MDAS Brass Sale feb2022 Inert Signatures (002).pdf

Title:

Material Documented As Safe (MDAS) Certificate

Requirements:

The explosives safety status of MPPEH shall be determined by one of two methods:

(a) 100-percent visual inspection and an independent 100-percent re-inspection by qualified personnel or

(b) processing by a DDESB-approved method with appropriate post-processing inspection (e.g., sampling, etc.) of the material A certification/verification statement as shown shall be signed and dated by a DoD contracted person or a Government employee. This documentation is only valid if the material listed is properly segregated and secured, and the chain-of-custody is maintained until the material’s release from DoD control.

DTID: QTY:

NSN or Description:

Certification Statement:

The material listed on this form has been inspected or processed by DDESB-approved means, as required by DoD policy, and to the best of my knowledge and belief does not pose an explosive hazard.

Signature:______________________________

Date____________

Printed Name/Position (Grade/Rank): _______________________________________________

Organization and Address: _______________________________________________________

Phone (COM/DSN/FAX)/E-Mail Address: ____________________________________________

Signature:_______________________________

Date____________

Printed Name/Position (Grade/Rank): _______________________________________________

Organization and Address: _______________________________________________________

Phone (COM/DSN/FAX)/E-Mail Address: ____________________________________________

Recommend this material be released for: (check all that apply) ______ Recycling ______ Unrestricted Use ______ Disposal ______ Other

(Describe):____________________________________________________________________

Reference:

DoDI 4140.62, “Management and Disposition of Material Potentially Presenting an Explosive Hazard”, current edition