Exhibit C - CDRL A003 - QDR.pdf

7 KB Posted

Attached to
Overhaul/Repair of the CH-47 Control, Swashplate
Solicitation number
W58RGZ-21-B-0003
Issued by

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

09/06/2019Page 1 of 2

1615-01-3950006

CONTROL SWASHPLATE

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

VINSON, SHAWN (TAYLOR)

G. PREPARED BY

07/25/2019

H. DATE

VINSON, SHAWN (TAYLOR)

I. APPROVED BY

07/26/2019

J. DATE

WOOD, MARY SHANNA

LOG #

CONCUR:

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

DATE: 07/29/2019

4. AUTHORITY (DATA ACQUISITION DOC NO) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSC-CLP

NSN:

PRID: PART NUMBER:M383-01 145R3551-17 STATUS: R

AMSRD-AMR-SE-TD

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S FCDD-AME-Q

LT

N/A

A SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

Contractor shall submit NLT 10 days after discovery of deficiency.

The Contractor shall coordinate quality deficiency with the Cognizant Government Representative.

POC: PHONE:

09/06/2019Page 2 of 2

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