ADSGF_CDRL_Semi_Annual_Inspection_Documentation_(002).pdf

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Service, Repair, preventative maintenance, and semi-annual test inspections for ACS, IDS, and Badging repair in Fallon, Nevada
Solicitation number
N6134018Q0009
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CONTRACT DATA REQUIREMENTS LIST (CDRL)

Public reporting burden for this collection of information is estimated to average 110 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. in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP ____ TM _______ OTHER_NDTI___

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AIR DEFENSE STRIKE GROUP FACILITY

(ADSGF)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

SEMI-ANNUAL INSPECTION REPORT TEST/INSPECTION REPORT

A001

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SOW PARA 4.2.B NAWCTSD

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION XX REQUIRED SEMI 30DATC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE final N/A N/A ASREQ draft reg repr

16. REMARKS NAWCTSD ADSGF PM 2

1. BLK 12: SUBMISSION SHALL BE DUE WITHIN 30 DAYS FOLLOWING SEMI-

ANNUAL INSPECTION.

2. BLK 13: ALL SUBSEQUENT SUBMISSIONS SHALL OCCUR ON A SEMI-ANNUAL

BASIS AND SHALL BE DUE WITHIN 30 DAYS FOLLOWING EACH SEMI-ANNUAL

INSPECTION.

3. BLK 14: INSPECTION REPORTS SHALL BE IN ACCORDANCE WITH IC TECH

SPEC VER 1.4 AND SHALL BE SUBMITTED TO NAWCTSD ADSGF PROGRAM

MANAGER.

15. TOTAL - - - - - - - - -> 0 2 0

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

LCDR ROB WARD, ADSGF ILSM SHAWN ALICIA, NAWCTSD ADSGF PM

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