FA5205-15-R-0002_Atch1_PWS_Apdx9_A93.pdf
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DEFENSE LOGISTICS AGENCY
DLA Disposition Services Sagami
UNIT 45008 APO AP 96338-5008
JH-ZSO September 25, 2013
MEMORANDUM OF AGREEMENT
Between
Commander, 35th Fighter Wing, Misawa Air Base and
Defense Logistics Agency (DLA) Disposition Services Misawa For
DISPOSAL SERVICES
1) PURPOSE AND BACKGROUND:
a) This Memorandum of Memorandum of Agreement (MOA) is made by and between the DLA Disposition Services Misawa and the Commander, 35th Fighter Wing; Misawa Air Base. This MOA addresses the roles and responsibilities of all parties regarding continuous disposal services to Draughon Range and outlines the working relationship between the DLA Disposition Services Misawa and 35th Fighter Wing, Misawa Air Base, hereinafter called the Generator.
b) The DLA Disposition Services mission is to provide disposal of excess range residue materials. DLA Disposition Services will provide continuous disposal services to the generator under the conditions stated herein.
2) REFERENCES:
(a) DoD 5100.76-M, Physical Security of Sensitive Conventional Arms, Ammunition and Explosives
(b) DoD 4160.21 -M, Defense Materiel Disposition Manual
(c) DoD 4160.28-M, Defense Demilitarization Manual
(d) DoDI 4160.62, Material Potentially Presenting an Explosive Hazard
3) THE GENERATOR AGREES THAT IT WILL:
a) Provide an on-site central storage, inspection site and workspace on Draughon Range where disposal agents will be able to inspect the Material Documented as Safe (MDAS) residue proposed for disposal. Said location will hereinafter be referred to as the “inspection/pick up area”. The Generator will ensure that the property stored at this site and prepared for disposal is segregated and identified in accordance with paragraph d below, prior to referral to DLA Disposition Services (DLADS) Misawa for inspection/removals.
b) Provide physical security and have overall responsibility for the security of the material as to safeguarding and protecting the material from damage or theft in accordance with Reference (a), to ensure the integrity of process for managing MDAS is maintained through the release from DoD control.
c) Provide a complete list of all types of fired ordnance and targets/target material used on the range and a list of what is in each segregated group proposed for disposal.
d) Segregate the range residue into Group 1a, 1 b and Group 2 in accordance with Reference (b) prior to inspection and disposal. BDU-33 practice bombs will be kept separate from the rest of the Group 2 material.
e) Provide primary and alternate points of contact including name, rank, organization and telephone numbers so that DLA Disposition Services may be kept fully informed of on-going plans and actions.
f) Provide completed and signed copies of the attached documents by Department of Defense (DoD) Explosive Ordnance Disposal (EOD) and Radiation Protection Officer (RPO) technically qualified personnel who are authorized to inspect residue, complete and sign the sample documents attached certifying that the range residue is safe and inert in accordance with Reference (b); and provide technically qualified DoD representatives (U.S. citizens) for verification in accordance with Reference (b). Certification and verification is required for all material removed from the range. EOD personnel will be available 0730-1600 weekdays (except on Federal holidays), to ensure only MDAS is released to the disposal agent/public.
g) Provide for quality control/assurance inspection, certification, and venting (where applicable) by U.S. Army Corps of Engineers (Ordnance Disposal/Safety) or similarly technically qualified personnel in accordance with Reference b.
h) Provide EOD/Quality Assurance Specialist Ammunition Safety (QASAS) personnel and Radiation Protection Officer (RPO) for purposes of re-inspection at the designated disposal inspection/pick up area to re-certify range residue material identified/certified as MDAS prior to the property being loaded into the disposal agent’s conveyance.
i) In coordination with the DLA Disposition Services Demilitarization Coordinator, identify material that requires mutilation/demilitarization and the appropriate methods of mutilation/demilitarization. Segregate mutilation/demilitarization required property from non-mutilation non-demilitarization required property and provide qualified personnel to certify and verify mutilation/demilitarization has been accomplished in accordance with Reference b. The Generator will comply with the "two-man rule" for all certifications.
j) Ensure that all demilitarization, declassification and mutilation are accomplished prior to referral to DLADS Misawa and release of MDAS material to the disposal agent. For property that has been demilitarized during the collection process, provide a demilitarization certificate at the time of referral.
