ATTACHMENT_3_-_CDRL.pdf
PDF 7 MB Posted
- Attached to
- 7, 000 GALLON ROUND HORIZONTAL TANK Federal contract opportunity
- Solicitation number
- SPMYM2-19-Q-1056
About this file
ATTACHMENT 3 TO SPMYM2-19-Q-1056
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A0007_TO_SPMYM2-19-Q-1056.pdf | ||
| ATTACHMENT_4_-_SUBMISSION_GUIDANCE_FOR_CDRL.pdf | ||
| SPMYM2-19-Q-1056_(as_of_6-26-19).pdf | ||
| A0006_TO_SPMYM2-19-Q-1056.pdf | ||
| P0005_TO_SPMYM2-19-Q-1056.pdf | ||
| EXHIBIT_A_-_Contractor_Performance_Data_Sheet.pdf | ||
| A0004_TO_SPMYM2-19-Q-1056.pdf | ||
| A0003_TO_SPMYM2-19-Q-1056.pdf | ||
| A0002_TO_SPMYM2-19-Q-1056.pdf | ||
| Government's_Response_to_Questions.pdf | ||
| A0001_TO_SPMYM2-19-Q-1056.pdf | ||
| ATTACHMENT_2_-_Spec_for_P701-19_7K_Tanks_Rev._B_(3-01-2019).pdf | ||
| SPMYM2-19-Q-1056.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved
OMB 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 C. CATEGORY
TDP ___(DRPR)______ TM ____________________ OTHER
D. SYSTEM/ITEM
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
Engineering Drawings 3. SUBTITLE
Final Fabrication Drawings
4. AUTHORITY (Data Acquisition Document No.)
DI-DRPR-80651
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
A D
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE
Final
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL SUBMIT FINAL FABRICATION DRAWINGS SHOWING
ALL INFORMATION REQUIRED TO FABRICATE 7,000 GALLON HORIZONTAL TANK AS
REQUIRED BY SPECIFICATION PARAGRAPH 5.3.5.
MEDIA REQUIREMENTS: DRAWINGS SHALL BE PROVIDED IN AN ELECTRONIC
UNPROTECTED PDF FORMAT.
BLOCK 8: DRAWINGS SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL. APPROVAL
WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH CONTRACT
REQUIREMENTS.
DRAWINGS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD CODE 980 AT
michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE CONTRACTOR SHALL
HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND DOD
CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE 3/7/2019.
OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 11 and 12: DRAWINGS SHALL BE PROVIDED NO LESS THAN 20 WORKING DAYS
PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON HORIZONTAL TANK.
Block 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN THE WIDE
AREA WORKFLOW (WAWF) e-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN ELECTRONIC
UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.
Document Number 83463021
PSNS C/980.2 1 1 0
N4532A 1
TOTAL 1 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Mike Wood 21 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AA A
A001 mailto:michael.j.wood@navy.mil
Form Approved
OMB 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
TDP _________ TM ____________________ OTHER X (GDRQ)
Design Data and Calculations 3. SUBTITLE
Calculations
4. AUTHORITY (Data Acquisition Document No.)
DI-GDRQ-80650
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL SUBMIT MANUFACTURER DESIGN CALCULATIONS
FOR THE 7,000 GALLON HORIZONTAL TANK AS REQUIRED BY SPECIFICATION PARAGRAPH
5.3.5.
MEDIA REQUIREMENTS: DESIGN CALCULATIONS SHALL BE PROVIDED IN AN ELECTRONIC
BLOCK 8: DESIGN CALCULATIONS SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH CONTRACT
REQUIREMENTS.
DESIGN CALCULATIONS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: DESIGN CALCULATIONS SHALL BE PROVIDED NO LESS THAN 20
WORKING DAYS PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON
HORIZONTAL TANK.
