J1 _CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

J

Form Approved OMB No. 0704-0188

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. I s.ExHmrr I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

1. Data Item 2. Title of Data Item l 3. Subtitle

A0001 LWT042-08

4. Authority (Date Acquisition Document No) 15. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8.APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

1. Data Item No. 2. Title of Data Item I 3. Subtitle

A0002 LWT042-ll

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

G: PREP~t./..9 /"'7 .1 H.6k$1h) I. APPROVED B~('~..,_.c. j J. DAT6/zr;/t{ DD Forffi1}!2~, JUN 90 - ' Previous editions are obsolete

10591183 S/ N 0102-LF-010-5600

Attachment J1

I

Form Approved OMB No. 0704-0188

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. I B.EXHIB~ I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

3. Data Item 4. Title of Data Item I 3. Subtitle

A0003 NSI009-0l

4. Authority (Date Acquisition Document No) 15. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of l" Submission 14. Distribution Yes Required As Required As Required

8.APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

I. Data Item No. 2. Title of Data Item I 3. Subtitle

A0004 NSI 009-03

4. Authority (Date Acquisition Document No) 15. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of I" Submission 14. Distribution Yes Required As Required As Required

8. APPCode II. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

G.~~~

H. DATE

I. APPROVE~(~

J. D2f:tlf I LS ~/24!J,)

DD Form 14:!"3-2, JUN 90 Previous ditions are obsolete

10591183 S/ N 0102-LF-010-5600 r

Form Approved OMB No. 0704-0188

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 (0704-0 188), 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. I B.EXHffi.f I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

1. Data Item No. 2. Title of Data Item I 3. Subtitle

A0005 NS1009-06

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1 ' 1 Submission 14. Distribution Yes Required As Req_uired As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

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

I

5. Data Item 6. Title of Data Item I 3. Subtitle

A0006 NSI009-07

4. Authority (Date Acquisition Document No) 15. Contract Reference 6. Requiring Office

SectionC NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

I 15. TOTAL 1 I 2 1

G. PREPARED BY H. DATE I r/r I.APPROV~~ J. D~TE dO~ h'fl_q;;s- ~/ZJ/~5-- DD Form 1423-2, JUN 90 ..

Prevwus editiOns are obsolete

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

Attachment J 1

Form Approved OMB No. 0704-0188

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. 1 B.EXHm: I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

1. Data Item No. 2. Title of Data Item I 3. Subtitle

A0007 NSI 009-09

4. Authority (Date Acquisition Document No) ,5. Contract Reference 6. Requiring Office SectionC NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

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

1. Data Item No. 2. Title of Data Item I 3. Subtitle

A0008 NSI 009-32

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

I 15. TOTAL ~ 2 1

G.PR7!};~h~ H. Dl-: TE I/;

~/ill 'IS-

I.APPR~~ Jj DATE

0/V!//.J DD Form 1423-2, JUN 90 ..

Previous editiOns are obsolete

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

Form Approved OMB No. 0704-0188

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. I B.EXHlBf I c. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

7. Data Item 8. Title of Data Item I 3. Subtitle

A0009 NSI 009-88

4. Authority (Date Acquisition Document No) 15. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1 ''Submission 14. Distribution Yes Required As Required As Required

8.APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

1. Data Item No. 2. Title of Data Item ,3. Subtitle

AOOlO NSI009-93

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

G. PREPARED BY

j H.D%JwJ~-- I.APPRO~~

J. DATE

?r}('/-'A I h/z/f//5 DD f1d6n 1'211"3-2, JUN 90 Previous editions are obsolete" I 1059/183 Sf N 0102-LF-010-5600

Form Approved OMB No. 0704-0188

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 LlNE ITEM NO. 1 B.EXHm;.r I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKlNG

9. Data Item 10. Title of Data Item I 3. Subtitle

A0011 NSI009-97

4. Authority (Date Acquisition Document No) ,5. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

1. Data Item No. 2. Title of Data Item I 3. Subtitle

A0012 Non-Skid Inspection Report

4. Authority (Date Acquisition Document No) ,5. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1" Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

In accordance with Section C of the solicitation Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

G.Pg{)~~~ H. DATE I.APPROV~gc&d_ J~f::_Lf ;;5 ~21/(5 ..

DD Form 1423-2, JUN 90 A

1059/183 S/ N 0102-LF-010-5610

Prevwus editions are obsolete

Form Approved OMB No. 0704-0188

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. I B.EXHIB~ I C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM I E. CONTRAC/PR NO. F. CONTRACTOR

NON-SKID DECKING

II. Data Item 12. Title of Data Item: SWT 077-01 I 3. Subtitle

A0013

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of I'' Submission 14. Distribution Yes Required As Required As Required

8. APPCode ll.AsOfDate 13. Date of Sub. Submission b. Copies End of Task Order

Submit and comply with requirements of Section J. Final

a. Addressee Draft Reg. Rep

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

I. Data Item No. 2. Title of Data Item I 3. Subtitle

A0014 Disposal of Hazardous Waste

4. Authority (Date Acquisition Document No) I 5. Contract Reference 6. Requiring Office

Section C NSSA Portsmouth, Code-400

7. DD 250 Req. 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14. Distribution Yes Required As Required As Required

8. APPCode 11. As Of Date 13. Date of Sub. Submission b. Copies End of Task Order

Submit reports as required by Section C. Final

a. Addressee Draft

Cognizant COR 1 1 1

Ship 1

15. TOTAL 1 2 1

G.P~ L .. ~ H.DCfq}~ I.APPROV~~ J.6lzrr}s-

DD Form 1423-2, JUN 90 ~

10591183 S/ N 0102-LF-01~-5600

Prevwus editions are obsolete