Exhibit D CDRL A004.pdf

PDF 7 KB Posted Sep 30, 2020

Attached to: T700 ANTI ICING START BLEED VALVE
Solicitation number: W58RGZ-20-R-0096
Issued by: Department of the Army Materiel Command Contracting Command Redstone Arsenal

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

03/06/2019Page 1 of 2

2995-01-2949867

ANTI ICING START BLEED VALVE

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

MOE, MICHELLE

G. PREPARED BY

02/13/2019

H. DATE

MOE, MICHELLE

I. APPROVED BY

02/20/2019

J. DATE

WOOD, MARY SHANNA

LOG #

CONCUR:

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

DATE: 02/20/2019

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:2019BT128 4046T28G14 STATUS: R

AMSRD-AMR-SE-TD

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

N/A

A SEE BLK 16

N/A

SEE BLK 16

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:

03/06/2019Page 2 of 2

File details come from the government source that posted it. Updated Sep 30, 2020.