018_-_1222-1423_chem_and_mech_prop_-_Doc____8061B111.doc
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| A |
| TDP ______ |
TM ______
OTHER _CERT. DATA___
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
JML# 8061B111
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Verification of Chemical and Mechanical Properties |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
MIL-DTL-1222J
NNSY CODE 136.3
| 7. DO 258 REQ |
| 9. DIST STATEMENT |
REQUIRED
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
DD
| 1 TIME |
| WITH MATERIAL |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| a. ADDRESSEE |
| Draft |
| Final |
| Reg |
| Repro |
| 16. REMARKS |
| NNSY |
Provide written verification that the chemical and mechanical properties have been determined and are acceptable IAW MIL-DTL-1222J
(a) Provide written verification that the chemical analysis and mechanical properties tests have been determined and are acceptable. All test reports will contain a signed certification that the results represent the actual values for the material provided and that they are in full compliance with the contract specification. Material certification data shall be recorded on the testing company's letterhead and shall bear the name, title and signature of the authorized company representative. The name and title shall be clearly legible. Certification data supplied to the government shall be either the original mill material certification, the original copy from the testing facility, or exact photocopies of these documents. The data forwarded by the manufacturer shall contain a signed certification that the reported results represent the actual attributes of the material furnished and indicate full compliance with all applicable specification and contract requirements. Statements on material certification documents must be positive and unqualified. The material certification data reports shall include quantitative data representing the actual values obtained during testing.
(b) Test reports will list all verified attributes and will be traceable to the material via a heat, lot, or batch number applied to the material by the manufacturer. Each piece of material must be marked with the applicable heat, lot, or batch number shown on the test reports provided.
(c) Test reports labeled "Typical," those with words such as "to the best of our knowledge" or "we believe the information contained herein is true" or those that have results transcribed from other reports or documents are not acceptable.
| CODE 135.21 |
| 0 |
| 1 |
| 0 |
15. TOTAL
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Carl Littleton |
| 2/12/2018 |
| HENRY A. MARTIN |
| 2/12/2018 |
DD Form 1423-1, JUN. 90
Previous editions are obsolete Page __1_ of _1_ Page
S/N 0102-LF-010-5500
FOR DOCUMENT: 8061B111
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