Attachment_1_-_CDRLs.docx
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- Jet Blast Deflectors
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- N68335-17-R-0054
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CDRL's
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| N68335-17-R-0054-0004_Solicitation_Amendment.docx | DOCX document | |
| N68335-17-R-0054-0003_Solicitation_Amendment.docx | DOCX document | |
| N68335-17-R-0054-0002_Solicitation_Amendment.docx | DOCX document | |
| N68335-17-R-0054-0001_Solicitation_Amendment.docx | DOCX document | |
| N68335-17-R-0054_Solicitation_FINAL.docx | DOCX document | |
| N68335-17-R-0054_Section_L_Attachment_2_Past_Performance_Questionnaire.docx | DOCX document | |
| N68335-17-R-0054_Section_L_Attachment_1_Past_Performance_Evaluation_Data.docx | DOCX document |
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CONTRACT DATA REQUIREMENTS LIST
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Inspection/Certification Data to Substantiate Quality of First Article Test Items
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
4.8.8.6
7. DD 250 REQ
SD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
Concurrently with delivery of FAT Items
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
LT
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See Blk16
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 13) DATE OF SUBSEQUENT SUBMMISION: DCMA has 45 days to review and provide comments, Contractor has 10 to update and return to DCMA.
DCMA/ ACO
| 1 |
| 0 |
P.C.O.
| 0 |
| 1 |
CODE 4.8.8.6
| 0 |
| 0 |
15. TOTAL
| 1 |
| 1 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
12 July 2017
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Production Test and Inspection Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
4.8.8.6
7. DD 250 REQ
SD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
Concurrently with Final Inspection
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
LT
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
See Blk16
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 13) DATE OF SUBSEQUENT SUBMMISION: DCMA has 45 days to review and provide comments, Contractor has 10 to update and return to DCMA.
DCMA/ ACO
| 1 |
| 0 |
P.C.O.
| 0 |
| 1 |
CODE 4.8.8.6
| 0 |
| 0 |
CODE 4.8.2
| 0 |
| 1 |
15. TOTAL
| 1 |
| 2 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
Form QM1006-2001
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
| B. EXHIBIT |
| C. CATEGORY: |
TDP_______ TM_______ OTHER - MISC
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Welding Procedures
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80875
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2.
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
90 D.A.C.
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
As Required (See Block 16)
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 13) DATE OF SUBSEQUENT SUBMMISION: DCMA has 45 days to review and provide comments, Contractor has 10 days to update and return to DCMA.
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.8.2 Bldg 596
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
HWY 547
Lakehurst NJ 08733
P.C.O.
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.8.2
| 0 |
| 1 |
CODE 4.3.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 4 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - MISC
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Welding Procedure Qualification Report
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80876
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2.
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
As Required (See Block 16)
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 13) DATE OF SUBSEQUENT SUBMMISION: NAVAIRWARCENACDIVLKE has 45 days to review and provide comments, Contractor has 10 days to update and return to NAVAIRWARCENACDIVLKE.
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.8.2 Bldg 596
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
P.C.O.
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.8.2
| 0 |
| 1 |
CODE 4.3.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 4 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
| CONTRACT DATA REQUIREMENTS LIST |
| FORM APPROVED |
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Welder Performance Qualification
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
As Required
12. DATE OF FIRST SUBMISSION
(See Block 16)
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
As Required (See Block 16)
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 12) DATE OF FIRST SUBMISSION – 30 days prior to production.
(Block 13) DATE OF SUBSEQUENT SUBMMISION: NAVAIRWARCENACDIVLKE has 45 days to review and provide comments, Contractor has 10 days to update and return to NAVAIRWARCENACDIVLKE.
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
P.C.O.
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.8.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 3 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Level III Certification
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
P.C.O
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.8.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 3 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
| CONTRACT DATA REQUIREMENTS LIST |
| FORM APPROVED |
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Visual Inspection Written Procedure
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
P.C.O
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.3.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 3 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
| CONTRACT DATA REQUIREMENTS LIST |
| FORM APPROVED |
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Welder Qualification Training Written Procedure
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
DCMA/ QAR
| 1 |
| 0 |
P.C.O.
| 0 |
| 1 |
CODE 4.3.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 3 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
FORM APPROVED
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Welder Maintenance of Qualification
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
Code 4.3.4 Bldg 562
HWY 547
Lakehurst NJ 08733
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
DCMA/ QAR
| 1 |
| 0 |
P.C.O.
| 0 |
| 1 |
CODE 4.3.4
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 3 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
| CONTRACT DATA REQUIREMENTS LIST |
| FORM APPROVED |
OMB No. 0704-0188
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 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 Office for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
0010, 0019, 0028, 0037, 0046
B. EXHIBIT
C. CATEGORY:
TDP_______ TM_______ OTHER - NDTI
D. SYSTEM ITEM
JBD Water Cooled
E. CONTRACT/PR NO.
N68335-17-R-0054
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Test / Inspection Reports
3. SUBTITLE
Test Report for Radiographic Inspection
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE
Section C Para 3.2
6. REQUIRING OFFICE
CODE 4.8.2
7. DD 250 REQ
DD
9. DIST STATEMENT
As Required
10. FREQUENCY
ONE TIME
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repr |
16. REMARKS
(Block 14) Addresses for NAVAIR Codes:
NAVAIRWARCENACDIVLKE
Code 4.8.8.8 Bldg 148
P.C.O
| 1 |
| 0 |
DCMA/ QAR
| 0 |
| 1 |
CODE 4.8.8.8
| 0 |
| 1 |
15. TOTAL
| 1 |
| 2 |
G. PREPARED BY
H. DATE
12 July 2017
I. APPROVED BY
Paul Campos
J. DATE
File details come from the government source that posted it. Updated .