CLIN_0004_Attachments.pdf

REQ DOC NO. - 8313V046 ATTACHMENT

CONTINUATION SHEET CONTRACT NO. - PAGE

OF

NAME OF OFFER OR/CONTRACTOR

!ITEM# SUPPLIES/SERVICES QTY U/I

SHIELD CAP ASSEMBLY 8 EACH

C. DESCRIPTION/SPECIFICATIONS.

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

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

ORG. SEE A TT ACHMETS FOR ADDITIONAL REQUIREMENTS AND

INFORMATION.

C.2 PNSY PLANS TO INSPECT THE COVER 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 PERFORM A TORQUE BASED LOAD TEST OF THE SPECIFIED

THREADED HOLES PER THE INSTRUCTIONS ABD REQUIREMENTS

OF THE A TT ACHED DRAWINGS.

C.4 PERFORM LIQUID PENETRANT (PT) INSPECTIONS PER NA VSEA

TECHNICAL PUBLICATION T9074-AS-GIB-010/271 2014 EDITON, 11

SEPTEMBER 2018.

C.4.1 USE MIL-STD-2035A 15 MAY 1995, FOR ALL NON

DESTUCTIVE INSPECTION ACCEPTANCE CRITERIA.

C.4.2 VISUAL INSPECTIONS (5X MINIMUM) MAYBE PERFORMED

IN CASES WHERE LIQUID PENETRANT INSPECTIONS ARE

IMPRACTICAL.

C.6 NAVSEA HQ C-2-0023 MERCURY CONTROL

C.7 DATA REQUIREMENTS PER EXHIBIT A (DD-1423) & ATTACH #1.

C.7.1 CERTIFICATE OF COMPLIANCE; EXHIBIT A SEQUENCE AOOl.

C.7.2 LIQUID PENETRANT TEST CERTIFICATION, EXHIBIT A

SEQUENCE A002.

C.7.3 LOAD TEST CERIFICATION, EXHIBIT A SEQUENCE A003 .

C.7.4 VISUAL TEST CERTIFICATION (IF APPLICABLE), EXHIBIT A

SEQUENCE A004.

D. PRESERVATION/PACKAGING/PACKING.

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

E. INSPECTION AND ACCEPTANCE.

E.1 FAR 52.246-2 INSPECTION OF SUPPLIES. FIXED PRICE

E.2 FAR 52.212-4 CONTRACT TERMS & CONDITONS (COMMERCIAL)

E.3 NAVSEA HQ E-1-0003 INSPECTION & ACCEPTANCE OF F.O.B.

SES TINA TION DELIVERIES.

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 3 2 1

1. MANUFACTURING REQUIREMENTS REVISION HISTORY

1.1. WHERE MIL-SPECS. STANDARDS, TECHNICAL PUBLICATIONS ANO/OR REFERENCE RE DESCRIPTION DATE A PROVED

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

SPECIFIED.

1.2. BREAK ALL SHARP EDGES TO A 1164' CHAMFER (OR SMALLER).

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

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

c 2.1. NONE. I 3. LOAD TEST & NON-OESTRUCTIVE TESTING (NOT) REQUIREMENTS

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

4. CLEANLINESS REQUIREMENTS

4.1. ALL ACCESSIBLE SURFACES SHALL BE VlSIBL Y 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. NONE.

I. HEAT TREAT REQUIREMENTS

6.1. NONE.

7. DOCUMENTATION REQUIREMENTS

7.1. NONE.

B B

1 CAP UNS 530400 1 • PC# DESCRIPTION MATERIAL QTY REMARKS

DECWAL TOLBIENCEa: UNl£SS OTHERWJSE SPECIFlED, APPROVAi/CONCURRENCE PORTSllllOUTH NAVAL SHIPYARD A XX • t 0.1 DtMENStONS A/tE IN INCHES. SIGNAnJRE DATE NUCLEAR l!EFUELING ENGINEERING DIVISION X..XX • t:0.01

X..XXX•t:0.<115 5l)PV. IS/ JEfFWILaofl CODE 2370 - KITfERY, ME XJOOO( . :I: 0.DIXllS DRAWING OIM~NSIONAl &

A

FUCT10tla: :t 1132 GEOMETllJC TOLERENCES

ANOLE8: t 0.51" PER ASME y14.5-2008

THIRD ANGLE PROJECTION

-· --Et-237080000102 RF-6600

NEXT ASSY USED ON

APPLICATION

4 3 2 c

B

A

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

v¢ 1.ooox82° l-$-1¢ .01o@lslAI

Ai ... ----.