Mike Wood 21 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AB B
A002
Form Approved
OMB 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
TDP ___(MISC)______ TM ____________________ OTHER
CERTIFICATION/DATA REPORT 3. SUBTITLE
Welder Qualifications
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE WELDER’S QUALIFICATION RECORDS
REQUIRED BY SPECIFICATION PARAGRAPH 5.3.8.4.
MEDIA REQUIREMENTS: WELDER’S QUALIFICATION RECORDS SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT.
BLOCK 8: WELDER’S QUALIFICATION RECORDS SHALL BE SUBMITTED FOR GOVERNMENT
REVIEW. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
WELDER’S QUALIFICATION RECORDS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C
MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: WELDER’S QUALIFICATION RECORDS SHALL BE PROVIDED NO LESS
THAN 20 WORKING DAYS PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON
Mike Wood 21 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AC C
A003
Form Approved
OMB 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
TDP _________ TM ____________________ OTHER X (QCIC)
CERTIFICATION/DATA REPORT 3. SUBTITLE
NDT Procedures
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-80553A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE PRIME CONTRACTOR SHALL PROVIDE THEIR NDT PROCEDURES MANUAL
AS REQUIRED BY SPECIFICATION PARAGRAPH 5.3.5.
MEDIA REQUIREMENTS: NDT PROCEDURES MANUAL SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT.
BLOCK 8: NDT PROCEDURES MANUAL SHALL BE SUBMITTED FOR GOVERNMENT
APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
NDT PROCEDURES MANUAL SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL
WOOD CODE 980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: NDT PROCEDURES MANUAL SHALL BE PROVIDED NO LESS THAN 20
WORKING DAYS PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON
Mike Wood 25 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AD D
A004
Form Approved
OMB 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
TDP _________ TM _________ X ___________ OTHER
Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data
3. SUBTITLE
Paint Information
4. AUTHORITY (Data Acquisition Document No.)
DI-TMSS-80527C
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE PAINT INFORMATION WHICH SHALL
INCLUDE MANUFACTURER’S INFORMATION, PAINT FORMULA, AND SAFETY DATA SHEETS
DATA AS REQUIRED BY SPECIFICATION PARAGRAPH 5.4.12.1.
MEDIA REQUIREMENTS: PAINT INFORMATION SHALL BE PROVIDED IN AN ELECTRONIC
BLOCK 8: PAINT INFORMATION SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
REQUIREMENTS.
PAINT INFORMATION SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD CODE
980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: PAINT INFORMATION SHALL BE PROVIDED NO LESS THAN 20 WORKING
DAYS PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON HORIZONTAL TANK.
Mike Wood 25 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AE E
A005
Form Approved
OMB 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
TDP _________ TM ____________________ OTHER X (NDTI)
TEST/INSPECTION REPORT 3. SUBTITLE
NRTL TEST REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE A 3rd PARTY NRTL TEST REPORT AS
REQUIRED BY SPECIFICATION PARAGRAPH 5.4.5.
MEDIA REQUIREMENTS: NRTL TEST REPORT SHALL BE PROVIDED IN AN ELECTRONIC
BLOCK 8: NRTL TEST REPORT SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
REQUIREMENTS.
NRTL TEST REPORT SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD CODE
980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: NRTL TEST REPORT SHALL BE PROVIDED NO LESS THAN 10 WORKING
DAYS PRIOR TO SHIPMENT OF THE 7,000 GALLON HORIZONTAL TANK.
Mike Wood 25 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AF F
A006
Form Approved
OMB 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
CHARPY IMPACT TEST REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE SATISFACTORY DROP WEIGHT OR CHARPY
IMPACT TESTING RESULTS AS REQUIRED BY DRAWING M-1480 REV. B, GENERAL NOTE C4.
MEDIA REQUIREMENTS: DROP WEIGHT OR CHARPY IMPACT TESTING RESULTS SHALL BE
PROVIDED IN AN ELECTRONIC UNPROTECTED PDF FORMAT.
