J-5_Exhibits_A_and_B_Contract_Data_Requirements_List_(CDRL)_DD_Form_1423.pdf

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INTERIOR DECK IDIQ
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N40027-19-R-1002
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J-5 EXHIBITS A AND B CONTRACT DATA REQUIREMENTS LIST (CDRL) DD FORM 1423

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SSP:

CONTRACT DATA REQUIREMENTS LIST

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

D. SYSTEM / ITEM

E. CONTRACT / PR NO. F. CONTRACTOR

A

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

5. Contract Reference Section C

6. Requiring Office SUPSHIP Code

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

2. Title of Data Item

2. Title of Data Item

3. Subtitle

3. Subtitle

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

1 2 1

15. TOTAL

15. TOTAL

1 2 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

As Required As Required

End of Task Order

5. Contract Reference Section C

Yes

End of Task Order

As Required As Required

1 2 1

1 12

TYPE OF AVAIL (I:
E:
RAV/TAV, PMA): RAV/TAV (Downriver)
Number 1-1: A0001
Text 1-1: SI 009-01: General Criteria
Number 1-2: A0003
Text 1-2: SI 009-03: Toxic and Hazardous Substance
Page 1-1: 1
Page 1-2: 10
USS SHIP (FFG-XX): NOTIONAL IDIQ ACTIVITY
SERM-XXX-XX: SERM-DECK-19-0004
Number 10-1: B0001
Text 10-1: SI 009-26: Deck Covering
Number 10-2: B0002
Text 10-2: SI 009-32: Cleaning and Painting Requirements
PM NAME (LAST, FIRST): Paul P. Casey, Project Manager
Date: 01/20/2019
Page 10-1: 10
Page 10-2: 10
Number 9-1: A0017
Text 9-1: SI 099-60SE: General Environmental Requirements for Naval Station Mayport Availabilities
Number 9-2: A0018
Text 9-2: SI 099-74SE: General Safety Requirements
Page 9-1: 9
Page 9-2: 10
Number 8-1: A0015
Text 8-1: SI 099-51SE: Non-Hazardous Liquid Waste Removal Operations at Naval Station Mayport
Number 8-2: A0016
Text 8-2: SI 099-58SE: Heavy Weather Plan for Naval Station Availabilities
Page 8-1: 8
Page 8-2: 10
Number 7-1: A0013
Text 7-1: SI 009-120: Fact Finding and Critique of Unplanned Event
Number 7-2: A0014
Text 7-2: SI 099-01SE: General Criteria
Page 7-1: 7
Page 7-2: 10
Number 6-1: A0011
Text 6-1: SI 009-93: Emergency Planning and Community Right-to-Know Act (EPCRA) and Pollution Prevention Act (PPA) Information
Number 6-2: A0012
Text 6-2: SI 009-111: Schedule and Associated Reports for Availabilities 9 Weeks or Less in Duration
Page 6-1: 6
Page 6-2: 10
Number 5-1: A0009
Text 5-1: SI 009-69: Heavy Weather/Mooring Plan
Number 5-2: A0010
Text 5-2: SI 009-74: Occupational, Safety and Health Plan
Page 5-1: 5
Page 5-2: 10
Number 4-1: A0007
Text 4-1: SI 009-24: Authorization, Control, Isolation, Blanking, Tagging, and Cleanliness
Number 4-2: A0008
Text 4-2: SI 009-40: Contractor Crane, Multi-Purpose Machine and Material Handling Equipment at a Naval Facility
Page 4-1: 4
Page 4-2:
Number 3-1: A0005
Text 3-1: SI 009-07: Environmental Compliance Report for Material Usage
Number 3-2: A0006
Text 3-2: SI 009-10: Maintaining Protection and Cleanliness from Non-Radioactive Operations
Page 3-1: 3
Page 3-2: 10
Number 2-1: A0003
Text 2-1: SI 009-04: Environmental Compliance Report for Material Usage
Number 2-2: A0004
Text 2-2: SI 009-06: Maintaining Protection and Cleanliness from Non-Radioactive Operations
Page 2-1: 2
Page 2-2: 10

File details come from the government source that posted it.