FATR.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 (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 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

0001AA AA NDTI

Chiller, MAF/NIIN:015475215 FD20202300060

A001 Test/Inspection Report Test/Inspection Report

DI-NDTI-80809B 414 SCMS/GUEA

DD

N/A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

414 SCMS 1 1

6031 Gum Lane

Bldg 1227 Hill AFB, UT

84056 ATTN: Mike Loveless

414 SCMS 1 1

6031 Gum Lane

Bldg 1227

Hill AFB, UT 84056

ATTN:

Chelsey Helleksen

2 2 0

Note: , “NO FAT REQUIRED IF SUPPLIER HAS ALREADY PRODUCED AN ACCEPTABLE EAS80202-104 “Chiller, MAF” TO THE AIR FORCE WITHIN THE

PAST 3 YEARS”.

Otherwise: FAT is required as as indicated below;

Block 4: Paragraph 10.2 of DI-NDTI-80809B 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 used in the manufacture of the "First Article" shall be identified and certified along with a copy of material purchase requirements as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, anodizing, 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.

BLOCKS 10, 11, 12, & 13: CONTRACTOR SHALL SUBMIT FIRST ARTICLE TEST

REPORT NO LATER THAN (NLT) 30 CALENDAR DAYS AFTER THE

CONCLUSION OF THE FIRST ARTICLE TEST. GOVERNMENT SHALL HAVE 15

CALENDAR DAYS TO PROVIDE COMMENTS. FINAL FIRST ARTICLE TEST

REPORT SUBMITTAL SHALL BE DELIVERED NLT 15 CALENDAR DAYS

FOLLOWING RECEIPT OF GOVERNMENT COMMENTS.

BLOCK 14: Contractor shall submit Test/Inspection Report to ORGs electronically.

Electronic submissions authorized to:

Michael.loveless.5@us.af.mil chelsey.helleksen@us.af.mil

NSP

0.00

LOVELESS.MICHAEL.ALAN.151

9342827

Digitally signed by

LOVELESS.MICHAEL.ALAN.1519342827

Date: 2022.11.10 10:50:03 -07'00'

11/10/2022 HELLEKSEN.CHELSEY.S.1

138722402

Digitally signed by

HELLEKSEN.CHELSEY.S.1138722402

Date: 2022.11.15 08:18:44 -07'00'

11/15/22

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