9. Container and Seal Number (if applicable):

a. Container Transportation Control Number (TCN)

b. Total Weight of Contents

c. Rounds, Pieces, Weight, Cube, Condition code, and Lot Numbers (Note 4)

10. Security Risk Category (SRC), (E.G., Security Risk Category I, II, III, IV, Unclassified, Confidential, Secret, None)

11. Controlled Item Inventory Code (CIIC)

12. Total Net Explosive Weight (NEW)

13. Hazard Classification (s)

14. Department of Defense Identification Code / Navy Ammunition Logistic Code (DODIC/NALC). (Note 4).

15. Name, address, and phone number of person responsible for information contained in REPSHIP

NOTES:

1. When the conveyance contains more than one shipment unit, repeat the data elements in separately lettered paragraphs for each shipment unit.

2. Cargo for more than one vessel or flight, but shipped to Port of Embarkation (POE) in a single conveyance, is included in a single REPSHIP. When cargo for a single vessel is moved to the Seaport of Embarkation (SPOE) in more than one conveyance, repeat all the data elements as above in separate numbered paragraphs for each conveyance or REPSHIP.

3. A separate REPSHIP is used for each mode of shipment to the POE.

4. Lot number, DODIC and NALC are not mandatory fields. If available, they may be provided in the electronic

RESHIP or in the template above. If a CBL is used, the lot number and ammunition condition code should be included in the remarks section. Weapons must be identified on the CBL by each serial number contained within the shipment.

5. DODIC and NALC are codes used specifically for logistic administration and control of ammunition.

Attachment 1

Existing Packaging Statement of Work January 2019

SPECIAL PACKAGING INSTRUCTIONS RETRIEVAL & EXCHANGE SYSTEM (SPIRES)

Contractors may request the use of SPIRES website to view item packaging requirements or search for Special Packaging Instruction drawings via the following website: https://spires.wpafb.af.mil/

REUSABLE CONTAINERS

The contractor shall safeguard all received reusable shipping containers that meet the requirements of the AFMC Form 158 and are suitable for return shipment of serviceable assets. The contractor shall dispose of and replace unserviceable containers with new containers that meet requirements of the AFMC Form 158. Contact the Administering Contracting Office (ACO) for disposition and replacement when Long Life Reusable Containers (LLRC) are received in an unserviceable condition.

REPORTING DISCREPANCIES

The contractor shall use Web Supply Discrepancy Report (WebSDR) to submit/reply to a Supply Discrepancy Report (SDR), when improperly packed assets are received/shipped in other than the contracted packaging requirements (coded data or Special Packaging Instructions (SPI) drawings) from Department of Defense (DoD) components or contractor activities. The contractor shall request a WebSDR account via the following website:

https://www.transactionservices.dla.mil/daashome/homepage.asp (See Defense Logistics Management (DLMS) 4000.25-M, Volume 2, Supply Standard and Procedures, Chapter 17, Supply Discrepancy Reporting)

Exceptions when no damage has occurred are as follows:

- Items packaged before the current SPI date.

- An alternate pack may be used, provided the prime Air Force Sustainment Complex, Packaging Office at the Air Logistics Complex (ALC) approves and issues a waiver and deviation number, which would be annotated on the exterior container on the lower right hand portion of the identification side of the container.

- In accordance with Technical Order (TO) 00-85B-3, How to Package Air Force Spares, the contractor may substitute the next larger size fast pack, of the type I or type II to ship transportation priorities 1 and 2 shipments as long as there is no decrease in any of the container dimensions without the requirement of a waiver deviation.

TO 00-85B-3, para 4.2 can be accessed via the website:

- https://www.tinker.af.mil/Portals/106/Documents/Technical%20Orders/AFD-082416-00-85B-3.pdf

ASSIST Documents for Specifications Listed in the GSA Index of Federal Specifications, Standards and Commercial Item Descriptions The contractor shall use the ASSIST website to access specification, standards, data item descriptions documents listed in this contract solicitation:

FAR 52-211-2 Availability of Specifications, Standards, and Data Item Descriptions listed in the Acquisition Streamlining and Standardization Information System https://quicksearch.dla.mil/ https://spires.wpafb.af.mil/ https://www.transactionservices.dla.mil/daashome/homepage.asp https://www.tinker.af.mil/Portals/106/Documents/Technical%20Orders/AFD-082416-00-85B-3.pdf https://quicksearch.dla.mil/%23/

Existing Packaging Statement Of Work (Cont)