BLOCK 8: DROP WEIGHT OR CHARPY IMPACT TESTING RESULTS SHALL BE SUBMITTED
FOR GOVERNMENT APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND
COMPLIANCE WITH CONTRACT REQUIREMENTS.
DROP WEIGHT OR CHARPY IMPACT TESTING RESULTS SHALL BE PROVIDED VIA E-MAIL TO
GOVT P.O.C MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: DROP WEIGHT OR CHARPY IMPACT TESTING RESULTS SHALL BE
PROVIDED NO LESS THAN 10 WORKING DAYS PRIOR TO THE START OF CONSTRUCTION OF
THE 7,000 GALLON HORIZONTAL TANK.
Mike Wood 25 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AG G
G007
Form Approved
OMB 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
LOAD TEST REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
ASREQ Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE LOAD TEST REPORTS FOR EACH TANK AS
REQUIRED BY DRAWING M-1480 REV. B, GENERAL NOTE C3.E.
1. LIFTING LUGS PER GENERAL NOTE T21.
2. GAUGE GUARD BRACKETS PER GENERAL NOTE T20.
3. MANWAY COVER #1 THREADED HOLES (QTY 3) PER GENERAL NOTE T22.
4. MANWAY COVER #2 THREADED HOLES (QTY 3) PER GENERAL NOTE T22.
MEDIA REQUIREMENTS: LOAD TEST REPORTS SHALL BE PROVIDED IN AN ELECTRONIC
BLOCK 8: LOAD TEST REPORTS SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
REQUIREMENTS.
LOAD TEST REPORTS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
BLOCK 11 and 12: LOAD TEST REPORTS SHALL BE PROVIDED NO LESS THAN 10
WORKING DAYS PRIOR TO SHIPMENT OF THE 7,000 GALLON HORIZONTAL TANK.
Mike Wood 25 Feb 2019 Thomas E. Larson 28 Feb 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AH H
A008
Form Approved
OMB 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 C. CATEGORY
TDP _________ TM ____________________ OTHER X (NDTI)
D. SYSTEM/ITEM
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT 3. SUBTITLE
FINAL RADIOGRAPHIC FILM
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE
Final
ASREQ
Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE A COMPLETE SET OF FINAL RADIOGRAPHIC
TEST INFORMATION AS REQUIRED BY DRAWING M-1480 REV. B, GENERAL NOTE C3.I.2.
MEDIA REQUIREMENTS: THE RADIOGRAPH SHOOTING SKETCH(S), REVIEW FORMS, AND
LOCATOR MAP REPORT SHALL BE PROVIDED IN AN ELECTRONIC UNPROTECTED PDF
FORMAT. THE RADIOGRAPHIC FILM SHALL BE SENT TO THE ADDRESSEE BELOW.
BLOCK 8: FINAL RADIOGRAPHIC TEST INFORMATION SHALL BE SUBMITTED FOR
GOVERNMENT APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND
COMPLIANCE WITH CONTRACT REQUIREMENTS.
THE RADIOGRAPHIC FILM, SHOOTING SKETCH(S), REVIEW FORMS, AND LOCATOR MAP
REPORT SHALL BE SENT TO THE ADDRESSEE BELOW.
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE CONTRACTOR SHALL
HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND DOD
CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE 3/7/2019.
OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 11 and 12: FINAL RADIOGRAPHIC TEST INFORMATION SHALL BE PROVIDED NO
LESS THAN 10 WORKING DAYS PRIOR TO SHIPMENT OF THE 7,000 GALLON HORIZONTAL
TANK.
Block 14: FINAL SUBMISSION OF RADIOGRAPH SHOOTING SKETCH(S), REVIEW FORMS, AND LOCATOR MAP REPORT SHALL BE ATTACHED IN THE WIDE AREA WORKFLOW (WAWF) e-BUSINESS SUITE.
