First Article Test Report.pdf
PDF 266 KB Posted
- Attached to
- Cylinder
- Solicitation number
- SPRHA2-25-R-0084
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is a DD Form 1423-1 Contract Data Requirements List (CDRL) for a Test/Inspection Report related to a Traverse Cylinder First Article Test (FAT) under contract FD20202500084. The CDRL requires the contractor to submit a qualification test report for P/N 3058076 Traverse Cylinder (NSN: 1450007372731AH) to the 414th SCMS GUEAB.
The report must include detailed documentation of dimensions and tolerances, materials certification, and processing requirements including plating, heat treatment, welding, anodizing, and painting. The contractor must submit the initial test report within 45 days after test completion, with the government allowed 30 days for review. Any revisions incorporating government comments must be submitted within 15 days of receipt. The document is restricted to Department of Defense and U.S. DoD contractors only, with export controls in place. Deliveries are to be made to the 809 MXSS/MXDEB at Hill AFB, UT, with specific marking instructions for the First Article.
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Other files
| File | Type | Posted |
|---|---|---|
| SPRHA225R0084 CUI SSI.pdf | ||
| Special Packaging Instructions.pdf |
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Text version
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
ICBM/NIIN 007372731 FD20202500084
A001 TEST/INSPECTION REPORT Traverse Cylinder, First Article Test (FAT)
DI-NDTI-80809B 414th SCMS GUEAB
DD
A D
ASREQ
SEE BLK 16 SEE BLK 16
0 0 0
BLOCK 4: PARAGRAPH 10.2 OF DI-NDTI-80809B CLARIFIED AS FOLLOWS:
A. ALL DIMENSIONS AND TOLERANCES SPECIFIED ON THE MANUFACTURING
DATA SHALL BE LISTING IN ONE COLUMN, WITH THE ACTUAL
CORRESPONDING READING OBTAINED FROM THEINSPECTION 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 MATERIALS
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” ITEMS 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.
DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only; CTI and Export Controlled; Determined: 07 May 2024 Other requests for this document must be referred to Minuteman III Systems Directorate, Hill
AFB UT 84056
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, Unites States Code) or the Export Control Act of 2018 (Chapter 58 Section 4801-4852 of Title 50 United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and Instruction 2040.02.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
NSP
0.00
HATCH.SKYLAR.L.1538483180
Digitally signed by
HATCH.SKYLAR.L.1538483180
Date: 2024.12.18 09:32:53 -07'00'
Dec 18 2024 HATCH.SKYLAR.L.1538483
Digitally signed by
HATCH.SKYLAR.L.1538483180
Date: 2024.12.18 09:33:32 -07'00'
Dec 18 2024
Adobe Professional 8.0
0001AA A
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
ICBM/NIIN 007372731 FD20202500084
BLOCK 10, 11, 12 & 13
INITIAL SUBMITTAL:
CONTRACTOR SHALL SUBMIT QUALIFICATION TEST REPORT NLT 45 DAYS AFTER COMPLETION OF TEST. GOVERNMENT WILL BE ALLOWED 30 DAYS AFTER RECEIPT FROM CONTRACTOR TO REVIEW FOR APPROVAL/ DISAPPROVAL/COMMENTS.
CONTRACTOR SHALL SUBMIT REVISED QUALIFICATION TEST REPORT INCORPORATING GOVERNMENT COMMENTS, IF
APPLICABLE, NLT 15 DAYS AFTER RECEIPT FROM GOVERNMENT.
BLOCK 14: COMPLETE MAILING ADDRESS IS:
809 MXSS/MXDEB (DODAAC: FB2029)
BLDG 849, ATTN: NON-ACCOUNTABLE BAY
MARK FOR: FIRST ARTICLE DO NOT POST
HILL AFB, UT 84056-5713
NOMENCLATURE: P/N 3058076 Traverse Cylinder NSN: 1450007372731AH
File details come from the government source that posted it. Updated .