1423_CDRL.pdf

A

NDTI

SEE BLK 16 FD2020-20-00064-01

A001 Test/Inspection Report First Article Test Report

DI-NDTI-80809B/T CLIN for Data 416 SCMS/GUEAA

DD

A B

OTIME

SEE BLK 16

SEE BLK 16

SEE BLK 16

416 SCMS/

GUEAA

6070 Gum LN Bldg. 1213 Hill AFB, UT 84056-5825

SEE BLK 16 1

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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. Block 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 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 (OO-ALC Form 462).

2. Block D:

NSN'S:

6150-01-555-9768WF Cable Assembly, Spec 6150-01-555-9776WF Cable Assembly, Spec 6150-01-555-9778WF Cable Assembly, Spec

3. Block 9: Distribution Statement, Export Control Warning and Destruction Notice shall be IAW DoD Instruction 5230.24

The following Distribution Statement shall be placed on the first sheet of each document and/or Associated Lists.

DISTRIBUTION STATEMENT "B" Distribution authorized to U.S. Government agencies only. (Test & Evaluation) as determined (January 2020). Other requests for this document shall be referred to (416 SCMS/GUEAA, Hill AFB, UT 84056-5825).

NSP

0.00

27 Jan 2020 27 Jan 2020

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O'DELL.KRISTIN.M.1

255785679

Digitally signed by

O'DELL.KRISTIN.M.1255785679

Date: 2020.01.27 08:14:34 -07'00'

LUCAS.TIMOTHY.J

.1388593373

Digitally signed by

LUCAS.TIMOTHY.J.1388593373

Date: 2020.01.27 08:31:13 -07'00'

A

NDTI

SEE BLK 16 FD2020-20-00064-01

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 IAW 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 5200.1-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.

4. Blocks 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 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.

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