COC Hose.pdf
PDF 360 KB Posted
- Attached to
- Hose
- Solicitation number
- N5215825QE022
About this file
This is a Certificate of Compliance form for requisition number N42158-4282-7308 associated with contract order N4215825PE for the Norfolk Naval Shipyard. The form requires documentation of material identification details including contract number, item number, NSN/LSN, manufacturer's part number, serial number, drawing/piece number, and lot/heat numbers.
The form contains two sections requiring signatures from Quality Assurance Officials - one attesting that furnished items comply with contract requirements, and another confirming that inspection and test reports represent actual attributes of items and indicate full compliance. The completed certification must be delivered with the material to Norfolk Naval Shipyard's Expediting Section in Portsmouth, VA, and is required to expedite receipt and payment processing.
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Other files
| File | Type | Posted |
|---|---|---|
| Technical Capablity Hose 2.pdf | ||
| N4215825QE022.pdf |
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Text version
CERTIFICATE OF COMPLIANCE
Requisition Number N42158-4282-7308
MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)
CONTRACT NO. ORDER NO. N4215825PE
ITEM NO. _______________________
NATIONAL/LOCAL STOCK NUMBER NSN/LSN ________________________
MANUFACTURER’S PART NO. ____________________________
MANUFACTURER’S SERIAL NO. __________________________
DRAWING AND PIECE NO. ______________________________
MANUFACTURER’S LOT/HEAT NOS. AS MARKED ON THE MATERIAL:
I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL
CONTRACT REQUIREMENTS.
SIGNATURE _________________________________ DATE _______
QUALITY ASSURANCE OFFICIAL
TITLE _________________________________
THE INSPECTION AND TEST REPORTS (AS APPLICABLE) PROVIDED REPRESENT THE ACTUAL
ATTRIBUTES OF THE ITEMS FURNISHED ON THIS CONTRACT AND INDICATE FULL COMPLIANCE
WITH ALL CONTRACT REQUIREMENTS.
REQ’D N/A
SIGNATURE _________________________________ DATE _________
QUALITY ASSURANCE OFFICIAL
TITLE ________________________________
“NOTE”: WHEN ITEM(S) HAVE BEEN SHIPPED, PLEASE COMPLETE CERTIFICATION(S) AND
RETURN. THIS WILL EXPEDITE RECEIPT AND PAYMENT.
MAIL TO:
NORFOLK NAVAL SHIPYARD
ATTN: CODE 2305.6, EXPEDITING SECTION
BLDG. 297
PORTSMOUTH, VA 23709-5000
DELIVER ONE (1) COPY WITH MATERIAL
ENCLOSURE (1
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