7336-0852_CDRL.pdf

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Attached to
HOSE ASSEMBLIES Federal contract opportunity
Solicitation number
SPMYM218Q0694
Issued by
Defense Logistics Agency Land and Maritime

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CONTRACT DATA REQUIREMENTS LIST

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SPMYM2-18-Q-0694-0002.docx DOCX document
7336-0852_SPECS._Redacted.pdf PDF
SPMYM2-18-Q-0694.docx DOCX document

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.

Please DO NOT RETURN your form to either of these address. 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

I

C. CATEGORY

TDP TM OTHER NDTI

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

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

TEST/INSPECTION REPORT

4. AUTHORITY (Data Acquisition Document No.)

I

5. CONTRACT REFERENCE

DI-NDTl-808098 PER CONTRACT

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

DD D* ONE/R SEE BLOCK 16*

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

SUBMISSION

N/A N/A N/A

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 12/12/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

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

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (Y',IAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

BREM.PSNS.WAWFQA.FCT@navy.mil . Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

G. PREPARED BY H. DATE I. APPROVED BY

SHAUN FEDERIGHI 12/12/2017 WILLIE LEACH

HYDROSTATIC TEST REPORT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

14. DISTRIBUTION

b. COPIES A ADDRESSEE Final

Draft Reg

ATAT

N4523A 0 1

TOTAL 0 1

J. DATE

12/12/2017

Repr

DD Form 1423-1, JUN 90

SIN 0102-LF-010-5600

Page 1 of 2 Page(s)

Document no: 7342-1200

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0011AA A

A01

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.

Please DO NOT RETURN your form to either of these address. 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

I

C. CATEGORY

TOP TM OTHER NDTI

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

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

TEST/INSPECTION REPORT

4. AUTHORITY (Data Acquisition Document No.)

I

5. CONTRACT REFERENCE

DI-NDTl-808098 PER CONTRACT

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REQUIRED SUBMISSION

DD D* ONE/R SEE BLOCK 16*

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

SUBMISSION

N/A N/A N/A

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 12/12/2017. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

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

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

BREM.PSNS.WAWFQA.FCT@navy.mil . Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

G. PREPARED BY H. DATE I. APPROVED BY

SHAUN FEDERIGHI 12/12/2017 WILLIE LEACH

HYDROSTATIC TEST REPORT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

14. DISTRIBUTION

b. COPIES A ADDRESSEE Final

Draft Reg

ATAT

N4523A 0 1

TOTAL 0 1

J. DATE

12/12/2017

Repr

DD Form 1423-1, JUN 90

S/N 0102-LF-010-5600

Page 1 of 2 Page(s)

Document no: 7342-1201

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0013AA B

B01

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