MEDIA REQUIREMENTS: THE RADIOGRAPH SHOOTING SKETCH(S), REVIEW FORMS, AND
LOCATOR MAP REPORT SHALL BE PROVIDED IN AN ELECTRONIC UNPROTECTED PDF
FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES. THE RADIOGRAPHIC FILM SHALL
BE SENT TO THE ADDRESSEE BELOW.
Addressee:
Mr. Michael Wood, Code 980.2MW Puget Sound Naval Shipyard & Intermediate Maintenance Facility Bldg. 448, 2nd flr., Room 232, Mail Stop 2001 1400 Farragut Ave.
Bremerton, WA 98314-5001
Document Number 83463021
PSNS C/980.2 1 1 0
N4532A 1
TOTAL 1 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Mike Wood 25 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AJ J
A009
Form Approved
OMB 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 C. CATEGORY
TDP ___(MISC)______ TM ____________________ OTHER
D. SYSTEM/ITEM
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT 3. SUBTITLE
Preliminary Work Schedule
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE
Final
ASREQ
Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE PRELIMINARY WORK SCHEDULE REQUIRED
BY SPECIFICATION PARAGRAPH 3.1.1.1.4.
MEDIA REQUIREMENTS: PRELIMINARY WORK SCHEDULE SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT.
BLOCK 8: THE PRELIMINARY WORK SCHEDULE SHALL BE SUBMITTED FOR GOVERNMENT
APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
THE REQUESTED DOCUMENTATION SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C
MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE CONTRACTOR SHALL
HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD AND DOD
CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY, EFFECTIVE 3/7/2019.
OTHER U.S. REQUESTS SHALL BE REFERRED TO COMNAVSEASYSCOM.
BLOCK 11 and 12: THE REQUESTED DOCUMENTATION SHALL BE PROVIDED NO LESS
THAN 20 WORKING DAYS PRIOR TO THE START OF CONSTRUCTION OF THE 7,000 GALLON
HORIZONTAL TANK.
Block 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN THE WIDE
AREA WORKFLOW (WAWF) e-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN ELECTRONIC
UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL ADDRESSEES.
Document Number 83463021
PSNS C/980.2 1 1 0
N4532A 1
TOTAL 1 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Mike Wood 21 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AK K
A010
Form Approved
OMB 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
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDF TM OTHER X (MISC)
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
PCB CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
OTIME
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASGEN
A. ADDRESSEE
Final
Draft Reg Repr o
16. REMARKS:
BLOCK 3: THE CONTRACTOR SHALL PROVIDE CERTIFICATION STATING ALL
COMPONENTS USED IN THE MANUFACTURE OF THE COMPLETED 7,000 GALLON
HORIZONTAL TANK(S) ARE FREE FROM POLYCHLORINATED BIPHENYLS (PCB) AS
REQUIRED BY SPECIFICATION PARA: 5.4.16. THE CERTIFICATION SHALL BE
SIGNED BY AN AUTHORIZED OFFICIAL OF THE CONTRACTOR DESIGNATED AS
BEING RESPONSIBLE FOR COMPLIANCE.
BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
CERTIFICATION SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: CERTIFICATION SHALL BE PROVIDED WITH THE 7,000
GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021
TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AL
A011
L
Form Approved
OMB 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
TDP__________ TM X OTHER _____________
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data
3. SUBTITLE
Technical Documentation
4. AUTHORITY (Data Acquisition Document No.)
DI-TMSS-80527C
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASGEN
12. DATE OF FIRST
SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
See Block 16
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
A. ADDRESSEE
Final
ASGEN
Draft Reg Repr
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE TECHNICAL DOCUMENTATION,
ON EQUIPMENT INSTALLED ON THE 7,000 GALLON HORIZONTAL TANK(S) AS
REQUIRED IN SPECIFICATION SECTION 5.3.7.
