CDRL50032.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

MISC

1377-01-128-8405ES FD2020-16-50032

A001 AMMUNITION DATA CARD (ADC)

DI-MISC-80043B AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

SD

N/A B

ASREQ

N/A

BLK 16

ASREQ

WAWF 0 1 0

DoDAAC FA8213 Included w/item(s) 0 1 0 shipped Sample ADC via 1 0 0 WARP system only

1 2 0

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

Electronic receiving report required via internet Wide Area Work Flow (WAWF, DoDAAC FA8213). at: https://wawf.eb.mil.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of 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: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

BLK 14: A sample ADC or "draft" will be generated and submitted using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable. For the final submittals, three hard copies of ADCs shall be generated from the WARP. One copy shall accompany items shipped, and the second copy submitted with the electronic receiving report via WAWF to AFLCMC/ EBHJ. The ammo data card shall be uploaded in WAWF under DoDAAC FA8213.

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.D

.1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:26:34 -06'00'

HARGROVE.ERIC.V.11

67016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=HARGROVE.ERIC.V.1167016843 Date: 2015.06.29 15:11:53 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

SESS

1377-01-128-8405ES FD2020-16-50032

A002 Engineering Change Proposal (ECP)

DI-SESS-81880 AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

LT

A B

ASREQ

ASREQ

BLK 16

ASREQ

AFLCMC/EBHEC 1 1 0

(ref blk 16)

AFLCMC/EBHKA 1 1 0

(ref blk 16)

DCMA QAR 1 1 0

(LT only)

DCMA ACO 1 1 0

(LT only)

AFLCMC/EBHJ 1 1 0

(ref blk 16)

5 5 0

BLK 4: Data delivery description for content of engineering change proposal via applicable DD Form 1692 shall be in accordance with MIL-STD-3046.

Other formats and submittal means are acceptable provided the data content requirements of MIL-STD 3046 are met.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notice of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Governement agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of DOD Directive 5230.25.

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

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the contracting officer (AFLCMC/EBHKA).

robert.morgan.27@us.af.mil (AFLCMC/EBHEC)

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.

D.1075978215

Digitally signed by MCCURDY.TERRY.D.1075978215 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:28:02 -06'00'

HARGROVE.ERIC.V.11

67016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.06.29 15:12:29 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

SESS

1377-01-128-8405ES FD2020-16-50032

A003 Request for Variance (RFV)

DI-SESS-81883 AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

LT

A B

ASREQ

N/A

ASREQ

ASREQ

AFLCMC/EBHEC 1 1 0

(ref blk 16)

AFLCMC/EBHKA 1 1 0

(ref blk 16)

DCMA QAR 1 1 0

(LT only)

DCMA ACO 1 1 0

(LT only)

AFLCMC/EBHJ 1 1 0

(ref blk 16)

5 5 0

BLK 4: Data delivery description for content of Request for Variance via applicable DD Form 1692 shall be in accordance with MIL-STD-3046. Other formats and submittal means are acceptable provided the data content requirements of MIL-STD 3046 are met.

BLK 7: Government engineer will perform review of the RFV. Notification of approval shall be signed contract modification (AFLCMC/EBHJ). The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notice of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of DOD Directive 5230.25.

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

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the contracting officer (AFLCMC/EBHKA).

robert.morgan.27@us.af.mil (AFLCMC/EBHEC)

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.

D.1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:29:44 -06'00'

HARGROVE.ERIC.V

.1167016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.06.29 15:13:03 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

QCIC

1377-01-128-8405ES FD2020-16-50032

A004 LOT ACCEPTANCE TEST PLAN

DI-QCIC-80553A AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

DD

A B

ASREQ

ASREQ

ASREQ

ASREQ

AFLCMC/EBHJ 1 1 0

(ref blk 16)

WAWF 0 1 0

DoDAAC FA8213

1 2 0

BLK 4: Contractor format required.

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 this data item, do not combine other data item submittals with this requirement.

BLK 8: Comments/approval/disapproval will be submitted within 30 working days of receipt by AFLCMC/EBHJ.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of DoD Directive 5230.25.

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

BLK (10) (11)(12)(13): The contractor shall provide a Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30 days approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of ALCMC/EBHJ.

Engineering approval in accordance with Airmunitions Specification.

BLK 14: Report shall be in Microsoft Office software or PDF format. Submit through WAWF, DoDAAC, FA8213.

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.

D.1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:32:18 -06'00'

HARGROVE.ERIC.V.11

67016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.06.29 15:13:35 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

NDTI

1377-01-128-8405ES FD2020-16-50032

A005 TEST/INSPECTION REPORT Lot Acceptance Test

DI-NDTI-80809B AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

DD

A B

ASREQ

N/A

BLK 16

ASREQ

WAWF 0 1 0

DoDAAC FA8213

0 1 0

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 this data item, do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of 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): Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Report shall be in Microsoft Office software or PDF format. Submit through WAWF, DoDAAC, FA8213.

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.D

.1075978215

Digitally signed by

MCCURDY.TERRY.D.1075978215

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:33:55 -06'00'

HARGROVE.ERIC.V.1

167016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.06.29 15:14:07 -06'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

SESS

FD2020-16-50032

A006 FAILURE ANALYSIS AND CORRECTIVE ACTION

REPORT

DI-SESS-81315B AIRMUNITIONS SPECIFICATION AFLCMC/EBHJ

DD

A B

ASREQ

N/A

BLK 16

ASREQ

Contracting Officer 0 1 0 Hill AFB, UT 84056 (ref blk 16)

0 1 0

BLK 4: Contractor's format required for both Preliminary and Final report.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies (Administrative/Operational Use) (Date of Contract Award).

Other requests for this document shall be referred to AFLCMC/EBHJ.

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 with provisions of 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): Submit within 7 calendar days after each failure. Final within 15 calendar days after receipt of AFLCMC/EBHJ comments.

BLK 14: Report shall be in Microsoft Office software or PDF format. Submit via e-mail to cognizant Hill AFB Contracting Officer.

FOB DESTINATION

EBH 15-174-003

Terry McCurdy, AFLCMC/EBHEC, 586-0535

29 JUN 15 29 JUN 15

1 1

MCCURDY.TERRY.

D.1075978215

Digitally signed by MCCURDY.TERRY.D.1075978215 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=MCCURDY.TERRY.D.1075978215 Date: 2015.06.29 11:35:08 -06'00'

HARGROVE.ERIC.V.11

67016843

Digitally signed by HARGROVE.ERIC.V.1167016843 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.06.29 15:14:39 -06'00'