CDRLS_A001-A008.pdf

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Attached to
Overhaul of Dynamic Components of TH-1H Helicopter
Solicitation number
FA8524-19-R-0024
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CDRLS A001-A008

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CONTRACT DATA REQUIREMENTS LIST Fom1 Appro,·ed

(/ Data Item) 0MB No. 070./-0/88

A. CONTRACT LINE ITEM NO. C. CATEGORY

TOP TM

D. SYSTEM / ITEM F CONTRACTOR

3 SUBTITLE

TH-Ill l DATA ITEM NO

A008

4 AUTHORITY (Data Acq11isilio11 Doc11mc111 No.)

DI-MISC-80711A

6. REQUIRING OFFICE

411 SCMS/GULAB

7 DD 250REQ 9 DIST STATEMENT

B EXHIBIT

E. CONTRACT I PR NO

FD20601800127

2. TITLE OF DATA ITEM

Test/Inspection Report

S CONTRACT REFERENCE

PWS para4.3.12.3

10 FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION

REQUIRED SUBMISSION

LT C Sec Block 16 See Block 16

8 APP CODE 11 AS OFDATE 13 DATE OF SUBSEQUENT a ADDRESSEE

SUBMISSION

NO Sec Block 16 See Block 16

16 REMARKS 411 SCMS/GULAB Program

NAME Lindley, Loretta B DATE 28 NOV 2017 Manager (PM) Provided on Conlracl Award

AFLCMC/WIUEA Engineer byron g1vcnslii)us af m1 I

AFSC/PZAAA Contracting Officer(PCO) Provided on Contract Award

DCMAIACO

15 TOTAL

BBlock 7: The contractor shall provide a letter of transmittal to alan.gaskins@us.af.mil to collectively account for all data.

The contractor shall submit a DD Form 250 with the final report, reference DODAAC F A8524

Block 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government Agencies and their contractors (Critical Technology) (8 February 2012). Other requests for this document shall be referred to (AFLCMC/WIU).

Block 10-13: Initial documents to be delivered to Govt Engineering for review/approval prior to induction of first repair item 20 days after award. The Government will reply within 20 days. Final document to be delivered within 2 weeks ARO Completion of Overhaul/testing & prior to delivery of I st overhauled asset. The Government will respond in 14 days before completing other overhauls on the NSNs.

Block 14: Electronic versions of draft and final report shall be emailed to the following offices and individuals. Printed final report shall be mailed to the postal address below.

COORDINATORS

G PREPARED BY Ii. DATE J APPROVED BY

C -d,o� &l�/9 � z;�

DD FORM 14:?3-I, FEB 2001

PREVIOUS EDITION MAY BE USED

Generated by PRPS using Jasper Reports on 27 Feb 2019 Version I

OTHER X

b COPIES

Final Dnifi

Reg Reoro l I 0

1 I 0

0 I 0

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2 4 0

J. DATE

'2.47 � I:, 1'1

Page 7of7

FD20601800127 CDRLS Able A0001-A0007
FD20601800127 CDRLS Able A0001-A0007 - Copy

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