L1WA28 CDRL A006 DI-QCIC-80553 Test Plan.pdf

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Plural Component Paint Dispensing System
Solicitation number
F3QCCM000001
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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-80553/T

5. CONTRACT REFERENCE

PD para 9

6. REQUIRING OFFICE

402 AMXG/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

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

L1WA28

1 1

G. PREPARED BY H. DATE

A006

2. TITLE OF DATA ITEM

Acceptance Test Plan (Government Site

16. REMARKS

Blocks 11, 12, 13: Contractor shall provide acceptance test plan electronically at least 30 days prior to testing. The Government will notify the contractor in writing within fifteen (15) calendar days of receipt if they comply with the test plan. If revisions are required, the contractor shall provide revisions within ten

(10) calendar days for Government review and approval.

Addressees:

Todd Lavender, 402 AMXG/MXDEA, leighton.lavender@us.af.mil Mike Robertson, 402 AMXG/MXDEA, michael.robertson.17@us.af.mil

SEE BLK 16

ELECTRONIC 0 2 0

Laura Faith 17 May 21

I. APPROVED BY

2021-05-17T14:18:53-0400
FAITH.LAURA.S.1376728648

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