B08 Exhibit A CDRL 10-12-21.pdf

PDF 3 MB Posted Nov 24, 2021

Attached to: Environmental Stack Testing and Consulting Services
Solicitation number: W52P1J-22-R-0003
Issued by: Department of the Army Materiel Command Joint Munitions Command

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Other files

File	Type	Posted
B08 W52P1J22R0003-0003.pdf	PDF	Jan 20, 2022
B08 ATTACHMENT 0010 Environmental Stack Contractor Questions 1-10-2022.pdf	PDF	Jan 11, 2022
B08 W52P1J22R0003-0002.pdf	PDF	Jan 11, 2022
Attachment 0001 - Environmental PWS - REV 1 17DEC2021.pdf	PDF	Dec 21, 2021
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing Rev 1 20DEC2021.xlsx	XLSX spreadsheet	Dec 21, 2021
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing Rev 1 20DEC2021.xlsx	XLSX spreadsheet	Dec 20, 2021
Attachment 0009 W52P1J-22-R-0003 Environmental Stack Contractor Questions FINAL.pdf	PDF	Dec 20, 2021
Attachment 0001 - Environmental PWS - REV 1 17DEC2021.pdf	PDF	Dec 20, 2021
B08 Exhibit A CDRL REV 1 12-16-21.pdf	PDF	Dec 20, 2021
B08 W52P1J22R0003-0001.pdf	PDF	Dec 20, 2021
B08 Attachment 0003 iWatch Training Slides.pdf	PDF	Nov 24, 2021
B08 Attachment 0004 OPSEC ACQUISITIONS PLAN.pdf	PDF	Nov 24, 2021
B08 Attachment 0002 Depart of Labor Wage Determinations 9-20-2021.pdf	PDF	Nov 24, 2021
B08 Attachment 0001 Environmental PWS - 12 OCT 2021 FINAL.pdf	PDF	Nov 24, 2021
B08 Attachment 0006 Past Performance Questionnaire 10-15-21.pdf	PDF	Nov 24, 2021
B08 Attachment 0008 Guidance on Documentation of CDRLs.pdf	PDF	Nov 24, 2021
B08 Attachment 0007 List of Addresses for CDRLS.pdf	PDF	Nov 24, 2021
W52P1J22R0003.pdf	PDF	Nov 24, 2021
B08 Attachment 0005 Price Evaluation Spreadsheet Stack Testing FINAL 26 Oct 2021.xlsx	XLSX spreadsheet	Nov 24, 2021

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

W52P1J-22-R-0003 TBD

Maximum Achievable Control Technology (MACT) Support Position Papers

PWS para 2.1 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

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Emissions Stack Testing Support

A001

The contractor will provide position papers and other related documentation as necessary for MACT support and forward to COR and Contracting Officer within 10 days of completion. Position papers and other documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

jose.m.hernandez258.civ@mail.mil

0 2 0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Environmental Planning, Testing and Reporting Permits and Documentation

PWS para 2.2 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A002

The contractor will prepare and provide permit applications and modifications for submission to, and review and approval by Army organizations, State and Federal environmental regulatory agencies. Contractor shall revise and update permit applications and documentation based on reviews and coordination with key stakeholders including PD Demil, JMC, JMC depots, and CCDC-AC. Document formating should be in contractor format and forwarded to COR and Contracting Office within 10 days of completion. Documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Human Health and Ecological Risk Assessments (HHERAs) HHERAs

PWS para 2.3 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

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1 2

Emissions Stack Testing Support

A003

The contractor will provide a revised and updated HHERA documents based on review and coordination with key stakeholders including PD Demil, JMC, JMC depots, CCDC-AC, Federal and State regulatory agencies, and the Government's contractors. Documentation shall be in contractor format and shall be forwarded to COR and Contracting Officer within 10 days of completion. Documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Educational Consultation Training Material

PWS para 2.4 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A004

The contractor will prepare and provide training material suitable for ongoing reference after completion of the training. Training material will be in contractors format and will be forwarded to COR and Contracting Officer. All documents will be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Design Support & Operational Reviews Design Documentation

PWS para 2.6 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A005

The contractor will provide design support to include preparation of process flows, mass and energy balances, and process modeling documents. All documents to be submitted in contractors format and forwarded to COR and Contracting Officers. Documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE: jose.m.hernandez258.civ@mail.mil

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Mini-Burn Test Plan Test Plan Documents

