CLIN_0004_Attachments.pdf

REQ DOC NO. - 8313V046 ATTACHMENT AMD

CONTINUATION SHEET CONTRACT NO. - PAGE

OF

NAME OF OFFER OR/CONTRACTOR

ITEM # SUPPLIES/SERVICES QTY U/I

SHIELD CAP ASSEMBLY 8 EA

C. DESCRIPTION/SPECIFICATIONS.

C.1. PIECE 4 OF FINAL CLOSURE COVER, STAINLESS STEEL, XY SHIELD

(RF-6600, LIN 0005) MANUFACTURED IAW PNS 2370B0000102 REV

ORG. SEE ATTACHMETS FOR ADDITIONAL REQUIREMENTS AND

INFORMATION.

C.2. PNSY RESERVES THE RIGHT TO INSPECT THE SHIELD CAP

ASSEMBLIES AT AN APPROXIMATE HALF WAY POINT OF

CONSTRUCTION.

C.2.1. CONTRACTOR SHALL NOTIFY PNSY WITH PROJECTED WORK

SCHEDULE. HALFWAY POINT OF CONSTRUCTION SHALL BE

DETERMINED BY THE CONTRACTOR AND PNSY AFTER

AWARD OF CONTRACT.

C.3. NAVSEA HQ C-2-0023 MERCURY CONTROL

D. PRESERVATION/PACKAGING/PACKING.

D.1. D4 PREPARATION FOR DELIVERY (COMMERCIALLY PACKAGED).

E. INSPECTION AND ACCEPTANCE.

E.1. HQ E-1-0003, INSPECTION & ACCEPTANCE OF F.O.B. DESTINATION

DELIVERIES.

E.2. FAR 52.246-2 INSPECTION OF SUPPLIES. FIXED PRICE

E.3. FAR 52.212-4 CONTRACT TERMS & CONDITONS (COMMERCIAL)

CONTRACT - ----- - ---

PRINTED 11/30/2018 PAGE

EXHIBIT A

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

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM SHIELD CAP

ASSEMBLY

CATEGORY

ITEM NO

01 SEQ NO

02 DATA DESC

03 SUBTITLE

04 DID NUMBER

05 CONTRACT

REF

06 TECH OFFICE

07 DD 250 REQ

08 APP CODE

09 IAC INPUT

10 FREQUENCY

11 AS OF DATE

12 DATE1ST

SUBM

13 DATE SUB

SUBM

14 DISTRIBUTION

15 TOTAL

16 REMARKS

PREPARED BY

APPROVED BY

001 CONTRACTOR

A001

CERTIFICATE OF COMPLIANCE

PER ATTACHMENT 1 TO EXHIBIT A

PARA. C.7.1

2370.1

DD

0-TIME

WITH MATERIAL

410/2370 1/ 0 VIA MAIL (NO DD 250 REQD)

SEQ. NO. A001

DATE

DATE

DD FORM 1423

CONTRACT

PRINTED 11/30/2018 PAGE

EXHIBIT A

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

CONTRACT DATA REQUIREMENTS LIST

SYSTEM/ITEM

ITEM NO

01 SEQ NO

SHIELD CAP

ASSEMBLY

A002

CATEGORY

CONTRACTOR

02 DATA DESC LIQUID PENETRANT CERTIFICATION

03 SUBTITLE

DID NUMBER

CONTRACT REF

TECH OFFICE

DD 250 REQ

08 APP CODE

09 IAC INPUT

PER ATTACHMENT 1 TO EXHIBIT A

PARA. C.7.2

2370.1

DD

10 FREQUENCY 0-TIME

11 AS OF DATE

12 DATE 1ST SUBM WITH MATERIAL

13 DATE SUB SUBM

DISTRIBUTION

TOTAL

410 1/

0 VIA MAIL (NO DD 250 REQD)

16 REMARKS

SEQ. NO. A002

PREPARED BY DATE

APPROVED BY DATE

CO,RACT • ---------

PRINTED 11/30/2018 PAGE ----

ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

SYSTEM/ITEM SHIELD CAP CATEGORY

ASSEMBLY

ITEM NO 003 CONTRACTOR

01 SEQ NO A003

02 DATA DESC LOAD TEST CERTIFICATION

03 SUBTITLE

04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A

05 CONTRACT REF PARA. C.7.3

06 TECH OFFICE 2370.1

07 DD 250 REQ DD

08 APP CODE

09 IAC INPUT

10 FREQUENCY 0-TIME

11 AS OF DATE

12 DATE 1ST SUBM WITH MATERIAL

13 DATE SUB SUBM

14 DISTRIBUTION 410 1/ 0 VIA MAIL (NO DD 250 REQD)

15 TOTAL 1

16 REMARKS

SEQ. NO. A003

PREPARED BY DATE

cclHACT •

PRINTED 11/30/2018 PAGE

ATTACHMENT 1 TO EXHIBIT A (DD FORM 1423)