AFSC

406 SCMS/GULAA

Attn: Dustin Hale

DSN: 777-8841

COMM: 801-777-8841

E-mail: dustin.hale@us.af.mil

APPLICABLE GOVERNMENT PACKAGING DOCUMENTS

NOTE: UTILIZE THE MOST RECENT REVISION

DLMS 4000.25, Defense Logistics Management Systems, Volume 2, Change 10, Supply Standards and Procedures, Chapter 17, Supply Discrepancy Reporting

TO 00-85B-3 How to Package Air Force Spares

Existing Packaging Statement Of Work (Cont)

APPLICABLE GOVERNMENT PACKAGING DOCUMENTS

NOTE: THE ABOVE POP MARKINGS

ARE FOR DOD USE ONLY.

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY, ADMINISTRATIVE OR OPERATIONAL USE, 14 DECEMBER 2018. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO 406 SCMS/GULAA, (PACKAGING

DIVISION), HILL AFB, UTAH 84056.

DESTRUCTION NOTICE: FOLLOW THE PROCEDURES IN DOD 5220.22-M, NATIONAL INDUSTRIAL SECURITY PROGRAM OPERATING MANUAL (NISPOM), SECTION 5-705, OR DOD 5200.1-R, INFORMATION SECURITY PROGRAM, CHAPTER VI. FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

NOTE: DO NOT USE STAPLES FOR ASSEMBLY

OF WOODEN CONTAINERS.

AutoCAD SHX Text

2169 MOD

DD

FORM

MARCH 87

COMPUTER GENERATED

SPI NO. F01-666-8565

SPECIAL MARKINGS:

A) SPI NO. F01-666-8565

B) PROPER SHIPPING NAME:

PACKAGING WAS MANUFACTURED.

C) UN POP MARKING:

**THE LAST TWO DIGITS OF THE YEAR DURING WHICH THE

CLOSURE:

LEVEL B:

LEVEL A:

USA/DOD/AF70

n

4D/Y65/S/** u

PART OR DRAWING NO.

SPECIAL PACKAGING INSTRUCTION

ITEM NOMENCLATURE

MILITARY PRESERVATION IAW MIL-STD-2073

PRESERVATIVE: N/A

CLEANING & DRYING: IAW MIL-STD-2073

MARKING IAW MIL-STD-129

UNSERVICEABLE METHOD: 41

QUP

ICQ

MULTIPLE PART NUMBERS

ORIGINAL

CORD ASSEMBLY, DETONATING

18351

DATE

AUTH.

CHK.

1377-01-666-8565 ES

NATIONAL STOCK NO.

CURRENT

REV

P.S.

ILL.

98747

CODE ID

DODPOPHM/USA/DOD/AF70/TR16027

SHEET 1 OF 8

SPI NO. (TPO)

A

13.368

LEVEL A LEVEL B

LENGTH WIDTH DEPTH

VARIES

65 1/8

65 1/8

AS SPECIFIED BELOW AND BILL OF MATERIALS

SPEC STYLE TYPE CL VRTY GR TR

REVISIONS

DESCRIPTION

VARIES

CNTR I.D.

LTR

ITEM DIM

ITEM WT.

CNTR O.D.

GROSS CU FT

GROSS WT LBS

DESIGN FRAGILITY G

ASTM D6251 (MOD)

ASTM D6251 (MOD)

LEVEL

B

PACKING

DATE

20 1/8

20 1/8

17 5/8

17 5/8

13.368

K. KNIGHTON J. BURLEIGH D. HALE N. CORONADO

F01-666-8565

D) REUSABLE CONTAINER & DUNNAGE DO NOT DESTROY.

IAW: ASTM D6251/THIS INSTRUCTION

IAW: ASTM D6251/THIS INSTRUCTION

MARK THE SPI NUMBER ON THE IDENTIFICATION SIDE OF CONTAINER.

SERVICEABLE METHOD: 41

FUZES, DETONATING

UN0257

E) BOX _ OF 4

THIS IS A 4 BOX SET - REFER TO TABLES

III

III

REQD

P/N

QTY

SIZE: (INCHES UNLESS SPECIFIED) TOLERANCES ON FRAC. ± , 18, DECIMAL ± .10, ANGLES ± 1°

DESCRIPTION

NOMENCLATURE OR

SPECIFICATION

MATERIAL

A/R A/R A/R A/R 2 1 3 28

BANDING, STEEL WRAP BAG, BARRIER CUSHIONING LINER, SIDE LINER, BOTTOM SKID SCREW

3/4 X 0.015 X AS REQUIRED AS REQUIRED AS REQUIRED AS REQUIRED 80 3/4 X 11 7/8 X 1/8 63 X 18 X 1/8 4 X 4 (NOM) X 20 1/8 #10 X 2