PWS para 2.8 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A006

The contractor will prepare mini-burn test plans to conduct testing and sampling is adequate to confirm readiness for a Comprehensive Performance Test (CPT) or other test that determines compliance with air and solid waste environmental requirements for thermal treatment. The mini-burn test plan shall demonstrate performance goals, complies with regulation, provides a test and compliance strategy that can be effectively and efficiently executed. Mini-burn test plan shall be in contractor's format and will be forwarded to COR and Contracting Officers within 10 days of completion. All documents shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE: jose.m.hernandez258.civ@mail.mil

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Mini-Burn Test Result Documentation

PWS para 2.9 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A007

The contractor will provide documented results of the test and laboratory analysis in the form of a Mini-Burn Test Technical Report. Modifications and updates to the report shall be based on comments received from the Government after review. All documentation shall be forwarded to COR and Contracting Officer within 10 days of completion. Documentation shall be submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE: jose.m.hernandez258.civ@mail.mil

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Comprehensive Performance Test Plans (CPTPs) CPTP Document

PWS para 2.10 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A008

The contractor will submit Comprehensive Performance Test Plans (CPTP) for all JMC depots referenced within this contract. Contractor shall ensure CPTPs demonstrate performance goals, complies with regulation, provide a test and compliance strategy for effective and efficient execution. This shall include pollutant limits, flexibility in munitions processing, operating conditions, evaluation and selection of feed/spike, and test schedule. The format for the CPTPs shall be in accordance with (IAW) 40 CFR part 63 subpart EEEE and shall be to the Government for review and comment no later than (NLT) 60 days prior to the regulatory deadline of the CPTP. Test Plans must be finalized and submitted to the Government NLT 13 months prior to the planned Comprehensive Performance Test date. All documents shall be forwarded to COR and Contracting Officers and submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Comprehensive Performance Test (CPT) CPT Documents

PWS para 2.11 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A009

16. REMARKS

The contractor will provide collected operating data from the furnace and emissions collected during stack testing. The contractor shall provide a CPT report that summarizes the unit operating conditions, presents the stack test results, and specifies the new Operating Parameter Limits (OPLs) for the furnace.

CPT report shall include a Notification of Compliance, which the depots will review, sign, and submit to applicable state environmental office. The final CPT report must be provided to the government for submittal no later than 90 days following the completion of on site testing activities. Format will be IAW 40 CFR part 63 subpart EEEE and will be forwarded to COR and Contracting Officer. All documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Confirmatory Performance Test Plan CfPTP Documents

PWS para 2.12 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

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Emissions Stack Testing Support

A010

The contractor will provide CfPTPs that demonstrate performance goals, complies with regulation,and provides a test and compliance strategy that can be executed effectively and efficiently. The format shall be IAW 40 CFR part 63 subpart EEEE and shall be submitted to the Government for review and comments NLT 60 Days prior to the regulatory deadline. Contractor will perform comment resolution during the Government's review process and will submit a finalized test plan to the Government NLT 13 months prior to planned CfPT date.

All documents shall be submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Confirmatory Performance Test CfPT Documents

PWS para 2.13 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A011

The contractor will provide documented results of Confirmatory Performance Test (CfPT) in the form of a CfPT Technical Report. The format will be in contractor's format and shall be submitted within 90 days following CfPT completion. Reports and documents shall be forwarded to COR and Contracting Officer and submitted electronically to CCRI-AR: briget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3@mail.mil and AMJM-DDE:

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Continuous Emissions Monitoring Systems (CEMS) CEMS and RATA

PWS para 2.16 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

AMJM-DDE 0 1 0

1 2

Emissions Stack Testing Support

A012

The contractor will provide documented results from the HWC Relative Accuracy Test Audit (RATA) testing. Documented results shall be submitted to the Government for review NLT 60 days following completion of the RATA. The Contractor shall update the report based on the comments received. The format shall be IAW 40 CFR part 63 subpart EEE. All documents shall be forwarded to COR and Contracting Officers and submitted electronically to CCRI-AR:

bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Regulatory Plans Plans

PWS para 2.17 CCRI- AR

N/A

BLOCK 16 BLOCK 16

CCRI-AR 0 1 0

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Emissions Stack Testing Support

A013

The contractor shall prepare and provide regulatory plans in support of the HWC MACT Rule. Plans will be submitted in order to be compliant with 40 CFR part 63 subpart EEE. Under this regulation, the plans required are:

Operation and Maintenance Plan Startup, Shutdown, and Malfunction Plan Feedstream Analysis Plan Continuous Monitoring System Performance and Evaluation Test Plan Continuous Monitoring System Performance and Evaluation Plan

The plans shall be forwarded to COR and Contracting Officer and submitted electronically to CCRI-AR: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil and AMJM-DDE:

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY

Elizabeth J Shepherd

H. DATE

10/12/21

I. APPROVED BY J. DATE

Page of Pages Adobe Professional 8.0

W52P1J-22-R-0003 TBD

Status Report Monthly Demil Status Report

PWS para 2.25 CCRI- AR

N/A

Monthly AS REQ

N/A Monthly

DCMA ACO 0 1 0

CCRI-AR 0 1 0

1 2

Emissions Stack Testing Support

A014

N/A

16. REMARKS

Contractor format is acceptable. Monthly Demil Status Reports shall be emailed to: bridget.l.kramer.civ@mail.mil, elizabeth.j.shepherd3.civ@mail.mil, and DCMA ACO. Monthly Demil Status Reports are to be submitted electronically each month by the 5th day of the following month.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

A001 - CDRL - MACT - Stack Testing IDIQ 1

A002 - CDRL - Environmental Planning_Testing_Reporting - Stack Testing IDIQ

A003 - CDRL - Human Health and Ecological Risk Assessments - Stack Testing IDIQ

A004 - CDRL - Educational Consulataion and Training - Stack Testing IDIQ

A005 - CDRL - Design Support and Operation Reviews - Stack Testing IDIQ

A006 - CDRL - Mini Burn Test Plan - Stack Testing IDIQ 6

A007 - CDRL - Mini Burn Test - Stack Testing IDIQ

A008 - CDRL - CPTPs - Stack Testing IDIQ

A009 - CDRL - CPT - Stack Testing IDIQ

A010 - CDRL - CfPTP - Stack Testing IDIQ

A011 - CDRL - CfPT - Stack Testing IDIQ

A012 - CDRL - CEMS - Stack Testing IDIQ

A013 - CDRL - Regulatory Plans - Stack Testing IDIQ

A014 - CDRL - Monthly Progress Report - Stack Testing IDIQ

3 SUBTITLE Position Papers:
5 CONTRACT REFERENCE PWS para 21:
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B EXHIBIT A:
TDP:
TM:
OTHER:
F CONTRACTOR TBD:
3 SUBTITLE Permits and Documentation:
5 CONTRACT REFERENCE PWS para 22:
6 REQUIRING OFFICE CCRI AR:
14 DISTRIBUTION:
Reg:
H DATE:
CCRIAR AMJMDDE:
0 0:
1 1:
0 0_2:
I APPROVED BY:
J DATE:
17 PRICE GROUP:
18 ESTIMATED TOTAL PRICE:
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3 SUBTITLE HHERAs:
5 CONTRACT REFERENCE PWS para 23:
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2 TITLE OF DATA ITEM Educational Consultation:
3 SUBTITLE Training Material:
5 CONTRACT REFERENCE PWS para 24:
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3 SUBTITLE Design Documentation:
5 CONTRACT REFERENCE PWS para 26:
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2 TITLE OF DATA ITEM MiniBurn Test Plan:
3 SUBTITLE Test Plan Documents:
5 CONTRACT REFERENCE PWS para 28:
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2 TITLE OF DATA ITEM MiniBurn Test:
3 SUBTITLE Result Documentation:
5 CONTRACT REFERENCE PWS para 29:
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3 SUBTITLE CPTP Document:
2:
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3 SUBTITLE CPT Documents:
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2 TITLE OF DATA ITEM Confirmatory Performance Test Plan:
3 SUBTITLE CfPTP Documents:
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EPPERLY.ELIZABETH.JANE.1534144543

2 TITLE OF DATA ITEM Confirmatory Performance Test:
3 SUBTITLE CfPT Documents:
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3 SUBTITLE CEMS and RATA:
	2021-10-12T13:23:28-0500
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2 TITLE OF DATA ITEM Regulatory Plans:
3 SUBTITLE Plans:
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2 TITLE OF DATA ITEM Status Report:
3 SUBTITLE Monthly Demil Status Report:
10 FREQUENCY Monthly:
11 AS OF DATE NA:
H DATE 101221:
DCMA ACO CCRIAR:
0:
	2021-10-12T13:27:14-0500
EPPERLY.ELIZABETH.JANE.1534144543

File details come from the government source that posted it. Updated Nov 24, 2021.