SYSTEM/ITEM SHIELD CAP CATEGORY

ASSEMBLY

ITEM NO 004 CONTRACTOR

01 SEQ NO A004

02 DATA DESC VISUAL TEST CERTIFICATION (IF APPLICABLE)

03 SUBTITLE

04 DID NUMBER PER ATTACHMENT 1 TO EXHIBIT A

05 CONTRACT REF PARA. C.7.4

06 TECH OFFICE 2370.1

07 DD 250 REQ DD

08 APP CODE

09 IAC INPUT

10 FREQUENCY 0-TIME

11 AS OF DATE

12 DATE 1ST SUBM WITH MATERIAL

13 DATE SUB SUBM

14 DISTRIBUTION 410 1/ 0 VIA MAIL (NO DD 250 REQD)

15 TOTAL 1

16 REMARKS

SEQ. NO. A004

PREPARED BY DATE

CO.RACT • - - -------

PRINTED 11/30/2018 PAGE ----

CONTRACT/SOLICITATION ------- - - -

ITEM (DAT A FOR ITEM

REQUIRED CERTIFICATION

A. CERTIFICATION SHALL BE SUPPLIED WITH EACH SHIPMENT OF MATERIAL.

CERTIFICATION (CERTIFICATE OF COMPLIANCE) SHALL BE SUPPLIED AS OUTLINED IN

PARAGRAPH B. THE VENDOR IS LIABLE FOR CONDUCTING ALL TESTS, ANALYSES,

INSPECTIONS, AND EXAMINATIONS, ETC., AS SPECIFIED BY THE CONTRACT AND

SPECIFICATIONS WHETHER CERTIFICATIONS ARE REQUIRED OR NOT.

CERTIFICATE OF COMPLIANCE (PROVIDE THE FOLLOWING VERBATIM STATEMENT OR

COMPLETE THE OPTIONAL FORM AT THE END OF THIS PART):

"I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH

ALL CONTRACT REQUIREMENTS. THE INSPECTION AND TEST REPORTS PROVIDED

REPRESENT THE ACTUAL ATTRIBUTES OF THE ITEMS FURISHED ON THIS CONTRACT AND

INDICATE FULL COMPLIANCE WITH ALL APPLICABLE SPECIFICATION AND CONTRACT

REQUIREMENTS."

B. CERTIFICATION SHALL BE SUPPLIED PER THE FOLLOWING INSTRUCTIONS:

1. THE CERTIFICATION OF COMPLIANCE SHALL CONTAIN THE SIGNATURE AND TITLE OF

THE VENDOR OFFICIAL DESIGNATED RESPONSIBLE FOR QUALITY ASSURANCE.

2. THE MATERIAL IDENTIFICATION (E.G. LOT, BATCH, PART#, ETC.) SHALL BE INCLUDED

ON THE CERTIFICATE OF COMPLIANCE AND ASSOCIATED TEST CERTIFICATIONS.

eel-RA CT e

PRINTED 11/30/2018 PAGE

CERTIFICATE OF COMPLIANCE

COMPANY NAME

MATERIAL IDENTIFICATION (COMPLETE APPLICABLE ITEMS)

CONTRACT NO.

ITEM NO.

LOCAL STOCK NUMBER:

ORDER NO.

MANUFACTURER'S PART NUMBER -----

I ATTEST ALL ITEMS FURNISHED ON THIS CONTRACT ARE IN FULL COMPLIANCE WITH ALL

CONTRACT REQUIREMENTS. THE INSPECTION AND TEST REPORTS PROVIDED REPRESENT

THE ACTUAL ATTRIBUTES OF THE ITEMS FURISHED ON THIS CONTRACT AND INDICATE

FULL COMPLIANCE WITH ALL APPLICABLE SPECIFICATION AND CONTRACT

REQUIREMENTS.

SIGNATURE DATE - - ------ ----

QUALITY ASSURANCE OFFICIAL

4 I 3 I 2 I 1

1. MANUFACTURING REQUIREMENTS REVISION HISTORY

1.1. WHERE MIL-SPECS, STANDARDS, TECHNICAL PUBLICATIONS AND/OR REFERENCE REVI DESCRIPTION I DATE I APPROVED DRAWINGS ARE NOTED, THE LATEST REVISION SHALL BE IN EFFECT UNLESS OTHERWISE I I I

SPECIFIED.

