L0WC07 CDRL A005 DI-QCIC-81187_T QA signed.pdf

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Attached to
Cold Roll Machine Federal contract opportunity
Solicitation number
F3QCCM0093A001
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

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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 __X__

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

1. DATA ITEM NO. 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document

DI-QCIC-81187 NOT 1/T

5. CONTRACT REFERENCE

PD para 4.7.2

6. REQUIRING OFFICE

402 CMXG/MXDEA

7. DD 250 REQ

NO

9. DIST

STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

0 0

15. TOTAL 0 2 0

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

L0WC07

1 1

G. PREPARED BY H. DATE

A005

2. TITLE OF DATA ITEM

Quality Assessment Test Report

16. REMARKS

Blocks 11, 12, 13: No later than fifteen (15) calendar days after the Performance Test is completed, the contractor shall provide certification demonstrating satisfactory performance testing meeting the equipment technical requirements in accordance with Technical Order Operational Supplement 3H1-18-3S_6 (or current version), paragraph 2.9.3.7 (3g).

Addressees:

Scott Morgan, 402 CMXG/MXDEA, scott.morgan.4@us.af.mil James (Kyle) Glidewell, 402 CMXG/MXDEA, james.glidewell.1@us.af.mil

402 CMXG/MXDEA

420 Richard Ray Blvd, Ste 100 Robins AFB, GA 31098-1640

SEE BLK 16

HARD COPY

ELECTRONIC 0 2 0

Laura Faith 13 Mar 20

I. APPROVED BY

17 Mar 20

2020-03-17T15:50:44-0400
FAITH.LAURA.S.1376728648

File details come from the government source that posted it. Updated .