k) Provide qualified personnel to certify range residue contains no hazardous or radioactive residue and ensure that all material is checked prior to being loaded into the disposal agent’s conveyance and released from DoD control. Each load will be certified as radiation checked and free of hazardous radioactive residue.
l) Provide EOD escort service during the hours of inspection and/or removal.
m) Prepare and sign a DD Form 1 348- 1 A (containing the appropriate radiation check, safe/inert, demilitarization, and declassification certifications) for each load of MDAS certified material removed from Draughon Range.
n) Be responsible for re-inspection, re-certification, retrieval, accountability and custody of material which has been identified as containing live or suspected live ordnance, classified material, and/or hazardous/radioactive material before and after removal.
o) Provide prior to the removal of any material, local EOD or other qualified individuals who will give a briefing to the disposal agent and DLA Disposition Services personnel regarding the types of ordnance being disposed of, recognition and identification of associated hazards and response/actions to be taken (including written procedures to be followed) in the event that live or suspected Material Potentially Presenting an Explosive Hazard (MPPEH), and/or hazardous/radioactive residue is discovered either during or after removal. An illustrative guide of the ordnance including explosive color-coding, will be provided to the disposal agent. Disposition will be made in accordance with Reference (b).
p) Provide a list of the personnel and their sample signatures that are technically qualified and authorized to inspect, certify, and verify MPPEH residue, range residue, and Explosive Contaminated Property (ECP). This list will identify certifiers and verifiers who will sign the demilitarization certificates and the MPPEH inert certificates required by this Agreement.
q) Provide assurance that all material is totally mutilated and made unfit for its intended purpose by CUTTING, TEARING, SCRATCHING, CRUSHING, BREAKING, PUNCHING, SHEARING, BURNING, SMELTING, OR
NEUTRALIZING THE ITEM TO THE POINT THAT THERE ARE NO USABLE
PARTS REMAINING.
r) Provide a certification that the material has been mutilated to the point that there are no usable parts remaining and that it has been made unfit for its intended purpose. The mutilation certification must be signed by the U. S. Government representative-witness after mutilation has been completed and prior to referral to DLADS Misawa.
s) Provide for disposal only Range Residue that is Category 5X which is defined as item(s) that are completely decontaminated and entirely safe and may be released for general use provided that:
1. All demilitarization requirements for the item are met.
2. Items are only classified as 5X through visual inspection when every surface is visible and capable of being inspected. Visual inspection is only applicable to pieces of metal that have no cavities, holes, blind spaces, rivets, cracks, or other obscured features.
3. Probes are not used to inspect any blind cavities. Probes may not be used to satisfy visual inspection requirements for purposes of documentation as having an explosives safety status of safe
4. Variations from these general practices by other than qualified active duty EOD personnel require approved SOPs.
t) As part of the MPPEH management process, manage MDAS in such a manner to prevent it from being:
1. Commingled with MPPEH or Material Documented as an Explosive Hazard
(MDEH).
2. Misidentified as MPPEH or MDEH once it has been determined to be safe.
3. The material is fully documented (certified) as having an explosives safety status of safe. Note: Thermal or Chemical processing is the most effective way to ensure that material is 5X as long as it does not trigger additional environmental treatment permitting requirements.
4) DLA DISPOSITION SERVICES AGREES THAT IT WILL:
a) Receive documentation and weight tickets from the Generator regarding the property, to include DD Form 1348- 1 A (with hazardous/radiation check, safe/inert, mutilation/demilitarization and declassification certifications as appropriate)
b) Provide technical assistance and guidance in identifying property requiring demilitarization or mutilation and the appropriate methods of demilitarization or mutilation. Review demilitarization/mutilation performance to ensure adequacy and compliance with References (b) and (c) above.
c) Provide disposal assistance for range residue materials which will be removed on a disposal contract. Determine the conditions of removal (e-g. hours of inspection, appointment only, 48 hour advanced pick up notification, loading hours, etc)
d) Provide a DLA Disposition Services point of contact including name, grade/rank, telephone number and e-mail so that the Generator may be kept fully informed of on-going disposal/removal actions.
