Exhibit_A.pdf

PRINTED

CONTRACT -------- PAGE

10/5/2016

AL TN9A 1 EXHIBIT A

(ADP DD FORM 1423(MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815}

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM PIPE/TUBE; CRES

ITEM NO l'.> 00 ')

· 01 SEQ NO A001

"06

'11

DATADESC

SUBTITLE

OIDNUMBE.R

CONTRACT REF

TECH OFFICE

DD250REQ

APP CODE ~

IAC INPUT

FREQUENCY

AS OF DATE

DATE 1ST SUBM

DATE SUB SUBM

MATERIAL CERTIFICATION

PER EXHIBIT A ATTACHMENT 1

PARAC.3.1

2305.4

SD

0-TIME

WITH MATERIAL

CATEGORY

CONTRACTOR

14 DISTRIBUTION 551.4 1 I 0 VIA MAIL (NO DD250 REQ.)

15 TOTAL

16 REMARKS

PREPARED BY

APPROVED BY

•• • """"""""" """""""""'""w~- ~•-..... -••

SEQ. NO. A001

DATE

DATE

DD FORM 1423

: l

Of~ 'I

I

CONTRACT -------- PAGE

10/5/2016

ALTN9A1 EXHIBIT A

. (ADP DD FORM 1423(MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM PIPEfrUBE, CRES

ITEM NO O 00)..

01 SEQ NO A002

·02 DATADESC

03 SUBTITLE

04 DID NUMBER

05 CONTRACT REF

06 TECH OFFICE

07 DD250 REQ

08 APP CODE

09 IACINPUT

'10 FREQUENCY

11 AS OF DATE

12 DATE 1ST SUBM

ULTRASONIC PROCEDURE

PER EXHIBIT A ATTACHMENT 1

PARA. C.3.2

2305.4

LT

A .

0-TIME

SEE BLOCK 13

CATEGORY

CONTRACTOR

13 DATE SUB SUBM 30 DAYS AFTER DATE OF CONTRACT

14 DISTRIBUTION 138.4 1 I o

.. 15 TOTAL 5

16 REMARKS ULTRASONIC PROCEDURE REQUIRED FOR BOTH SOUNDNESS AND WALL THICKNESS.

"•<<••••<•••••••·-"~··~-""'''tt''""••••·- •••••-••·- '''°''''''''''''''"°'"'"'"'--'""~-·"••••••-·••••·-n~m~,~ •••

PREPARED BY

·APPROVED BY

SEQ. NO. A002

DATE

DATE

DD FORM 1423

CONTRACT PRINTED 10/5/2016

PAGE

4710 ALTN9A1 EXHIBIT A

{f'DP DD FORM 1423(MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM PIPE/TUBE, CRES CATEGORY

ITEM NO 0 C>O '.). CONTRACTOR

01 SEQ NO A003

02 DATA DESC ALLOY IDENTITY PROCEDURE

03 SUBTITLE

04 DID NUMBER PER EXHIBIT A ATTACHMENT 1

05 CONTRACT REF PARA. C.3.3

06 TECH OFFICE 2305.4

07 DD250 REQ LT

08 APP CODE A

09 IACINPUT

10 FREQUENCY 0-TIME

· · 11 AS OF DATE

12 DATE 1ST SUBM SEE BLOCK 13

13 DATE SUB sl)BM 30 DAYS AFTER DATE OF CONTRACT

14 DISTRIBUTION 134 1 I 0

15 TOTAL 5

'16 REMARKS

SEQ. NO. A003

PREPARED BY DATE

APPROVED BY DATE

OD FORM 1423

10/5/2016 PAGE

ALTN9A1 EXHIBIT A

(ADP DD FORM 1423(MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DATA REQUIREMENTS LIST

' SYSTEM/ITEM PIPE/TUBE, CRES CATEGORY

CONTRACTOR ITEM NO 000)

01 SEQ NO A004

02 DATADESC

03 SUBTITLE

04 DID NUMBER

05 CONTRACT REF

08 TECH OFFICE

07 DD250 REQ

08 APP CODE

'·09 IAC INPUT

10 FREQUENCY

,11 AS OF DATE~

12 DATE 1 ST SUBM

13 DATE SUB SUBM

14 qtSTRIBUTION

15 TOTAL

16 REMARKS

HEAT TREATMENT PROCEDURE

PER EXHIBIT A ATTACHMENT 1

PARA. C.3.4

2305.4

LT

A

O,.TIME

SEE BLOCK 13

30 DAYS AFTER DATE OF CONTRACT

134 1 I o

4 OJ:- 5

SEQ. NO. A004

PREPARED BY DATE

APPROVED BY DATE

PRINTED 10/512016 CONTRACT -------- PAGE $ Qf 5

4710 ALTN9A1 EXHIBIT A

(ADP DD FORM 1423(MECHANIZED EQUIVALENT) PER DAR CLAUSE 16-815)

CONTRACT DAT A REQUIREMENTS LIST

SYSTEMllTEM .PIPE/TUBE, CRES

ITEM NO O e>O 1

01 SEQ NO A005

02 DATADESC LIQUID PENETRANT PROCEDURE

03 SUBTITLE

.04 DID NUMBER PER EXHIBIT A ATTACHMENT 1

05 CONTRACT REF PARA. C.3.5

06 TECH OFFICE 2305.4

07 QD250REQ LT

08 APP CODE A

09 IACINPUT

10 FREQUENCY 0-TIME

11 AS OF DATE

'12 DATE 1ST SUBM SEE BLOCK 13

CATEGORY

CONTRACTOR

13 DATE SUB SUBM 30 DAYS AFTER DATE OF CONTRACT

14 DISTRIBUTION 138.4

15 TOTAL

16 REMARKS

PREPARED BY

APPROVED BY

1 I 0

SEQ. NO. A005

DATE

DATE