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II " II I

I I I I I I I I I I I I

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4 3

1/4-20 UNC 28

T 1.000 MAX TAP DRILL

T .688 MIN FULL THREAD

l-$-1¢ .D1o@lslAI

SECTION A-A

~_J"

1.10 :~----l---

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DIVISION

CODE 2370 ·KITTERY, ME

c

B

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-OESTRUC11VE TESTING (NOT) REQUIREMENTS

2.1. NONE.

3. LOAD TEST & NON-DESTRUCTlVE THTING (NOT) REQUIREMENTS

3.1. THE HOIST RING TO REMAIN PERMANENTLY INSTALLED.

3.2. ITEM IS <100 LB. LOAD TEST & NOT NOT REQUIRED.

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

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

VII (ENGRAVING) THE FOLLOWING ON THE SPECIFIED SURFACES:

'RF.aiOO, LIN 0005 WT: (XX] LB'

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

5.12. (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 11 (ELECTROCHEMICAL) OR TYPE

VII (ENGRAVING) THE FOLLOWING ON THE SPECIFIED SURFACES:

'Wll 100 LB, PERIODIC INSPECTION (N/Ar

5.2.1. USE -25' TALL X - .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:

'DO NOT REMOVE HOIST RING'

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

8. DOCUMENTATION REQUIREMENTS

6.1. NONE.

NIA

NEXT ASSY I USED ON

APPLICATION

RE

3 THREADLOCKEft

2 1/4-20 UNC HOIST RING

SHIELD CAP BASE

PC# I DESCRIPTION

OEallAl. Tot.EllENCH:

X.X• tD.1 x..xx .. t0.01

X.XXX • * O.D

X..XXXX • * O.UD5

FMC'TIONS: :t 1132

ANOt.Ea: :t. O.f:l9

UN..ESS OTHERWtSE SPECIFIED, OIUENSK>NS ARE ... INCHES.

DAAWIHG DIMENSIONAi. &

GEOMETRIC TOLERENCES

PER ASME Yt4.f-200I

THIRD ANGLE PROJECTION

--$---Et

2 1

REVISION HISTORY

DESCRIPTION

PLASTIC AIR

AMS6349 1

UNS $30400

MATf:RIAL I QiY

APPll()VAl/CONCUARENCE

I SIGNATURE !DATE

SUPV, 14'JEFFWILSON l1CY2'111

181 llY.-.N KllOQHT ( 11)122)11

AIOil.A WUAYAAATNEI 1<117111

NNSY

DATE APPROVED

LOCTITE 242 OR EQUIVALENT

AMt:RICAN DRILL BUSHING (CAGE 02064)

PIN 33112 OR EQUIVALENT

MFG PE~ 273080000156

REMARKS

F'ORTSMOU~ NAVAL SHIPYARD

NUCLEAR REFUEUpjG ENGINEERING DIVISION

COOE 2310 ·KITTERY, ME

SHIELD CAP ASSEMBLY

(RF-6600, LIN 0005)

c

B

A

4 3

ASSEMBLY

APPLY PC3 TO THREADS OF

PC2 PRIOR TO ASSEMBLY

/~ I \

I @ I I I I I

TORQUE 4 - 5 FT-LB

r-

I I I I I I I I I I

)-------1-- J..-----~--

I

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR REFUELING ENGINEERING DllllSION

CODE j!370 · KITTERY, ME c

B

A

4 3 2 1

MARKING MARKING SPECIFICATION 2

(NOTE 5.2)

WU. 1lO lB PERICIJIC INSPECTKll NIA

DO NOT REMOVE HOIST RING

RF~6600----(Qf

UN 0005 °

XX lB

MARKING SPECIFICATION 1 ------'

(NOTE 5.1)

3 2

--MARKING SPECIFICATION 3

(NOTE5.3)

PORTSMOUTH NAVAL SHIPYARD

NUCLEAR ~EFUELING ENGINEERING DMSION

CODE 2370 - KtTl'ERY, ME c

B