CDRL A001 - LHD-5 Aircraft Elevator Fluid Cleaning 4-1-21.pdf

Contract Data Requirements List (CDRL) Table of Contents

ITEM SUBTITLE

A001 TEST/INSPECTION REPORT

CONTRACT DATA REQUIREMENTS LIST (CDRL)

CONTRACT/PR N0. TBD

Rev B. Dated 4-5-17

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

A

C. CATEGORY

TDP TM OTHER NDTI

D. SYSTEM/ITEM

FLUID REMEDIATION AND STORAGE

FOR PORT AIRCRAFT ELEVATOR

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

TEST/ INSPECTION REPORT

3. SUBTITLE

TEST/ INSPECTION REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW, PARA 3.5.2

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

ADRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (20MAR2018). OTHER REQUESTS SHALL BE REFERRED TO POC AT

NORFOLK NAVAL SHIPYARD, NORFOLK, VA.

BLK 10, 12 & 13: REPORTS IAW PARAGRAPH 3.5.2 OF SOW SHALL BE SUBMITTED

ONE (1) TIME WITHIN TWO (2) DAYS AFTER RESULTS ARE KNOWN. APPROVAL/

DISAPPROVAL OF REPORTS IAW PARAGRAPH 3.5.2 OF SOW SHALL BE PROVIDED

WITHIN TWO (2) BUSINESS DAYS.

BLK 14: DATA SUBMISSIONS SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY: JUSTIN HENSHAW

(757) 396-5227 Justin.henshaw@navy.mil

CORY PARSONS

(757) 396-5227 Cory.parsons@navy.mil

NNSY C263 0 1 0

NNSY C432 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

R. KEVIN WILLIAMS

H. DATE

4/1/2021

I. APPROVED BY

J. DATE

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

mailto:Justin.henshaw@navy.mil mailto:Cory.parsons@navy.mil

NNSY TBD