CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

The public reporting burden for lhls collection of Information Is estimated to average 11 O 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 or Information. Send comments regarding this burden estimate or any other aspect of lhls collection of Information, Including suggestions for reducing the burden, to the Departmenl of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject lo any penalty for falling to comply with a collecllon of Information if ll does not display a currently valid 0MB 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:

0002AA TOP TM OTHER

MISC

D. SYSTEMIITEM E. CONTRACT/PR NO. F, CONTRACTOR

1. DATA ITEM NO. 2. TinE OF DATA ITEM 3. SU8TITLE

A001

CERTIFICATION DATA REPORT CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

4. AUTHORITY /0•"' A�qulslllon Documt1nl No.) 5, CONTRACT REFERENCE 6, REQUIRING OFFICE

DI-MISC-82386 PER CONTRACT PURCHASING ACTIVITY

7. 00250 REQ 9. 01ST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD ONE/R SEE BLOCK 16 b. COPlES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRA" ANAi.

SUBMISSION

N/A N/A N/A 1'09 ... .,..

16.REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor lo only provide requirements: 2, 3, 4-Provide actual values IAW procurement speclficatlon, 5-Ensure certs provided are lraceable lo material via unique markings and 9.

Block 9: Distribution Slalemenl D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 1/512023. Other U.S. requests musl be rererred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be allached In the Wide Area Workflow r,NAWF) a-Business Suite. Acceptance/Rejection of Certification/Data Report documenlallon will be accomplished with the corresponding material and will not be accomplished prior to shipmen! of material.

Document No. 2355-9800

15. TolaJ 0 1 0

G. PREPARED BY H.DATE I. APPROVED BY J. DATE

/s/ KEVIN MANN 1/512023 /s/ NICOLE MARTINEZ 1/5/2023

DD FORM 1423-1, FEB 2001

0002AA

tt.llTIIMflD l'O'PAL,ltlCI

A

CONTRACT DATA REQUIREMENTS LIST Fann Approved

(1 Data Item} 0MB No. 0704-0188

The public reporting burden for this collection of Information Is estimated to average 110 hours per response, Including the lime 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 0MB control number. Please do not return your fonn 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

B

C, CATEGORY:

0002AB TOP TM OTH�R

NOTI

D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3, SUBTITI.E

B001

TEST/INSPECTION REPORT NON-LEVEL I LIQUID PENETRANT TEST REPORT

4. AlJTHORITY (Datit Ar:quisnion Document No.) 5. CONTRACT REFERENCE s. REQUIRING OFFICE

DI-MISC-82386 TDP: Section 3 PURCHASING ACTIVITY

7. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRA" FINAi.

SUBMISSION

NIA NIA NIA .. ,g

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 1/5/2023. Other U.S.

requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Worl<flow r,NAWF) a-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.: 2355-9800 15. Tola! 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J.DATE

Isl KEVIN MANN 1/5/2023 /s/ NICOLE MARTINEZ 1/5/2023

DD FORM 1423-1. FEB 2001 of Pages

0002AB

1 I. II TIMATIO

TOTM..Hl:ICI

(1 Data Item) 0MB No. 0704-0188

The public reporting burden for this collection of lnfonnatlon Is eslimated to average 11 o hours per response, including the time for reviewing instruclions, searching exisling data sources. gathering and maintaining the data needed, and completing and reviewing the collection of lnfonnatlon. Send comments regarding this burden estimate or any other aspect of this colleclion of lnfonnation, Including suggestions for reducing the burden. to the Department of Defense. Executive Services Directorate (0704-0188). Respond en ls should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for falling to comply with a collection of lnfonnation If II does not display a currently valid 0MB 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:

0002AC C TOP TM OTHER

MISC

D. SYSTEMIITEM E. CONTRACTIPR NO. F. CONTRACTOR

1,DATAfTEMNO. 2. TITLE OF DATA ITEM 3. SUBfflLE

C001

CERTIFICATION DATA REPORT WELDABILITY CERTIFICATION

4. AUTHORITY (Data Aoqulsh/on Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-M ISC-82386 PER CONTRACT PURCHASING ACTIVITY

7. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD ONE/R SEE BLOCK 16 b. COPIES

8.APPCODE D

11. AS OF DATE 13, DATE OF SUBSEQUENT a.ADDRESSEE DRAn nNA1.

SUBMISSION

NIA NIA NIA

Reo Rep, 16.REMARKS N4523A 0 1 0

Block 4: Tailored lo allow the vendor to only provide requirements: 2, 3, 4-Provlde actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 1/5/2023. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - CertificalionlData Report documentation shall be attached In the Wide Area Workftow r,,JAWF) e-Business Suite. AcceptancelRejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 2355-9800 15. Tola! 0 1 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

/sf KEVIN MANN 1/5/2023 Isl NICOLE MARTINEZ 11512023

DD FORM 1423-1, FEB 2001 of Pages

0002AC

17.P'NCI:.,

, ........... tlD

10TM.NUCI

0003AA

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMS No. 0704-01 BB

The pubUc reporting bvrd1n for lh I coU,ctlon or lnform■llon is 11tlm1t1d 10 ave rave 220 houn per re,ponH including th• Lm, for revl1wtng ln1tructlon1, ,,arching 1,cilling d•t• ,ourc11 g•lh■rlr'lg .,,d maintaining 1he d•\• needed and c:omple11ng ■nd rev ewlng the i;oltec11on of informat on. Send comment, regarding thl1 burden e1tlm1t1 or any other 11p1ct of this collection of lnform1Uon, includlng 1uooe1tlon1 for reducing lh1 bt,arden , to the Oepartmenl or Oer,na•� Executive S1rvlc11 Directorate (0704•0188J R11pond1nta should be aware 1h11 notwllhlllndlng any other prov aion or law_ no person shall bt aubJecl 10 any penaUy ror falling to comply with I collection of lnfarm1tlon it II do11 nol d•1pl1y ■ currently valid 0MB control number. Plea•• do nol nlum your form to the above org1nlutlo11. S111d compl1ted form tc:a the Gowmmef\t JHul"g ContracUng Officer for th• Can1n.c:I/PR Na. 1,at•d In Blad: E.

A CONTRACT LINE ITEM NO.

B. EXHIBIT

D

C. CATEGORY

TOP TM __ _ OTHER_MISC. __ _

D. SYSTEM/ITEM E . 1.,UNTRACT/PR NO. F. CONTRACTOR

, • DA_TA ITEM NO. z. TITLe OF DATA LTeM

D001 CERTIFICATION/DATA REPORT

4. i lORITY /01/1 Acqul•illon Oocument No) 5. CONTRACT REFERENCE

DI-MISC-82386 PER CONTRACT

N/A iG. REl.1ARKS

9, DIST ST,\TEMENT

REQUIRED

D

1D. FREQUENCY 12. DATE OF FIRST SUBMISSION

ASREQ 15DAC

,,. so o e

N/A

NIA

Block 9 - Distribulion Statement D. Distribution authorized to DoD and DoD contracto dmlnistralion and operations only, effective 115/2023. Other U.S. requests shall be

OMNAVSEASYSCOM.

Block 10 - Submit Radiographic Shooting Sketches report unless submitting cceptance by NAVSEA Activity for approval.

Block 12 -Allow 45 Days from date of entry in WAWF for certification ac erformance of RT tesl

Block 14 - Certificalion/Dala Report documentation shall be Workflow fY'/AWF) e-Buslness Suite. Upon submission in

Patricia.Roberts dla.mil ts, TDTAL 0

Final

Rag R■pn,

1. DATA ITEM NO. Z. TITLE OF DATA lTl:M 3. SUBTITLE

RADIOGRAPHIC SHOOTING SKETCHES (RSS)

PRIOR ACCEPTANCE

13. o;,. E OF SUBSEQ

SUBMISSION

N/A provide only requirement 4 and 6.

n Stalem t D. Distribution authorized to DoD and DoD contractors only.

t. REQUIRING OFFICE

,PURCHASING ACTIVITY

14. DISTRIBUTION

"-ADDRESSEE

DrlN

N4523A 0 b.COPIES

Final

Rog R•pro

1 0

, s only, effective 1/5/2023, Other U.S. requests shall be referred to t----------+--+----+----1

Submit oof of prior acceptance by a NAVSEA Activity in lieu of new hie Shooting Sketches. Must meet requirements or latest revision of T907 4-AS-GIB-.

ofaward.

lock 12 - low 45 Days rrom date of entry in WAWF for certification acceptance prior to erformance of RT test.

