Attachment_20_-_CDRL_A001.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

( 1 Data Item) 0MB No. 0704-0188

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��11Ci:i;� s grr;f�r�;iri��9 i��i i i ;����i�� s y�� ti g�r�e� e :��t1,.;,"a�e e s other aspect o� this collection of information, includin� suggestions for reducing the tiurden, to Department of Defense, WashinBton Headquarters Services, Directorate for Information Operations and Reports j0701-0188J, 1 15 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-43 2. Respondents should be aware that notwithstanding any other provision of awT no/erson shall be subject to any penalty for failing to comply with a collection of information if it does not display a current� valid 0MB control number. Please DO NOT RE UR your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/ R No.

listed in Block E.

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

NDTI

A TOP TM OTHER --- --

D. SYSTEM/ITEM (Al0-18-001)

I

E. CONTRACT/PR NO. F. CONTRACTOR

FLAP, WING LANDING FD2020-l8-001708

1. OATA ITEM NO. 2. TITLE OF OATA ITEM 3. SUBTITLE

AOOI Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809Bff CLIN for Data 416 SCMS/GUEAB

7. 00 250 REQ 9. 01ST STATEMENT 10. FREQUENCY 12. OATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED OTIME NIA b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A NIA

SUBMISSION Draft NIA Reg Repro

16. REMARKS SEE BLK 16 1

NSN: 1560-0 l-59 l-4392FJ NSN: l 560-0I-59 l-8913FJ NSN: 1560-0l-59I-5806FJ NSN: 1560-0 l-59I-4394FJ

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 CDRL.

1. BLK 4: Contractor's format is acceptable. Paragraph I 0.2 of DI-NDTI-80809B is clarified as 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 Requirements.

2. BLK 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "B": Distribution authorized to U.S.

Government agencies only (Test & Evaluation) (15 May 2018). Other requests for this document shall be referred to (416 SCMS/GUEAB, Hill AFB, UT 84056-5826).

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:

\9. TOTAL 0 I 0

G. PREPARED B

��v/1 ___

H. DATE I. APPROVED BY

�6. Sf-!(�

J. DATE

Nila Dagsen (C tractor a a Maritger) I Aug 2018 James Shull (En ineer) I Aug 2018

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of 2 Pages

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

A. CONTRACT LINE ITEM NO.

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item)

I B. EXHIBIT 1 C. CATEGORY: NDTI

A TOP __ TM __ OTHER -------------------

D. SYSTEM/ITEM (Al0- 18-001 )

FLAP, WING LANDING I

E. CONTRACT/PR NO. IF. CONTRACTOR

FD2020-1 8-00509

16. REMARKS (Continued)

b. 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 IAW provisions ofDoD Directive 5230.25.

c. 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 5200.1-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 IAW 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 separately if the report will not fit within the container packaging unfolded. When shipped in the "First Article" container, the report shall be enclosed in a paper or plastic envelop.

c. SHIP TO: FB2029 Non-Accountable Bay Transportation Officer Bldg. 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: Ifreport 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: james.shull@us.af.mil

~D~ PREPARED BY: Nila Dagsen (Contractor Data Manager) Date: 1 Aug 2018

DD FORM 1423-1, FEB 2001

APPROVED BY: Jam:zs hula~n~in .

Date: 1 Aug 2018 J

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