CDRL_FA_Test_Report.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 0MB 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Department of Defence, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Artington 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 Goverment-lssuing Contracting Officer for the ContracVPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

I

C. CATEGORY

A TDP TM OTHER NDTI

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

CABLE ASSEMBLY, SPEC

(GUB-18-050) FD2020-18-01428 17. PRICE GROUP

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

3. SUBTITLE

AOOl Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED CLIN for Data TOTAL PRICEDI-NDTI-80809B/T 416 SCMS/GUEAA

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

REQUIRED 14. DISTRIBUTION

DD OTIME BLK 16

b. COPIES

8. APP CODE B 11 . AS OF DA TE 13. DATE OF SUBSEQUENT

SUBMISSION a. ADDRESSEE Final

A Draft BLK 16 BLK 16 Reg Repro

16. REMARKS 416 SCMS/ 1

NOTE: Changes to office symbols and/or e-mail GUEAA addresses, when necessary shall be made by letter 6070 Gum LN through the CO/ACO without further revision to this Bldg_ 1213

CDRL_ HILL AFB UT

84056-5825 L BLK 4: Contractor's format is acceptable.

Paragraph 10.2 of DI-NDTI-80809B is clarified as SEE BLK 16 follows:

a_ All dimensions and tolerances specified on the manufacturing data shall be listed in one column, with the actual corresponding reading obtained from the inspection of the part listed in another column.

b_ Materials utilized in the manufacture of "First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

C. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, anodize, painting, etc_) utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included_

d. Other requirements as called out on Engineering Data Requirement (00-ALC FORM 462).

2. The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and located in a conspicous location.

BLK 9: DISTRIBUTION STATEMENT IIBII: Distribution authorized to u_s_ Government agencies only. (Test &

Evaluation) (15 May 2018). Other requests for this document shall be referred to (416 SCMS/GUEAA, 6070

15. TOTAL------> 0 1 0

G. PREPARED BY

� �1��

H. DATE I. APPROVED BY J. DATE

NILA DAGSEN 16 May 18 TIMOTHY LUCAS �-

) / 16 May 18 DATA MANAGER iJ ENGINEER/,"�1�r r--'{"'

DD Form 1423-1, JUN 9� Computer Generated Previous eamons are obsolete

Page _1_ of __l Pages

First Article

0001AA, 0002AA, 0003AA

NSP

$0.00

0001AA, 0002AA, 0003AA

First Article NSP

0001AA, 0002AA, 0003AA

First Article

NSP