e) Provide accountability through a wash-post transaction from weight tickets, to include a running total of weight removed. DLA Disposition Services Misawa will receive copies of certified DD Form(s) 1348- 1A acknowledging receipt of property and providing a return copy to the generator. The receipt and release of property will be recorded in the DLA Disposition Services Distribution Standard System and Enterprise Business System and a DLA Form 1367 will be processed removing the property from the inventory.
f) Attached are sample copies of INERT Certificate; MPPEH Appointment Letter;
Material Documented As Safe (MDAS); Electronic/Disposal Turn In Document (ETID/DTID), DD 1348-1A; Radioactive Property Certificate to be completed and signed by Radiation Protection Officer (RPO) located in attachment 1 - 5 of this agreement.
5) RESOLUTION PROCESS:
a) Disagreements will be resolved by the Signatories after attempted resolution by the DLA Disposition Services POC and/or Area Manager. Unresolved differences will be elevated to Headquarters DLA Disposition Services and to the Commander, 35th Fighter Wing, Misawa Air Base, Japan.
6) MODIFICATION:
a) This MOA can be modified in writing by mutual consent of each party.
7) TERMINATION:
a) This MOA may be terminated by either party upon 60 days written notice. The Generator’s responsibilities as stated in paragraph 3n above will remain in effect after any termination of this MOA.
Sample Format of a DEMIL Certificate
Title:
Certification of Demilitarization
Description:
A certification statement as shown shall be signed and dated by a DoD contracted person or a Government employee who actually performed or witnessed the DEMIL.
The certificate shall be verified by a technically qualified DoD contracted person or a Government employee who witnessed the DEMIL of the material or inspected the residue.
The individual who verifies the DEMIL should generally be at least in the next higher management or technical level to the initial certifying individual and must be a U.S. citizen.
DLA Disposition Services, in compliance with their responsibilities outlined in the Defense Materiel Disposition Manual (DoD 4160.21-M), will at the time of receipt, place the DEMIL certificate in the applicable source document file for a period of 2 years, except small arms weapons DEMIL certificates. The DEMIL certificates for small arms weapons/receivers, subject to the DoD Small Arms Serialization Program (SASP), will be retained indefinitely in a permanent record file by the responsible DoD Component.
Disposal Turn-In Document: QTY:
National Stock Number or Description:
Certification Statement:
I CERTIFY THAT THE ITEMS(S) LISTED HEREON HAS/HAVE BEEN DEMILITARIZED IN
ACCORDANCE WITH DoD MANUAL 4160.28, VOLUME 3, “DEMILITARIZATION
PROCEDURAL GUIDANCE,” CATEGORY _______, PARAGRAPH ______ AND/OR THE
FOLLOWING APPLICABLE REGULATION:
Signature (Certifier):_____________________________________________Date____________
Printed Name/Grade/Rank: _______________________________________________________
Title: _________________________________________________________________________
Phone (COM/DSN/FAX): _________________________________________________________
Address: ______________________________________________________________________
Signature (Verifier):______________________________________________Date____________
Title: _________________________________________________________________________
Phone (COM/DSN/FAX): _________________________________________________________
Reference:
DoD Manual 4160.28, Volume 3, "Defense Demilitarization:
Procedural Guidance," current edition
Title: Inert Certificate
Type of Property includes but is not limited to:
1. Small Arms and Light Weapons (complete weapon)
2. Barrel assembly and upper receiver
3. Ammunition pouches/ outer tactical vests/Individual load-bearing equipment/Modular Lightweight Load Carrying Equipment (MOLLE)
4. Ammunition magazines and clips
5. Bandoleers and ammunition belts
6. Dummy munitions
Requirements:
The generating activity shall ensure that this property is properly inspected to determine the presence or absence of explosive hazards prior to referral to the DLA Disposition Services site or release from DoD control. The personnel certifying and verifying the inspection shall certify on the DD Form 1348-1A. The certification requires dual signatures (certifier, verifier) and printed full name, rank/rate, organization name and address, and phone number (commercial and DSN) of the personnel that certified and verified the inspection.
DTID: QTY:
NSN or Description:
Certification Statement:
The property associated with this DTID has been inspected by the Certifier and independently re-inspected by the Verifier and to the best of our knowledge is free of materiel potentially presenting an explosive hazard
(MPPEH)..