Block 14 - Certification/Data Report documenlalion shall be attached in the Wide Area Workflow fY'/AWF) e-Buslness Suite. Upon submission In WAWF send email nolificallons to:

ddpw wawf group.fct@navy.mil

DD FORM 1423-2, AUG 96

H.DATE

1/512023

I. APPROVED BY

SI N. MARTINEZ

PREVIOUS EDITlON MAY BE USED.

ts, TOTAL

J. DATE

1/5/2023

Page_1_of_1_Pages

17. PACE GR0U'

11. esi,.\IITED

11. PACEGROIJ'

11. ESIWATED

lDTIU'll:J:

(2 Data Items) 0MB No. 0704-0188

Thi public repor11ng burden ror thl1 collec11on or inlorm■tlon 11 111im1ted to 1v1r1ge 220 houn per r11pon11, inctuding lh1 lime for reviewing in1truc:tJ0n1, a11rchlng tal1tlng data ,outct1, gllhulng 1nd maintaining Iha d■I• needed, and c:ompl11in9 and rtYlewlng th, colltcllon af Information. Stl\d comment, regarding 1h11 burden 11Um1te or any other 11pecl of thla colfectlon of lnform■llon, Including 1uggealion1 ror r educing lht burden, to the 0ep1t1m1n1 or D1len11, E:ucuUve Services Olrector■te (070◄•0118). R11pond1nts 1hould be aware that notwilh1t1ndlno any other provl1lon of law, no p1non 1h1II be subject lo any penalty for l•Hing to comply wilh a conecUon of lnform■tlon if II does nol dlapl•y • currently valld 0MB cantro1 number. PIHH do not relurn your form to lh• above org1nlzallor1, Se11d compfeltd fen'l'I to lht Government f11ulng Contracting Officer for the ContnctlPR No. D&ttd In Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C,CATEGORY

0004AA E TDP --- TM OTHER_NDTIIMISC

D.SYSTEMnTEM 11:. CONTRACTIPR NO. F. CONTRACTOR

1. DATA ITEM NO. z. TITLE OF OATA ITEM J. SUBTITLE

E001 TEST/INSPECTION REPORT WELD REPAIR CERTIFICATION

,. AUTHORITY ,o•t• Acqu1smo11 Docum•1U No,J 15, CONTIIACT REFEIIENCE I. REQUIFIING OFFICE D1-NDTl-80809B PER CONTRACT PURCHASING ACTIVITY

7.0otorv

9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

,,. 01S TFIIBUTION REQUIRED ASREQ SEE BLOCK 16 b. COPIES !,APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT Fir1al

N/A N/A SUBMISSION a AOORESSEE Draft

N/A Reg Repra

16, REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

!Administration and operations only, effective 1/5/2023. O ther U.S. requests shall be referred lo

K;OMNAVSEASYSCOM.

Block 1 O - Submit documentation per DI-NDTl-80B09B stating weld repairs performed.

