CDRL - DD Form 1423 V02.pdf
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- Attached to
- Total Small Business Set Aside for Environmental Waste & Sampling per Attachments - CMMC Level 1
- Solicitation number
- N61331-26-Q-TR26
About this file
This is a Contract Data Requirements List (DD Form 1423-1) for an Environmental Sampling contract with the Naval Surface Warfare Center, Panama City Division (NSWC PCD). The document specifies twelve data items that the contractor must submit throughout the contract period, all categorized as Scientific and Technical Reports Summary documents.
The required deliverables include: a Sampling Analysis Plan due 7 calendar days after contract award; a Plan of Action/Schedule due within the same timeframe; Meeting Minutes due 3 business days after government coordination meetings; Interview Questions due as needed; Chain of Custodies for Samples due with laboratory reports and waste determinations; NELAP/NELAC Documentation due with laboratory reports and waste determinations; Weight Log for Non-Hazardous Waste submitted monthly and at project completion (with additional fiscal year-end reporting if applicable); Hazardous Waste Manifest due prior to removal of hazardous waste from the base with required signature from the NSWC PCD Hazardous Waste Manager; and three major deliverables due 4 months after contract award (Final Report, Spreadsheet of Waste Streams Collected, Laboratory Reports and Quality Control, and Waste Determinations), each requiring government technical review with 5-day review periods and 5-day incorporation/resubmission timelines. All documents must be submitted in Microsoft Office 11 compatible format via email, include the Distribution Limitation Statement from the Statement of Work on the first page, and be delivered to NSWC PCD Code 1023, with Jason Zimmerman (NSWC PCD Code 02T) identified as the approving official.
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DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 21 Pages
1161/183
CUI
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. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Scientific and Technical Reports Summary Sampling Analysis Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-82184 SOW para. 3.1.3 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ONE/P SEE BLK 16 b. COPIES
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft Final
N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due 7 calendar days after award of contract.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word-processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail addresses will be provided at award.
LT ONLY
NSWC PCD Code 024
15. TOTAL 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 21 Pages
NSWC PCD Code 1023
See Section G.
Jason Zimmerman, NSWC PCD Code 02T
See Section I.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 21 Pages
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
A TDP TM OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 Scientific and Technical Reports Summary Plan of Action / Schedule
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW para. 3.1.3 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ONE/P SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due 7 calendar days after award of contract.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Scientific and Technical Reports Summary Meeting Minutes
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.12 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ONE/P SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due 3 business days after meeting with the Government to coordinate logistics.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 Scientific and Technical Reports Summary Interview Questions
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.13 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED AS NEEDED SEE BLK 16 b. COPIES
A SEE BLK 16 N/A SEE BLK 16 Reg Repro
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due 3 business days after meeting with the Government to coordinate logistics.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 Scientific and Technical Reports Summary Chain of Custodies for Samples
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.17 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED AS NEEDED SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due with submittal of laboratory reports and waste determination for each sample.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A006 Scientific and Technical Reports Summary NELAP / NELAC Documentation
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.17 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED AS NEEDED SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due with submittal of laboratory reports and waste determination for each sample.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A007 Scientific and Technical Reports Summary Weight Log For Non-Hazardous Waste
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.20 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED AS NEEDED SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Log shall be submitted monthly and at project completion. If the project duration spans fiscal years an additional reporting shall be done at the end of the fiscal year.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A008 Scientific and Technical Reports Summary Hazardous Waste Manifest
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.20 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED AS NEEDED SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: Submittal due prior to removal of hazardous waste from the base. The manifest shall be signed by the NSWC PCD Hazardous Waste Manager prior to removal of hazardous waste from the base.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A009 Scientific and Technical Reports Summary Final Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.20, 3.1.22 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED ONE/R SEE BLK 16 b. COPIES
A SEE BLK 16 N/A SEE BLK 16 Reg Repro
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: First submittal due 4 months after contract award. The Government will review for approval of technical content and will provide review comments if required within 5 days after receipt. Government comments shall be incorporated, and the data resubmitted as final within 5 days after receipt of comments.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail
NOTE: Submit one electronic copy and two hard copies.
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A010 Scientific and Technical Reports Summary Spreadsheet of Waste Streams Collected
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.22 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED 1 TIME SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: First submittal due 4 months after contract award. The Government will review for approval of technical content and will provide review comments if required within 5 days after receipt. Government comments shall be incorporated, and the data resubmitted as final within 5 days after receipt of comments.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 18 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A011 Scientific and Technical Reports Summary Laboratory Reports and Quality Control
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.22 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED 1 TIME SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: First submittal due 4 months after contract award. The Government will review for approval of technical content and will provide review comments if required within 5 days after receipt. Government comments shall be incorporated, and the data resubmitted as final within 5 days after receipt of comments.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 19 of 21 Pages
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 20 of 21 Pages
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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Environmental Sampling TBD TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A012 Scientific and Technical Reports Summary Waste Determinations
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80048 SOW Para. 3.1.22 NSWC PCD Code 1023 18 ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED 1 TIME SEE BLK 16 b. COPIES
16. REMARKS NSWC PCD Code 1023 0 1 0
Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.
Blk 8, 10, 12, 13: First submittal due 4 months after contract award. The Government will review for approval of technical content and will provide review comments if required within 5 days after receipt. Government comments shall be incorporated, and the data resubmitted as final within 5 days after receipt of comments.
Blk 9: Technical Documents generated under this contract shall carry the Distribution Limitation Statement in the Statement of Work. Word- processing/electronic files shall have the statement included in the file such that the first page of any resultant hard copy shall display the statement.
Blk 14: MEDIA Requirements: Microsoft Office 11 compatible files via e-mail. E-mail
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 21 of 21 Pages
File details come from the government source that posted it. Updated .