CDRL A002 FAT Test Reports_SR_bec.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden estimate or any other aspect of this collection of 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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ TM _ Other NDTI

D. SYSTEM/ITEM

Radiation Range Irradiators

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

Hopewell Designs, Inc.

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORTS

3. SUBTITLE

Radiation Range FAT Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

PWS Sections 3.1.2 - 3.1.3

6. REQUIRING OFFICE

NSWCCD Code 631

7. DD 250 REQ

NO

9. DIST

STATEMENT

C (see block 16)

10. FREQUENCY

ASREQ See Block 16

12. DATE OF 1ST SUBMISSION

90 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION See Block 16

Draft Final

Reg Repro

16. REMARKS

Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors; Administrative/Operational Use, 1 June 2021. Other inquiries for this document shall be referred to Naval Surface Warfare Center Carderock Division

(NSWCCD).

Blocks 10, 13: The Government will provide comments to or approve the initial Factory Accetance Test (FAT) Report submittal within 30 days. If comments are received, the Contractor shall revise the draft FAT Test Report to address and incorporate Government comments and resubmit the report no later than 15 days after receipt of Government comments. The Government will approve the revised version within 30 days after receipt.

Block 14: Media Requirement: Initial submittal shall be in newer version format of Microsoft Word. Final submittal (Government comments incorporated) shall be in Portable Document Format (PDF). All deliverables shall be sent via email to the following points of contact:

Technical Point of Contacts (TPOC):

Jeancarlo Torres, jeancarlo.torres@navy.mil Matthew Spierenburg, matthew.spierenburg@navy.mil

Radiation Safety Officer (RSO):

Luis Benevides, luis.a.benevides@navy.mil

NSWCCD Code 631 1 1 and RSO Office

15. TOTAL --------- 2 2 0

G. PREPARED BY

H. DATE

31 May 2021

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 (EG) Previous editions are obsolete Page 1 of 1 Pages

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

1 1

6/1/2021