1.2. BREAK All SHARP EDGES TO A 1/64" CHAMFER (OR SMALLER).

1.3. ALL SURFACES MUST HAVE A 125 RA FINISH (OR BETTER).

2. WELDING & NON-DESTRUCTIVE TESTING (NOT) REQUIREMENTS

c 2.1. NONE.

3. LOAD TEST & NON-DESTRUCTIVE TESTING (NOT) REQUIREMENTS <;;)

3.1. COMPONENT Wiil BE LOAD TESTED PER ASSEMBLY DRAWING ..

4. CLEANLINESS REQUIREMENTS

4.1. ALL ACCESSIBLE SURFACES SHALL BE VISIBLY FREE OF CUTTING FLUID, TAPE RESIDUE, MACHINE CHIPS, GREASE, OIL, FLUX, DIRT, GRIT, SCALE, RUST, SMEARED METAL OR

OTHER FOREIGN MATERIAL. THIN FILMS OF TIGHTLY ADHERENT RUST OR OXIDE ARE

ACCEPTABLE. IF EQUIPMENT COMPONENTS REQUIRE ASSEMBLY, All ACCESSIBLE

SURFACES SHOULD BE INSPECTED AND CLEANED AS NECESSARY PRIOR TO ASSEMBLY

- 5. MARKING REQUIREMENTS -

5.1. NONE.

6. HEAT TREAT REQUIREMENTS

6.1. NONE.

7. DOCUMENTATION REQUIREMENTS <;;) 7.1. NONE.

B B

1 CAP UNS S30400 1

PC# DESCRIPTION MATERIAL QTY REMARKS

DECIMAL TOLERENCES:

UNLESS OTHERWISE SPECIFIED,

APPROVAi/CONCURRENCE PORTSMOUTH NAVAL SHIPYARD A X.X: :t: 0.1 DIMENSIONS ARE IN INCHES. SIGNATURE DATE NUCLEAR REFUELING ENGINEERING DIVISION X.:XX::t0.01 A

X.XXX = :t: 0.005 SUPV. X.XXXX = :t: 0.0005 DRAWING DIMENSIONAL & fS/JEFFWILSON 10i25118 CODE 2370 - KITTERY, ME

FRACTIONS: :t 1/32 GEOMETRIC TOLERENCES PEER. IS/ RYAN KNIGHT 10(181'19 """ ANGLES: :t o.s• PER ASME Y14 .5-2009 SHIELD CAP BASE ORIG. ISJAkHLAWUAYAAATNE 10/17/18

THIRD ANGLE PROJECTION CODE SIGNATURE DATE (RF-6600) -•--a 237080000102 RF-6600 sl 81316r"""'"'-'NO. 2370B0000156l~oRIG NEXT ASSY USED ON APPLICATION -··-- 1:2r~v• -94 LBr"""' SHEET 1OF2

4 3 I 2 I 1 c

B

Al

2X .531 +.008/-.001 THRU

v 0 1.000 x a2° l-$-10 .010 @I BI A I r

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: I :

I I I I I I I I

II

LJ

I I

·r- .,· I I I I I I I I I I I I

1k.;·~d1 I 3

0 10.50

B

I

I

1/4-20 UNC 28

T 1.000 MAX TAP DRILL

T .688 MIN FULL THREAD

l-$-10 .010 @I BI A I

SECTION A-A

~_]675

1.10 +.00 -.01

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DIVISION

CODE 2370 - KITTERY, ME

c

A

A

4 3-

1. MANUFACTURING REQUIREMENTS

1.1. WHERE MIL-SPECS, STANDARDS, TECHNICAL PUBLICATIONS AND/OR REFERENCE

DRAWINGS ARE NOTED, THE LATEST REVISION SHALL BE IN EFFECT UNLESS OTHERWISE

SPECIFIED.

2. WELDING & NON-DESTRUCTIVE TESTING (NOT) REQUIREMENTS

2.1. NONE.

3. LOAD TEST & NON-DESTRUCTIVE TESTING (NOT) REQUIREMENTS

3.1. THE HOIST RING TO REMAIN PERMANENTLY INSTALLED.

3.2. ITEM IS <1 00 LB. LOAD TEST & NOT NOT REQUIRED.

3.3. THE WORKING LOAD LIMIT (WLL) OF THE HOIST RING IS 100 LB.

4. CLEANLINESS REQUIREMENTS

4.1. ALL ACCESSIBLE SURFACES SHALL BE VISIBLY FREE OF CUTIING FLUID, TAPE RESIDUE, MACHINE CHIPS, GREASE, OIL, FLUX, DIRT, GRIT, SCALE, RUST, SMEARED METAL OR

OTHER FOREIGN MATERIAL. THIN FILMS OF TIGHTLY ADHERENT RUST OR OXIDE ARE

ACCEPTABLE. IF EQUIPMENT COMPONENTS REQUIRE ASSEMBLY, ALL ACCESSIBLE

SURFACES SHOULD BE INSPECTED AND CLEANED AS NECESSARY PRIOR TO ASSEMBLY.

