Exhibit F CDRL F008 Test and Inspection Report.pdf

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Attached to
Commercial Industrial Services (CIS) Interior Decking Services, follow-on indefinite delivery, indefinite-quantity (IDIQ)
Solicitation number
N5523623R0004
Issued by

About this file

This is a Contract Data Requirements List (CDRL) for test and inspection reporting requirements under a Department of the Navy contract for commercial industrial interior decking services. The CDRL requires the contractor to submit electronic copies of test and inspection reports to the Ship Building Specialist and Quality Assurance Specialist at the Southwest Regional Maintenance Center at least two hours but no more than one working day prior to scheduled testing. Following testing, the contractor must deliver one electronic copy and one hard copy of the test and inspection report to the Ship Building Specialist at the time of invoicing. The report is to be in Microsoft Office or PDF format and identify any defects found during testing to verify the interior decking system meets contractual requirements. Distribution of the test and inspection reports is restricted to the Department of Defense and U.S. DOD contractors only for operational use.

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 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 OMB 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:

0002 F TDP TM _____ OTHER NDTI

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

SEE BLK 16 N5523623R0004 TBD

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

F008 TEST/INSPECTION REPORT N/A

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

TOTAL PRICE

DI-NDTI-80809B SEE BLOCK 16 SWRMC CODE 300AB AND CODE 131

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D*

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A 0 SEE BLK 16 Reg Repro

16. REMARKS SWRMC CODE 300AB (SBS) 0 1 0

BLOCK D; INTERIOR DECK COVERING SYSTEM SERVICES

BLOCK 5. PARAGRAPHS C.1.1, C.2.14, AND C.22.1

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL AND HARD COPIES SHALL BE

DELIVERED IN PERSON..

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL USE) (22 MAY 2013). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, SOUTHWEST

REGIONAL MAINTENANCE CENTER CODE 400, NAVAL BASE SAN DIEGO, 3755 BRINSER STREET

SUITE 1, SAN DIEGO CA 92136.

BLOCKS 10, 11, 12, AND 13: ONE (1) ELECTRONIC COPY OF THE TEST/INSPECTION REPORT

SHALL BE SUBMITTED TO THE SBS AND QA SPECIALIST AT LEAST TWO HOURS, BUT NOT MORE

THAN ONE WORKING DAY, PRIOR TO SCHEDULED TESTING. ONE (1) HARD COPY AND ONE (1)

ELECTRONIC COPY OF THE TEST/INSPECTION REPORT SHALL BE DELIVERED TO THE SBS AT

THE TIME OF INVOICING/BILLING.

BLOCK 14: MEDIA REQUIREMENT: THE TEST/INSPECTION REPORT SHALL BE PRESENTED IN A

MICROSOFT OFFICE SUITE, VERSION 2007 OR NEWER, OR ADOBE ACROBAT (PDF) AND

DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES. .

CURRENT SWRMC CODE 300AB SHIP BUILDING SPECIALIST

CURRENT SWRMC CODE 131 QUALITY ASSURANCE (QA) SPECIALIST

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF CONTRACT

SSWRMC CODE 131 (QAS 0 1 0

15. TOTAL ▬▬▬▬► 0 2 0

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

PAUL DAMIAN

GENER SANGO

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

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