ASTM D3953 TYPE 1, RD, FIN. B A-A-59135 CLASS 1, GRADE B MIL-DTL-117 TYPE I, CL. F, STYLE 1 A-A-59135 CLASS 1, GRADE B ASTM D4727 CF, DOM, SW, GR. 200 ASTM D4727 CF, DOM, SW, GR. 200 ASTM D6199 CLASS 2 ASME B18.6.1 FLAT HEAD WOOD SCREW, STEELFLAT HEAD WOOD SCREW, STEEL

-8 -7 -6 -5 -4 -3 -2 -1

2169C MOD

SHEET 2 OF 8

MUNITION NOTICES

NOTICE 1: SEE SPIRES FOR A COMPLETE LISTING OF NSN's ASSIGNED TO THIS SPI.

NOTICE 2: THIS SPI IS NOT AUTHORIZED FOR USE WITHOUT PROPER HAZARD CLASSIFICATION. UNLESS A FINAL

HAZARD CLASSIFICATION HAS BEEN ISSUED, A COPY OF THE VALID INTERIM HAZARD CLASSIFICATION LETTER ALONG

WITH DOT SP 15448 MUST ACCOMPANY EACH SHIPMENT.

NOTES

1. BOX MUST BE CONSTRUCTED USING 1 X 4 (NOM) CLEATS AND 5/16 PLYWOOD.

2. SEE ATTACHED TABLES TO DETERMINE THE BOX NUMBER AND CONTENTS.

3. ALL ITEMS WILL BE INDIVIDUALLY BAGGED USING REF.-6, AND ENDS WRAPPED USING REF.-7.

4. PLACE BOTTOM LINER, REF.-3, NEXT PLACE SIDE LINERS, REF.-4, AS SHOWN.

INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES

REVISION OF ISPM NO. 15

REVISION OF WOOD PACKAGING MATERIAL FOR INTERNATIONAL TRADE

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD

PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE

PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND

COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES, RESULTING IN SHIPMENTS WORLDWIDE

(DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES).

WOODEN LUMBER, WOODEN PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLETS, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD

PACKAGING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF

HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES).

CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS

COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR

PHYTOSANITARY MEASURES (ISPM NO. 15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

SHEET 3 OF 8

SHEET 4 OF 8

SHEET 5 OF 8

SHEET 6 OF 8

SHEET 7 OF 8

DETAIL A

CRIMP LINE

SHEET 8 OF 8

ITEM DESCRIPTION

NSN

1377016668565ES

CAGE

06331

REFERENCE NUMBER

K853824-01

NOUN

CORD ASSEMBLY,DETON

END ITEM

B-1

TCTO NUMBER TO NUMBER

11P17-5-7

CRITICALITY CODE

F

DEMILITARIZATION CODE

G

SECURITY CODE

MDC

WZB

ES CODE

WS

REMARKS

Wetz, Richard GNAME: 27 SEP 2017DATE:

The is a complete SMDC line kit for the B-1 Bomber. This kit contains 459 different size explosive lines used on the B-1 egress system.

INITIATOR

NAME

RICHARD.G.WETZ

ORGANIZATION / OFFICE SYMBOL

AFLCMC / EBHJ

DSN PHONE

775-4851

COMMERCIAL PHONE

801-775-4851

ITEM DESCRIPTION DATA

LENGTH ( IN )

65.0000

WIDTH ( IN )

20.0000

HEIGHT ( IN )

17.5000

WEIGHT ( LB )

100.0000

OTHER DIMENSIONS

These are the dimensions of the boxes

ITEM MATERIAL

1.4 explosive items. Stainless steel tube with explisve filler and explosive tips on each end.

ITEM FUNCTION

Tranfers an explosive action from one device to another during an emergency egress of the cockpit.

SAFETY CRITICAL SCREW

THREADED COMPONENT

ESD CEMS SENSITIVE DATA

STATEMENT OF HELIUM CONTENT (%) 0 PRECIOUS METAL INDICATOR CODE

GFM REQUIRED GFE REQUIRED GFP REQUIRED

JEWEL BEARING JEWEL BEARING RELATED

LEGACY ITEM DESCRIPTION

Page 1 of 1ITEM DESCRIPTION Version 1Generated by PRPS using Jasper Reports on 07 Jul 2020

JUSTIFICATION FOR QUALIFICATION REQUIREMENTS

FAR 9.202(a) and DoD 4120.24M

Section A: Item Identification

1. Stock Number (NSN): 1377-01-666-8565ES

2. Part Number (P/N): L320C2005 Contractor Part Number(s):

3. Noun: Detonating Cord Kit

4. Application: B-1B

Section B: Justification for Establishing a Qualification Requirement and Reason Why Qualification Requirement Must Be Demonstrated Prior to Any Contract Award.

