N6660417Q2331_ATTACHMENT_1_CDRLS.xls

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Thermotron Environmental Temperature and Humidity Chamber
Solicitation number
N66604-17-Q-2331
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ATTACHMENT # 1 - CDRLS

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CDRL A001

CONTRACT DATA REQUIREMENTS LISTForm Approved
(1 Data Item)OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hrs per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, & 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, 1213 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. EXH/ATCH NO.C. CATEGORY
TDP_____________ TM_____________ OTHER ________XX_____________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Enviromental ChamberPR 1300651905
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A001Technical Report -- Studies / ServicesFactory Testing Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DID-MISC-80508BSpecification 6.2NUWCDIVNPT Code 7014
7. DD250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
REQUIREDb. COPIES
NoOtimeSee Blk 16DRAFTFINAL
8. APP CODEB11. AS OF DATE13. DATE OF SUBSEQUENTa. ADDRESSEE
SUBMISSIONREQREPRO
N/AN/AN/A
16. REMARKSNUWCDIVNPT Code 7014
Paul Wells2
Block 9: Distribution Statement B: Distribution to US Government agencies only;
Proprietary Information; (insert date data generated).
Other requests for this document shall be referred to NUWCDIVNPT Code 7014
Block 12: To be delivered with equipment as part of final shipment.
15. TOTAL2
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
J. Hartwein-Sanchez7/20/13M. Merriwether
DD FORM 1423-1, FEB 2001Previous editions are obsoletePage _1_ of _2_ Pages
CONTRACT DATA REQUIREMENTS LISTForm Approved
(1 Data Item)OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hrs per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, & 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, 1213 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. EXH/ATCH NO.C. CATEGORY
TDP_____________ TM_____________ OTHER ________XX_____________
D. SYSTEM/ITEME. CONTRACT/PR NO.F. CONTRACTOR
Enviromental ChamberPR 1300651905
1. DATA ITEM NO.2. TITLE OF DATA ITEM3. SUBTITLE
A002Technical Report -- Studies / ServicesInstallation Testing Report
4. AUTHORITY (Data Acquisition Document No.)5. CONTRACT REFERENCE6. REQUIRING OFFICE
DID-MISC-80508BSpecification 6.3NUWCDIVNPT Code 7014
7. DD250 REQ9. DIST STATEMENT10. FREQUENCY12. DATE OF FIRST SUBMISSION14. DISTRIBUTION
REQUIREDb. COPIES
NoOtimeSee Blk 16DRAFTFINAL
8. APP CODEB11. AS OF DATE13. DATE OF SUBSEQUENTa. ADDRESSEE
SUBMISSIONREQREPRO
N/AN/AN/A
16. REMARKSNUWCDIVNPT Code 7014
Paul Wells2
Block 9: Distribution Statement B: Distribution to US Government agencies only;
Proprietary Information; (insert date data generated).
Other requests for this document shall be referred to NUWCDIVNPT Code 7014
Block 12: To be delivered 10 Business Days after
completion of installation and testing.
15. TOTAL2
G. PREPARED BYH. DATEI. APPROVED BYJ. DATE
J. Hartwein-Sanchez7/20/13M. Merriwether
DD FORM 1423-1, FEB 2001Previous editions are obsoletePage _2_ of _2_ Pages

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