SPMYM2-22-Q-1983 (CDRLS) SCREW CAPS.pdf

PDF 2 MB Posted May 30, 2022

Attached to: SCREW, CAPSCREW Federal contract opportunity
Solicitation number: SPMYM2-22-Q-1983
Issued by: Defense Logistics Agency Land and Maritime

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SPMYM2-22-Q-1983 (SOLICITATION) LEVEL 1 SCREW CAPS.pdf	PDF	May 30, 2022
SPMYM2-22-Q-1983 (TDPS) SCREW CAPS.pdf	PDF	May 30, 2022

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TECHNICAL DATA PACKAGE

NIIN: PS-TDP-0047 PAGE 11

ITEM NAME: SCREW, SOCKET HEAD CAP May 29, 2022

DOCUMENT NUMBER: 2111-1206

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP X TM OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

INSPECTION AND TEST PLAN QAULITY MANAGEMENT SYSTEMS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-QCIC-81110 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Paragraph 10.4 of DI-QCIC-81110 does not apply.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - All suppliers of Level I/SUBSAFE (LI/SS) material are required to submit a copy of their current documented quality management systems manual to the Procurement Contracting Officer (PCO) prior to award of any contract/purchase order. Suppliers that have a copy of their current quality management systems manual on file at the Procuring Activity may request the PCO waive this requirement.

**after award no submittal in WAWF is required**

Document No: 2111-1206

15. Total 0

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

/s/ STERBENTZ, ERIK G 5/8/2022 /s/ LEACH, WILLIE 5/8/2022

DD FORM 1423-1, FEB 2001

Page 1 of 7 CDRL’s

0002AA A

AA01

NIIN: PS-TDP-0047 PAGE 12

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

CERTIFICATION/DATA REPORT SPECIAL EMPHASIS

CERTIFICATE OF COMPLIANCE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 2111-1206

Page 2 of 7 CDRL’s

0002AB B

AB01

NIIN: PS-TDP-0047 PAGE 13

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

Certification Data for Non-Nuclear Level I Material CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-81020 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Page 3 of 7 CDRL’s

0002AC C

AC01

NIIN: PS-TDP-0047 PAGE 14

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER

NDTI

TEST/INSPECTION REPORT LIQUID PENETRANT TEST REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g.

10.2.7.1. 10.2.7.3

Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/8/2022. Other U.S.

requests must be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, must be submitted and approved before testing unless otherwise specified in contract.

Page 4 of 7 Pages

0002AD D

AD01

NIIN: PS-TDP-0047 PAGE 15

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page 5 of 7 CDRL’s

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) Form Approved OMB No. 0704-0188

The public reporting burden for this collect ion of information is est imated 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 o ther aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (0704- 0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ______ TM ________ OTHER___MISC_________

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

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

CERTIFICATION/DATA REPORT

3. SUBTITLE

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

N4523A 0 1 0

15. TOTAL 0 1 0

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

12. DATE OF FIRST SUBMISSION

07DAC 14. DISTRIBUTION

a. ADDRESSEE b COPIES

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 4 - Tailored to allow vendor to provide only 10.2.4.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

Document number: 2126-1201

N4523A

0 1 0

16. TOTAL

G. PREPARED BY

/S/ STERBENTZ, ERIK G

H. DATE

5/8/2022

I. APPROVED BY

/S/ LEACH, WILLIE

J. DATE

5/8/2022

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

0002AE E

AE01

NIIN: PS-TDP-0047 PAGE 16

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page 6 of 7 CDRL’s

Form Approved OMB No. 0704-0188

The public reporting burden for this collect ion of information is est imated 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 o ther aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collect ion of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ______ TM ________ OTHER___NDTI/MISC_________

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT

DI-NDTI-80603A

PURCHASING ACTIVITY

7. DD 250 REQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/8/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

a. ADDRESSEE b. COPIES

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SEE BLOCK 16

Administration and operations only, effective 5/8/2022. Other U.S. requests shall be referred to

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.

Document number: 2126-1202

15. TOTAL

G. PREPARED BY

/S/ STERBENTZ, ERIK G

H. DATE

8-May-22

I. APPROVED BY

/S/ LEACH, WILLIE

8-May-22

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

0002AF F

AF01

NIIN: PS-TDP-0047 PAGE 17

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM

- Technical Manual; Other - other category of data, such as “provisioning,” “Configuration Management”, etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed on DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical-office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref., DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in item 14; Desired medium for delivery of the data item.

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices must be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices must not include any amount for rights in data. The Government’s right to use the data must be governed by the pertinent provisions of the contract.

DD Form 1423-1 (Back) FEB 2001 Page 7 of 7 CDRL’s

NIIN: PS-TDP-0047 PAGE 11

DOCUMENT NUMBER: 2111-1207

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81110 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Paragraph 10.4 of DI-QCIC-81110 does not apply.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/9/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Document No: 2111-1207

/s/ STERBENTZ, ERIK G 5/9/2022 /s/ LEACH, WILLIE 5/9/2022

0004AA A

NIIN: PS-TDP-0047 PAGE 12

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.4, 10.3, 10.3.1-Provide IAW TDP Section 3. Ensure certs provided are traceable to material via unique markings, 10.5.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/9/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report

Document No.: 2111-1207

0004AB B

NIIN: PS-TDP-0047 PAGE 13

ITEM NAME: SCREW, SOCKET HEAD CAP May 29, 2022

DOCUMENT NUMBER: 2111-1207

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP X TM OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

Certification Data for Non-Nuclear Level I Material CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-81020 TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/9/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Document No.: 2111-1207 15. Total 0 1 0

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

/s/ STERBENTZ, ERIK G 5/9/2022 /s/ LEACH, WILLIE 5/9/2022

DD FORM 1423-1, FEB 2001 Page 3 of 7 CDRL’s

0004AC C

NIIN: PS-TDP-0047 PAGE 14

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B TDP: Section 3 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

10.2.7.1. 10.2.7.3

Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 5/9/2022. Other U.S.

requests must be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, must be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of

Document No.: 2111-1207

0004AD D

NIIN: PS-TDP-0047 PAGE 15

Form Approved OMB No. 0704-0188

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

LIQUID PENETRANT (PT) PERSONNEL

PURCHASING ACTIVITY

7. DD 250 REQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/9/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 4 – Tailored to allow vendor to provide only 10.2.2.

Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

LIQUID PENETRANT (PT) PERSONNEL

QUALIFICATIONS PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Administration and operations only, effective 5/9/2022. Other U.S. requests shall be referred to

Document number: 2126-1203

/S/ STERBENTZ, ERIK G

H. DATE

5/9/2022

I. APPROVED BY

/S/ LEACH, WILLIE

5/9/2022

TOTAL PRICE

17. PRICE GROUP

0004AE E

NIIN: PS-TDP-0047 PAGE 16

Form Approved OMB No. 0704-0188

The public reporting burden for this collect ion of information is est imated 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 o ther aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions f o r reducin g the burden, to the Department o f Defense, Execut ive Se rv ices Di rec tora te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collect ion of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

LIQUID PENETRANT (PT) TEST PROCEDURES

PURCHASING ACTIVITY

7. DD 250 REQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 5/9/2022. Other U.S. requests shall be referred to

COMNAVSEASYSCOM.

Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area

LIQUID PENETRANT (PT) TEST PROCEDURES

REPORT PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Document number: 2126-1204

G. PREPARED BY

/S/ STERBENTZ, ERIK G

9-May-22

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

0004AF F