Block 12 - Certification/Data Report documentation shall be attached In the Wide Area Worknow (YVAWF) a-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. Upon submission In WAWF send email notifications to:

1Patricia.Robertst@dla.mil

15, TOTAL 0 1 0

1. OATA ITEM NO. 2. TITLE OF OATA ITEM J. SUBTITLE

E002 CERTIFICATE OF COMPLIANCE WELD REPAIR CERTIFICATE OF COMPLIANCE

,. AUTHORITY (O•t• Acquilltion Ooc11mtnt NO./ I

5.CONTRACT

PERCONTRACT

I, REQUIRING OFFICE

DI-MISC-81356A PURCHASING ACTIVITY

1.00® S. 01ST STATEMENT 10. FREQUENCY 1Z, OATE OF FIRST SUBMISSION

REQUIREO ASREQ SEE BLOCK 16 , ... OISTRIBUTION

•• AO.OF!ESSEE b.COPIES

I.APP CODE D 11, AS OF DATE 13. OATE OF SUBSEQUENT

NIA NIA SUBMISSION Oran F•n•I

NIA

Rog Rt1pn;1

16. REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized lo DoD and DoD contractors only.

!Administration and operations only, effective 1/5/2023. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 1 O - Submit Weld Repair Certificate of Compliance when No Weld Repairs were equired. Stating the fact that No Weld Repairs were required.

Block 12 -Certification/Data Report documentation shall be attached in lhe Wide Area Workflow (YVAWF) a-Business Suite. Acceptance/Rejection of Certification/Data Report �ocumentatlon will be accomplished wilh the corresponding material and will not be �ccompllshed prior to shipment of material.

Document no.: 2355-9802

15, TOTAL 0 1 0

G. PREPARED BY

I

H.DATE

V

APPROVED BY J.DATE

ISi KEVIN MANN 11512023 SI.NICOLE MARTINEZ 1/5/2023

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page_1_of_1_Pages

17, PIIC:EGR0U'

,. Dn,IATEI)

1UTA.FRCE

11. PIIC:EGR0U'

11. ESTMAIED

1UTA.FRCE

0004AA

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

0MB No. 0704-0188 reviewing instrucllons, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the The public reporting burden for this collection of lnfonnallon is estimated to average 110 hours per response, Including the lime for

� suggeslions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondenls should be collection of Information. Send comments regarding this burden estimate or any other aspect of lhls collection of Information, Including

�aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection o, f N Information if II does not display a currently valid 0MB 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. l JA. CON A T l TE N . B. EXHIBIT

F C.

�::e

GORY:

TM

�6�1E

R lY'

D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR ""-. L. .T

1. DATA ITEM NO, 2. TITLE OF DATA ITEM

L'>.�-

3, SUBTITLE

TEST/INSPECTION REPORT RADIOGR�� �D TEST

4.. AUTHORITY (Doi• Arquls/1/on Document NoJ

DI-NDTl-80809B

7.00250REO 9. DIST STATEMENT

5. CONTRACT REFERENCE 6. �IRING �E

PER CONTRACT \._ �HASING ACTIVITY

10 FREQUENCY

((o)

REQUIRED

ONE/R

12. PATE OF FIRST SUBMISSION �7TRIBUTION

SEEBLOCK1<�

1J r-:�,-----,.----:D�.c�o�P,�£si----t

8.APPOOl)I!' D 11. AS OF DATE 13. DATE OF suesA "' a. ADDRESSEE

SUBMISSION

T N/A N/A

16. REMARKS '-

Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, a

:c · g �he need for a separate cover sheet and title page). 10.2.3.2a, b (when ap · , • 10. 2.3.3a and b. 10.2.Sb. 10.2.6.1a, b, c, e, and g. 10.2.6.2a, b, c. 10.2.6 1 10.2.6.4.2d

10.2.7.1. 10.2.7.3

Ensure certs provided are traceable to material via unof . g s specified in contract/purchase order

Block 9: Distribution Statement O. Distribut o aut

DoD and OoD contractors only.

Administration and operations only, effec i 2 ther U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Te P cedures, when ordered on separate contract line Item, shall be submitted ancd b ore testing unless olherwise specified in comract � �

;\,o

Document No.: 2355-9803

I. APPROVED BY

N4523A

15. Total

G. PREPARED BY

/sf KEVIN MANN

H.DATE

11512023 Isl NICOLE MARTINEZ

DD FORM 1423-1, FEB 2001 Page

DRAFT

J.DATE

1/5/2023 of

FINAi.

R.,,, Pages

11.HllM.Ut.D Tc,JAL,Nlll;'I

0005AA

0005AA

F001