BLOCK 8: DRAWINGS SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
TECHNICAL DOCUMENTATION SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C
MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: TECHNICAL DOCUMENTATION SHALL BE PROVIDED WITH
THE 7,000 GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF TECHNICAL DOCUMENTATION SHALL BE
ATTACHED IN THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: TECHNICAL DOCUMENTATION SHALL BE PROVIDED IN
AN ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO
ALL ADDRESSEES.
Document Number 83463021
PSNS Code 980.2 1 1 0
N4532A 1 1
TOTAL 1 2 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
0002AM M
A012
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
OSHA COMPLIANCE STATEMENT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASGEN
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASGEN
A. ADDRESSEE
Final
Draft Reg Repr o
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE OSHA COMPLIANCE STATEMENT
AS REQUIRED BY SPECIFICATION PARAGRAPH 5.4.18.
BLOCK 8: OSHA COMPLIANCE STATEMENT SHALL BE SUBMITTED FOR
GOVERNMENT APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT
AND COMPLIANCE WITH CONTRACT REQUIREMENTS.
OSHA COMPLIANCE STATEMENT SHALL BE PROVIDED VIA E-MAIL TO GOVT
P.O.C MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: OSHA COMPLIANCE STATEMENT SHALL BE PROVIDED WITH
THE 7,000 GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021
TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 4 Mar 2019
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AN N
A013
Form Approved
OMB 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
7,000 GALLON HORIZONTAL
TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
SWIVEL HOIST RING CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
OTIME
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
BLOCK 3: THE CONTRACTOR SHALL PROVIDE THE MANUFACTURER’S SIGNED,
WRITTEN CERTIFICATION OF COMPLIANCE FOR ALL SWIVEL HOIST RINGS (SHR)
SUPPLIED AS PART OF THIS EQUIPMENT AS REQUIRED BY PARA 5.4.19.
BLOCK 8: CERTIFICATION SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
CERTIFICATION SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: CERTIFICATION SHALL BE PROVIDED WITH THE 7,000
GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021
TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 Previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AP P
A014
Form Approved
OMB 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
TDF TM OTHER X (NDTI)
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
MEASURED WEIGHT REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16. REMARKS
BLOCK 3: THE CONTRACTOR SHALL PROVIDE A SEPARATE TEST REPORT OF
THE MEASURED WEIGHT OF EACH COMPLETED TANK AS REQUIRED BY
DRAWING M-1480 REV. B, GENERAL NOTE C3.C.1 AND GENERAL NOTE T30.
BLOCK 8: WEIGHT REPORTS SHALL BE SUBMITTED FOR GOVERNMENT
APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND
COMPLIANCE WITH CONTRACT REQUIREMENTS.
WEIGHT REPORTS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL
WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: WEIGHT REPORTS SHALL BE PROVIDED WITH THE 7,000
GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021 TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AQ Q
A015
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
MEASURED WEIGHT REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16.
BLOCK 3: THE CONTRACTOR SHALL PROVIDE SEPARATE TEST REPORT OF
MEASURED WEIGHT OF MANWAY COVER #1 FOR EACH TANK PROVIDED AS
REQUIRED BY DRAWING M-1480 REV. B, GENERAL NOTE C3.C.2 AND GENERAL
NOTE T31.
BLOCK 8: TEST REPORT SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
TEST REPORT SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: TEST REPORT SHALL BE PROVIDED WITH THE 7,000 GALLON
HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021 TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AR R
A016
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
MEASURED WEIGHT REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16.
BLOCK 3: THE CONTRACTOR SHALL PROVIDE SEPARATE TEST REPORT OF
MEASURED WEIGHT OF MANWAY COVER #2 FOR EACH TANK PROVIDED AS
REQUIRED BY DRAWING M-1480 REV. B, GENERAL NOTE C3.C.3 AND GENERAL
NOTE T31.
