CDRL_FA_Test_Report.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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, Arlington 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-lasuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TOP TM OTHER NDTI

D. SYSTEM / ITEM

FRANE, CANOPY BOW, Al

(A1O -18-008)

E. CONTRACT! PR NO.

FD2020 -18-00763

F. CONTRACTOR

1. DATA ITEM NO.

AQO1

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI -NDTI-80809B/T

5. CONTRACT REFERENCE

CLIN for Data

6. REOU(RlNG OFFICE

416 SCMS/GUEAB

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

B

10. FREQUENCY

OTINE

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE b.COPIES

B. APP CODE

A

11.ASOFDATE

BLK 16

13.DATEOFSUBSEQUENT

SUBMISSION

ELK 16

Draft

Final

Reg Repro

16. REMARKS

NSN: 1560 -00 -583 -7352FJ

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

CURL.

1. BLK 4: Contractor's format is acceptable.

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

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one coluirin, 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 Requirements.

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

BLK 9: DISTRIBUTION STATEMENT "B": Distribution authorized to U.S. Government agencies only. (Test &

416 SCMS/

GEJEAB

6071 Gum LN

Bldg. 1223

HILL AFB UT

84056-5826

SEE BLK 16

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

G. PREPARED BY

NILA DAGSEN

H. DATE

22 May 18

I. APPROVED BY

JAIMEMER

J.DATE

22 May 18

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD Form 1 423-1, JUN 90 Computer Generated Previous editions are obsolete

Page i. of Pages

First Article NSP

$0.00

Form Approved 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, Arlington 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-Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER NDTI

D. SYSTEM / ITEM

FRAME, CANOPY BOW, Al (AlO -18-008)

E. CONTRACT / PR NO.

FD2020 -18-00763

F. CONTRACTOR

1. DATA ITEM NO.

A00l

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI -NDTI-80809B/T

5. CONTRACT REFERENCE

CLIN for Data

6. REQUIRING OFFICE

416 SCMS/GUEAB

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY 12.

OTIME

DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8.APPCODE

A

11.ASOF DATE

BLK 16

13.DATEOFSUBSEQUENT

SUBMISSION

BLK 16

Draft Final

Reg Repro

16. REMARKS

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

AFB, UT).

EXPORT CONTROL WARNING: All technical documents/data

(printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms

Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance wtih provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DOD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.l -R, Information Security Program

Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

3. BLKs 10, 11, 12, 13, 14:

a. For Contractor Testing - submit lAW the current delivery schedule.

b. For Government Testing - Report to assist in

'First Article' testing by the Air Force shall be submitted concurrently with the "First Article' item either in the packaging of the shipping container or seperately if the report will not fit within the container packaging unfolded. When shipped in the first article container, the report shall be enclosed

15.TOTAL ------

G. PREPARED BY

NILA DAGSEN71 (7

DATA MANAGER

L,X/.45-

H. DATE

22 May 18

I. APPROVED BY

JAIME MERED.-.

ENGINEER

J.DATE

22 May 18

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DO Form 1 423-1, JUN 90 Computer Generated Previous editions are obsolete

Page ..?... of

Pages

NSP

Form Approved 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, Adington VA 22202-4302, and to the Office of Management and Budget, Paperwoii Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses, Send completed form to the Goverment-Issuing Contracting Officerfor the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER NDTI

D. SYSTEM! ITEM

FRAME, CANOPY BOW, Al

(A10-18-008)

E. CONTRACT / PR NO.

FD2020 -18-00763

F. CONTRACTOR

1. DATA ITEM NO.

AOO1

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B/T

5. CONTRACT REFERENCE

CLIN for Data

6. REQUIRING OFFICE

416 SC3SS/GUEAB

7. DD25OREQ

DD

9. DISTSTATEMENT

REOUIRED

B

10. FREQUENCY 12.

OTIME

DATEOFFIRSTSUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A hAS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK 16

Draft

Final

Reg Repro

16. REMARKS

in a paper or plastic envelope.

c. SHIP TO: Non-Accountable Bay Transportation Officer Building 849 West

Hill AFB UT 84056-5999

MARK FOR: 809 MXSS/MXDEB

7278 4th Street (Bldg 100 Bay D)

Hill AFB UT 84056-5205

NOTE: If report is shipped separate from first article item, send report to "MARK FOR' address listed above.

d. Contractor shall deliver a Test Report via e-mail to the following e-mail address:

jaime.meredith@us.af.mil

15.TOTAL ------>

G.PREPAREDBY

NILA DAGSEN

DATA MANAGER

H. DATE

22 May 18

I. APPROVED BY

JAINE MEREDITH

ENGINEER

J.DATE

22 May 18

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD Form 1423-1, JUN 90 Computer Generated Previous editions are obsolete

Page of

Pages

NSP