1. The SMDC Line Kit is a critical safety item (CSI). Characteristics associated with the manufacture of the SMDC Line, if not correct, would result in product functional degradation and ultimate loss of the aircraft. This item performs a critical function on the aircraft and special equipment is required for its manufacture and testing. Special care and attention is required but not limited to finish, processing, assembly, performance, and part interchangeability of this item.

2. The prospective bidder’s ability to interpret engineering drawings and specifications and the execution of the qualification requirements specified herein are necessary to verify the structural and functional integrity and/or form, fit, and function of the item being procured.

3. Failure to procure this item from a fully qualified source could result in failure of the part, degradation of aircraft mission capability, or loss of aircraft and possibly carrier aircraft.

4. Completion of the specified pre-contract award qualification requirements, will ensure the government that the prospective offeror is technically capable of producing the item in compliance with the applicable technical specifications and associated drawings and within the schedule and economic constraints of our contracts. To protect the interests of the Air Force, only United States and Canada suppliers will be considered. There are sufficient technical and schedule risks, which can only be minimized by completion of the requirements prior to contract award.

Section C: Qualification Requirements That Must be Satisfied to Become a Qualified Source and Qualification Waiver Requirements.

1. Prequalification Notice. The offeror shall notify AFLCMC/EBHJ CAD/PAD IPT or, if responding to a solicitation, the contracting officer in AFLCMC /EBHKB of intent to qualify as a source for this item.

2. Facilities. The offeror must certify to the design control activity (AFLCMC/EBHJ CAD/PAD IPT) that they have the required facilities and equipment to manufacture, inspect, test, and package the item. The offeror shall make their facilities, equipment, tooling, and personnel available for evaluation and inspection by the government.

3. Data Verification. A qualification test procedure per DI-NDTI-80604 and a qualification test report per DI-NDTI-80604 shall be provided through the AFLCMC /EBHKB contracting office to the AFLCMC/EBHJ CAD/PAD IPT. Qualification testing must be accomplished in accordance with Rockwell Specification L320C2005.

4. Process Verification. The offeror shall identify sources for materials and standards for internally used processes. The offeror shall further define/provide written procedures for the utilization of any special test or inspection facilities and/or equipment. This documentation shall also include a diagnostic procedure showing the process the items being produced would undergo. The production process shall show how the offeror shall test, inspect, diagnose, produce and perform a final functional checkout. Development of special test procedures not available from the government is required. The offeror shall develop those procedures for review and approval by the design control activity identified in paragraph 2 above. The contractor must be capable of locating alternative components to minimize any diminishing manufacturing sources (DMS) problems. The offeror must show compliance with Unique Identification (UID) requirements in accordance with DFARS 211.274 as prescribed in the CAD/PAD Marking Instruction version 1.1. Given this item is a safety critical item the offeror must provide evidence in their management process that they will manage the CSI and all of the critical characteristics.

5. Test and Evaluation or Verification. The offeror shall submit to the design control activity an explanation of how they will certify that the test methods and production procedures meet the specifications for the item. The government retains the option to inspect the offeror’s production and testing facilities. To allow for government inspection, the offeror’s facilities shall be made available to government inspection during the qualification effort upon 10 days written notice.

6. Qualification Article. Upon satisfactory compliance with the provisions of paragraphs 1 to 5 above, the offeror shall build and test the item in accordance with Rockwell Specification L320C2005 to demonstrate production capability, form and function and also provide an inert SMDC Line to demonstrate proper fit. This production and testing shall be done at the offeror’s expense.

7. Sensitive Military Technology. Not applicable.

8. Testing and Production Evaluation. The offeror shall be required to submit a complete test report for the production capability demonstration verifying compliance with all performance, environmental, mechanical, and quality assurance requirements, including top level drawing and all related item and source control drawings. In addition the test report shall contain detailed documentation describing the testing procedures during production.

