MJU52_A006_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1370-01-668-4123

E. CONTRACT/PR NO.

FD2020-18-50270

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:

https://wawf.eb.mil. The electronic receiving report shall be used only for that data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology)(Date of Contract Award). Other requests shall be referred to AFLCMC/EBHCC.

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, as amended, Title 50, U.S.C, App. 2401 et seq. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10,12,13: Contractor is responsible to conduct required pushout and visual inspection for Lot Acceptance Tests IAW OES-3037 Rev A.

Contractor will provide test/inspection results to N00164 (Navy Crane) and AFLCMC/EBHCC, at time of shipment of LAT articles to N00164 (Navy Crane) for testing, for inclusion in the final Lot Acceptance Test Report, which will be provided by N00164 (Navy Crane) to AFLCMC/EBHCC. N00164 (Navy Crane) will conduct LAT within 45 calendar days after receipt of test articles and will submit report no later than 30 calendar days after completion of Lot Acceptance Testing. AFLCMC/EBHCC will provide approval/disapproval of LAT report within 30 calendar days after receipt from N00164 (Navy Crane). In the event the contractor does not witness the LAT testing at N00164 (Navy Crane), N00164 (Navy Crane) will summarize all failures exhibited by the lot sample during the LAT test sequence and provide as information to the contractor and AFLCMC/EBHCC by email within 7 calendar days.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213 as well as the Worldwide Ammunition-Data Repository Program (WARP) system.

FOB DESTINATION

EBE 18-190-001

Robert W. Morgan, Jr., AFLCMC/EBHEC, 777-5126

WARP 0 1 0

DoDAAC, FA8213

WAWF 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

morgan.robert.wesley.jr.1158190040

H. DATE

2018/07/11

I. APPROVED BY

blanch.teresa.m.1260787809

J. DATE

2018/07/11

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP

0003 A