5. MARKING REQUIREMENTS

5.1. MARK PER MIL-STD-792, TYPE I (VIBRATING TOOL), TYPE II (ELECTROCHEMICAL) OR TYPE

VII (ENGRAVING) THE FOLLOWING ON THE SPECIFIED SURFACES:

"RF-6600, LIN 0005 WT: [XX] LB"

5.1.1. USE -1 · TALL x-.5" WIDE CHARACTERS. DO NOT EXCEED .02· DEPTH.

5.1.2. [XX] IS THE ACTUAL WEIGHT OF PC1 SHIELD CAP BASE (EXCLUDING THE WEIGHT OF

THE HOIST RING).

5.2. MARK PER MIL-STD-792, TYPE I (VIBRATING TOOL), TYPE II (ELECTROCHEMICAL) OR TYPE

VII (ENGRAVING) THE FOLLOWING ON THE SPECIFIED SURFACES:

"WLL 100 LB, PERIODIC INSPECTION [N/AT

5.2.1.USE -.25" TALLX-12" WIDE CHARACTERS. DO NOT EXCEED 0.02" DEPTH.

5.3. MARK PER MIL-STD-792, TYPE I (VIBRATING TOOL), TYPE II (ELECTROCHEMICAL) OR TYPE

VII (ENGRAVING) THE FOLLOWING ON THE SPECIFIED SURFACES:

·oo NOT REMOVE HOIST RING"

5.3.1. USE - .5" TALL X -.25" WIDE CHARACTERS. DO NOT EXCEED .02" DEPTH.

6. DOCUMENTATION REQUIREMENTS

6.1. NONE.

N/A

NEXT ASSY I USED ON

APPLICATION

REVI

3 THREADLOCKER

2 1/4-20 UNC HOIST RING

SHIELD CAP BASE

PC# DESCRIPTION

DECIMAL TOLERENCES:

UNLESS OTHERWISE SPECIFIED,

DIMENSIONS ARE IN INCHES. X.X= ±0.1

X.XX=:t0.01 x.xxx : t 0.005 x.xxxx = % 0.0005

FRACTIONS: ± 1132

ANGLES: i: o.s•

DRAWING DIMENSIONAL &

GEOMETRIC TOLERENCES

PER ASME Y14.5-2009

THIRD ANGLE PROJECTION

-$-Et

2 1

REVISION HISTORY

DESCRIPTION

PLASTIC NR

AMS6349

UNS S30400

MATERIAL QTY

APPROVAi/CONCURRENCE

I SIGNATURE loATE

SUPV. l lSIJEFFWILSON

PEER. I 1S1 RYAN KNIGHT

ORIG. IJSJAl<HlAWUAYARATNEI 1CV17/18

CODEI SIGNATURE

2 370.4 1 ISi ZACH WISE

NNSY

DATE APPROVED

LOCTITE 242 OR EQUIVALENT

AMERICAN DRILL BUSHING (CAGE 02064)

P/N 33112 OR EQUIVALENT

MFG PER 2730B0000156

REMARKS

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DIVISION

CODE 2370 - KITIERY, ME

SHIELD CAP ASSEMBLY

(RF-6600, LIN 0005)

c

A

ASSEMBLY

APPLY PC3 TO THREADS OF

PC2 PRIOR TO ASS EMBLY

3 2

TORQUE 4 - 5 FT-LB

3 2

J---------r-

I I I I I I I I I I

)-------j-- J- _____ _j __

I

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DIVISION

CODE 2370 - KITIERY, ME

ORIG

SHEET 20F 3

c

A

4 3 2 1

MARKING ~MARKING SPECIFICATION 2

(NOTE 5.2)

WU. 100 LB

PERIODIC INSPECTION: NIA

DO NOT REMOVE HO~ST R~NG

([@J RF~6600-----cg;

UN 0005 °

XX lB

MARKING SPECIFICATION 1 -----~

(NOTE 5.1)

3 2

.r--MARKING SPECIFICATION 3

(NOTE 5.3)

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DIVISION

CODE 2370 - KITTERY, ME

SHEET 3 OF 3

c