CDRL 50903825 PCB.docx
DOCX document 40 KB Posted
- Attached to
- SANDBLASTER
- Solicitation number
- SPMYM225Q2228
About this file
This document is a Contract Data Requirements List (CDRL) for a Polychlorinated Biphenyl (PCB) Certification/Data Report. The CDRL is associated with solicitation SPMYM2-25-Q-2228, a small business set-aside contract issued by the Defense Logistics Agency Land and Maritime for a sand blaster. The document specifies detailed reporting requirements for PCB certification, including provisions for material traceability, documentation submission through Wide Area Workflow (WAWF) e-Business Suite, and distribution restrictions authorized only to DoD and DoD contractors. The certification is to be submitted with specific technical requirements, with acceptance/rejection to be accomplished concurrently with material shipment, and is dated effective 7/15/2025.
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Other files
| File | Type | Posted |
|---|---|---|
| CDRL 50903925 NRTL.docx | DOCX document | |
| CDRL 50903825 AIR OPERATING PERMIT.docx | DOCX document | |
| Specifications 5091-3925.pdf | ||
| 25Q2228 SANDBLASTER.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
Form Approved
(1 Data Item)
OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| 0002AB |
| B |
| TDP |
TM
| OTHER MISC |
| X |
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
SPMYM2
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B001 |
| CERTIFICATION/DATA REPORT |
POLYCHLORINATED BIPHENYL (PCB) CERTIFICIATION
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80678 |
| PER CONTRACT |
| PURCHASING ACTIVITY |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
DD
| ONE/R |
| SEE BLOCK 16 |
b. COPIES
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
N/A
| N/A |
| N/A |
| Reg |
| Repro |
| 16. REMARKS |
| N4523A |
| 0 |
| 1 |
| 0 |
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 7/15/2025. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No: 5091-3925
| 15. Total |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| /s/ R. MAGGERT |
| 7/15/2025 |
| /s/ R. MAGGERT |
| 7/15/2025 |
DD FORM 1423-1, JUN 90 (EG)
| Page |
| 1 |
| of |
| 1 |
| Pages |
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