CDRL'S.pdf

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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 11 o 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 C. CATEGORY TBD

TDP TM OTHER _ _x

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

Band Saw

1. DATA ITEM NO.

2. TITLE OF DATA ITEM 3. SUBTITLE

B001 NRTL Certification NRTL Certification

4. AUTHORITY (Data Acquisition Document No.)

I

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80678 PSNS & IMF, S/31

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

xx

REQUIRED SUBMISSION See Block 16 17. PRICE GRC SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/R 11. AS OF DATE 13. DATE OF SUBSEQUENT A.ADDRESSEE Final

A SUBMISSION 18. ESTIMATE[

Draft Reg Repr TOTAL PRI•

16. REMARKS PSNS S/31 1

Block 3: The NATL (Nationally Recognized Testing Laboratory) certification report shall be in an appropriate format, but shall include all required items included in content section (paragraph 2.2) on page two of this document. An NATL sticker shall be mounted on the Materials Testing System

BLOCK 8: : The NATL (Nationally Recognized Testing Laboratory) certification report SHALL BE SUBMITTED FOR GOVERNMENT REVIEW TO VERIFY CONTRACT

REQUIREMENTS ARE MET. APPROVAL WILL BE BASED ON TECHNICAL

CONTENT AND COMPLIANCE WITH REQUIREMENTS. THE GOVERNMENT WILL

HAVE 14 CALENDAR DAYS FOR REVIEW. THE CONTRACTOR SHALL HAVE 7

CALENDAR DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW

REVIEW.

Blocks 10 & 12 & 14: The Contractor shall provide one copy of the certification report and NATL Sticker, prior to final acceptance.

TOTAL 1

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

Nicole Martinez 1/26/18

DD Form 1423-1, FEB 2001 previous edition may be used. Page _1_ of _2_ Pages

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