80031213_CDRL's.pdf

TECHNICAL DATA PACKAGE VERSION 001

LSN: 1H 4710-PS-TDP-0031Ll

ITEM NAME: PIPE

DOCUMENT NUMBER: 8003 -1213

January 24, 2018

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 issuino Contractino Officer for the ContracUPR No. Listed in Block E.

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

TOP TM OTHER NDTI

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM 2. TITLE OF DATA ITEM 3. SUBTITLE

NO.

TEST/INSPECTION REPORT HYDROSTATIC TEST REPORT

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTl-80809B TOP: Section 3 PURCHASING ACTIVITY

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

REQUIRED SUBMISSION

D* ONE/R SEE BLOCK 16* SD b. COPIES 17. PRICE GROUP

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 1/24/2018. 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

A. ADDRESSEE

N4523A

TOTAL

/s/ SU, ALEXANDER Y 1/24/2018 /s/ JONATHAN PERRY

Final Draft Reg Re

18. ESTIMATED

0 1

TOTAL PRICE

0 1 0

J. DATE

1/24/2018

0002AA A

A001

0002AB B

B001

0002AC C

C001

0002AD D

D001