Signature (Certifier):_____________________________________________Date____________
Title: _________________________________________________________________________
Phone (COM/DSN/FAX): _________________________________________________________
Address: ______________________________________________________________________
Signature (Verifier):______________________________________________Date____________
Printed Name/Grade/Rank: _______________________________________________________
Title: _________________________________________________________________________
Phone (COM/DSN/FAX): _________________________________________________________
Reference: DoD 4160.21-M, "Defense Materiel Disposition Manual," current edition
Title:
Material Documented As Safe (MDAS) Certificate
Requirements:
The explosives safety status of MPPEH shall be determined by one of two methods:
(a) 100-percent visual inspection and an independent 100-percent re-inspection by qualified personnel or
(b) processing by a DDESB-approved method with appropriate post-processing inspection (e.g., sampling, etc.) of the material A certification/verification statement as shown shall be signed and dated by a
DoD contracted person or a Government employee. This documentation is only valid if the material listed is properly segregated and secured, and the chain-of-custody is maintained until the material’s release from DoD control.
DTID: QTY:
NSN or Description:
Certification Statement:
The material listed on this form has been inspected or processed by DDESB-approved means, as required by DoD policy, and to the best of my knowledge and belief does not pose an explosive hazard.
Signature:______________________________
Date____________
Printed Name/Position (Grade/Rank): _______________________________________________
Organization and Address: _______________________________________________________
Phone (COM/DSN/FAX)/E-Mail Address: ____________________________________________
Signature:_______________________________
Date____________
Printed Name/Position (Grade/Rank): _______________________________________________
Organization and Address: _______________________________________________________
Phone (COM/DSN/FAX)/E-Mail Address: ____________________________________________
Recommend this material be released for: (check all that apply) ______ Recycling ______ Unrestricted Use ______ Disposal ______ Other
(Describe):____________________________________________________________________
Reference:
DoDI 4140.62, “Management and Disposition of Material Potentially Presenting an Explosive Hazard”, current edition
Title: Radioactive Property Certification
Description: Radioactive items or material are not to be turned into DLA Disposition Services unless the generator provides a statement, signed by their Radiation Protection Officer (RPO) certifying that the item/material is free of radioactive materials and radioactive components.
Reference:
DLAI 4145.8/AFJI 23-504/MCO P4400.105D/DLSC-LD/DoD 4160.21-M Chapter 4 Para. B54
Certification Statement: I certify that the items // material are free of radioactive material(s) and radioactive component(s).
DTID:
NSN:
Nomenclature:
Quantity:
Signature: Date:
Printed Name / Title:
Telephone (DSN): Telephone (COMM):
ssta013 Typewritten Text RPO Comments:
| Tab 1 - DLADS Misawa-Draughon MOA dated 25SEPT13.pdf |
| DISPOSAL SERVICES |
| 5 ATT |
| as |
| Signature Sheet.pdf |
| demilcertificate.pdf |
| InertCertificate.pdf |
| Tab 8 -MDAS Certificate.pdf |
| Tab 9 - Radioactive Property Certification.pdf |
| Personnel Authorized to Inspect & Certify Property as Being Inert.pdf |
| Disposal TurnIn Document: |
| QTY: |
| National Stock Number or Description: |
| PROCEDURAL GUIDANCE CATEGORY: |
| PARAGRAPH: |
| FOLLOWING APPLICABLE REGULATION: |
| Date: |
| Printed NameGradeRank: |
| Title: |
| Phone COMDSNFAX: |
| Address 1: |
| Address 2: |
| Date_2: |
| Printed NameGradeRank_2: |
| Title_2: |
| Phone COMDSNFAX_2: |
| Address 1_2: |
| Address 2_2: |
| DTID: |
| NSN or Description: |
| Printed NamePosition GradeRank: |
| Organization and Address: |
| Phone COMDSNFAXEMail Address: |
| Printed NamePosition GradeRank_2: |
| Organization and Address_2: |
| Phone COMDSNFAXEMail Address_2: |
| Describe: |
| Disposal Turn-In Document Number: |
| National or Local Stock Number: |
| Item Name: |
| Quantity and Unit of Issue: |
| Date Certified by RPO / RSO: |
| Name and Title of RPO / RSO: |
| DSN Telephone Number: |
| Commercial Telephone Number: |
| Comments: |
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