EXHIBIT AF for 9295-0100-SAFETY DATA SHEET (SDS) REPORT (PRE-DELIVERABLE) CDRL DI-SAFT-82112 6-25-2019.pdf

Data Item Description Jun 25, 2019 PDF 131 KB Posted

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TEST WEIGHTS
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SPMYM2-20-Q-2654
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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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 thus burden estimate or any other aspect of this collection o f 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:

TDP

TM OTHER

SAFT

X

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

SAFETY DATA SHEET (SDS) REPORT PAINT INFORMATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SAFT-82112 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A

Reg Repro

16. REMARKS N4523A 0 1 0

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

Administration and operations only, effective 7/28/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil.

Document No.: 92950100

15. Total 0

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

/s/ Tester, Cody R 7/28/2020 /s/ Gilger, Frank R 7/28/2020

DD FORM 1423-1, JUN 90 (EG)

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