CDRL A002 Vibration Test Report_BWTS.pdf

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Attached to
Supplemental Vibration Retesting Services for Navy Ultraviolet Ballast Water Treatment System
Solicitation number
N0016726Q0006
Issued by

About this file

This DD Form 1423-1 is a Contract Data Requirements List (CDRL) for a Mechanical Vibrations of Shipboard Equipment Measurement Test Data item from Hi Test Laboratories, Inc. for the BWTS Vibration Retest Services contract. The document specifies detailed requirements for a vibration test report to be delivered to the NSWCCD Code 633 (Naval Surface Warfare Center).

Key submission requirements include: electronically submitting draft and final reports in Microsoft Word 2016 and Adobe PDF formats, with the draft report due no later than the first submission date and the final report due within 30 days after receiving government comments. The distribution is authorized for US Government Agencies and contractors, with a critical technology classification of October 2025. The contractor must provide a short test summary within 10 days of test completion, detailing pass/fail status and recommendations for any test modifications, to be submitted electronically as a Vibration Test Report.

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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 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

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

data_item: A003
title: Mechanical Vibrations of Shipboard Equipment Measurement Test Data
sub: Vibration Test Report
auth: DI-ENVR-81647
ref: PWS Section 3.3
req_ofc: NSWCCD Code 633
dd250: LT
appcode: A
dist: C
freq: R/ASR
asof: N/A
firstsub: ASREQ
subsub: ASREQ
addressee1: TPOC
draft1: 1
reg1: 1
repro1: 0
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total_draft: 1
total_reg: 1
total_repro: 0
remarks: BLOCK 8: The Government will provide comments on the draft Vibration Test Report no later than 90 days after receipt of draft. The contractor shall incorporate comments and submit the final report no later than 30 days after the receipt of comments.

BLOCK 9: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors; Critical Technology: Oct 2025. Other requests for this document shall be referred to the NAVSEA Wet Environmental Systems and Discharges Technical Warrant Holder (SEA 05P5), Washington Navy Yard, DC 20376-5173.

BLOCK 12: No later than 10 days after test completion, the Contractor shall submit a short test summary, detailing the pass/fail status of each test and a recommendation for modification and retest for any test failures. This test summary can be in the form of an email delivered electronically. The draft Vibration Test Report shall be submitted no later than 60 days after completion of all testing (including retests).

BLOCK 14: Media Requirement: The draft report shall be submitted electronically in the Microsoft Word 2016 format. The final report shall be submitted electronically in Microsoft Word 2016 format and in Adobe PDF format. Delivery per secure file exchange, as required. Information produced for this CDRL shall be considered Controlled Unclassified Information (CUI). In accordance with the DoD phased CUI Program implementation, all documents must carry CUI markings in accordance with 5200.48 – Controlled Unclassified Information (CUI).

group:
total_price:
prep_name:
prep_sign:
prep_date:
app_by:
app_sign:
app_date: 10/2/2025
Page:
app: Adobe Professional 7.0
line_item: TBD
exhibit: TBD
xtdp: Off
xtm: Off
othercat: ENVR
system: BWTS Vibration Retest Services
ctr_no: TBD
contr: Hi Test Laboratories, Inc.
of_pages:
Reset:
2025-10-02T12:24:16-0400
VANDALL.JEFFREY.HOWARD.1398024423
2025-10-02T15:10:52-0400
HALL.CONNIE.A.1229341851

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