BLOCK 8: TEST REPORT SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
TEST REPORT SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: TEST REPORT SHALL BE PROVIDED WITH THE 7,000 GALLON
HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021 TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AS S
A017
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
HYDROSTATIC TEST REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
N/A 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16.
BLOCK 3: THE CONTRACTOR SHALL PROVIDE A SEPARATE HYDROSTATIC TEST
REPORT FOR EACH COMPONENT FOR EACH TANK AS REQUIRED BY DRAWING
M-1480 REV. B, GENERAL NOTE C3.D.
BLOCK 8: HYDROSTATIC TEST REPORT SHALL BE SUBMITTED FOR
GOVERNMENT APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT
AND COMPLIANCE WITH CONTRACT REQUIREMENTS.
HYDROSTATIC TEST REPORT SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C
MICHAEL WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: HYDROSTATIC TEST REPORT SHALL BE PROVIDED WITH THE
7,000 GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021 TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 4 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AT T
A018
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
NDT TEST REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASGEN
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16.
BLOCK 3: THE CONTRACTOR SHALL PROVIDE NDT TEST REPORTS FOR LIFTING
LUGS FOR EACH TANK AS REQUIRED BY DRAWING M-1480 REV. B, GENERAL
NOTE C3.F.
BLOCK 8: NDT TEST REPORTS SHALL BE SUBMITTED FOR GOVERNMENT
APPROVAL. APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND
COMPLIANCE WITH CONTRACT REQUIREMENTS.
NDT TEST REPORTS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL
WOOD CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DOD
AND DOD CONTRACTORS ONLY. ADMINISTRATION AND OPERATIONS ONLY,
EFFECTIVE 3/7/2019. OTHER U.S. REQUESTS SHALL BE REFERRED TO
COMNAVSEASYSCOM.
BLOCK 11 AND 12: NDT TEST REPORTS SHALL BE PROVIDED WITH THE 7,000
GALLON HORIZONTAL TANK(S).
BLOCK 14: FINAL SUBMISSION OF DOCUMENTATION SHALL BE ATTACHED IN
THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE.
MEDIA REQUIREMENTS: DOCUMENTATION SHALL BE PROVIDED IN AN
ELECTRONIC UNPROTECTED PDF FORMAT WITH EMAIL NOTIFICATION TO ALL
ADDRESSEES.
PSNS C/980.2 1 1 0
N4532A 1
Document Number 83463021 TOTAL 1 2 0
G. PREPARED BY H. DATE H. APPROVED BY J. DATE
Mike Wood 27 Feb 2019 Thomas E. Larson 1 Mar 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page 1 of 1 Pages
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
0002AU U
A019
Form Approved
OMB 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
7,000 GALLON HORIZONTAL TANK
E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
NDT TEST REPORTS
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASGEN
12. DATE OF FIRST
SUBMISSION
SEE BLK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
D 11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
A. ADDRESSEE
Final
Draft Reg Repr o
16.
BLOCK 3: THE CONTRACTOR SHALL PROVIDE NDT TEST REPORTS FOR GAUGE
GUARD BRACKETS FOR EACH TANK AS REQUIRED BY DRAWING M-1480 REV. B,
GENERAL NOTE C3.G.
BLOCK 8: TEST REPORTS SHALL BE SUBMITTED FOR GOVERNMENT APPROVAL.
APPROVAL WILL BE BASED ON TECHNICAL CONTENT AND COMPLIANCE WITH
CONTRACT REQUIREMENTS.
TEST REPORTS SHALL BE PROVIDED VIA E-MAIL TO GOVT P.O.C MICHAEL WOOD
CODE 980 AT michael.j.wood@navy.mil
THE GOVERNMENT WILL HAVE 10 WORKING DAYS FOR REVIEW. THE
CONTRACTOR SHALL HAVE 10 WORKING DAYS TO REVISE (IF REQUIRED) AND
RESUBMIT FOR A NEW REVIEW.
BLOCK 9: DISTRIBUTION STATEMENT…
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