This data shall describe in detail the point(s) in the production process that testing occurred, and if failures were noted, the corrective action taken and the results of the retest. The government retains the option to inspect the production and testing process, including on-site witnessing of any or all production and testing activities. The offeror is responsible and liable for ensuring compliance with all applicable system and item requirements. The offeror will provide notification to the government of testing and evaluation 30 days in advance so the government can witness, if desired, as well as coordinate needed activities, support, etc.

9. Time Completion Estimate. The design control activity estimates completion of qualification efforts should require 360 days. This is based on complexity and hazards associated with the item and other factors. This is not a deadline but a notification to a potential offeror of the time believed to be required. Events that occur during the qualification process may increase or perhaps decrease, this time depending on individual circumstances.

10. Time Limitation. An offeror may not be denied the opportunity to submit and have considered, an offer for a contract if the offeror can demonstrate to the satisfaction of the contracting officer and cognizant engineering activity that the offeror (or its product) meets these standards for qualification or can meet them before the date specified for award of the contract. The award will not be delayed to provide the contractor with an opportunity to demonstrate its ability to meet the standard specified in this source qualification statement.

11. Evaluation of Proposals Not Previously Qualified. The offeror must be fully qualified in order to be eligible for a contract award. Therefore, the offeror must fulfill all of the requirements stated, in writing, in this Justification for Qualification Requirements before the date specified for award of the contract. The government reserves the right to award a contract at the time specified for award, to a qualified source even though other sources may not have finished qualifying.

12. Waiver. Any offeror who has had previous experience in the production of the SMDC Line or other similar items may apply to the design control activity identified in paragraph 2 for a waiver of all or part of the above requirements. A waiver will be granted only if the design control activity can establish the qualification of the offeror from previous knowledge/interface or from written inputs from the offeror.

13. Approval. Once the qualification requirements are met, the offeror will be listed as an approved source for this item. Approval, however, does not guarantee subsequent contract award.

Approved Sources: Cage Code Vendor P/N Pacific Scientific-Hollister 06331 K853824-01

Section D: Signatures.

JUSTIFICATION FOR QUALIFICATION REQUIREMENTS

Section A: Item Identification

2020-07-20T18:02:29-0600

SWANSON.DEVIN.D.1385800432

2020-07-21T08:31:35-0600

FLINDERS.KEVIN.G.1231477949

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 Directorate (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

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FD2020-21-50067

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Ammunition Data Card (ADC)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10,12,13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

BLK 14: A sample ADC or "draft" will be generated and submitted for each part number/NSN produced under this contract using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable prior to final ADC submittals.

Sufficient hard copies of final version ADCs shall be generated for each individual production lot from the Worldwide Ammunition-data Repository Program (WARP) such that at least one hard copy per production lot shall be provided with each individual CLIN shipment/destination. An electronic copy for each production lot shall be submitted/uploaded with the electronic receiving report through WAWF to AFLCMC/EBHJ using DoDAAC FA8213.

FOB DESTINATION

EBH 20-169-001

Terry McCurdy, AFLCMC/EBHTC, 586-0535

WAWF 0 1 0

DoDAAC, FA8213

Included with item(s) shipped

Sample ADC via

WARP sys only

15. TOTAL 0 1 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2020/06/17

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

17. PRICE GROUP

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 Directorate (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

TDP TM OTHER SESS

A002

Engineering Change Proposal (ECP)

DI-SESS-80639E

LT

ASREQ

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of notice of revision shall contain all information required by DD Form 1692.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of restricted by the Arms Export Control Act (Title 22, U.S.C., Sec.

2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE--Destroy by any method that will prevent

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the Government Contracting Officer

(AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHTC)

AFLCMC/EBHJ 1 1 0

AFLCMC/EBHTC 1 1 0

AFLCMC/EBHKB 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO 1 1 0

15. TOTAL 5 5 0

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 Directorate (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

A003

Notice of Revision (NOR)

DI-SESS-80642E

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Notice of Revision shall contain all information required by DD Form 1695.

submittal of data. The Letter of Transmittal shall be used only for

BLK 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export

AFLCMC/EBHEC 1 1 0

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 Directorate (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

A004

Request for Variance (RFV)

DI-SESS-80640E

BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Request for Variance shall contain all information required by DD Form 1694.

submittal of data. The Letter of Transmittal shall be used only for

BLK 8: Government Engineer will perform review of the RFV. Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval shall be signed contract modification (AFLCMC/EBHKB).

2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

AFLCMC/EBHTC 1 1 0

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 Directorate (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

TDP TM OTHER QCIC

A005

Lot Acceptance Test Plan

DI-QCIC-80553A

BLK 4: Contractor format required.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:

https://wawf.eb.mil.

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