9239-6B00_CDRL.pdf
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- Attached to
- SPMYM2-19-Q-2765 Federal contract opportunity
- Solicitation number
- SPMYM2-19-Q-2765
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CDRL
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| File | Type | Posted |
|---|---|---|
| 9239-6B00_SPECIFICATION.pdf | ||
| 19-Q-2765.pdf | ||
| 9239-6B00_SOLE_SOURCE_Redacted.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 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 vour form to either of these address. Send comoleted form to the Government issuing Contractina Officer for the Contract/PR No. Listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY TBD
TOP TM OTHER
D. SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
X-Ray Machine System (Project #968-630)
1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE
A001 NRTL Certification OSHA Safety Certification
4. AUTHORITY (Data Acquis/1/on Document No.)
I
s. CONTRACT REFERENCE 6. REQUIRING OFFICE TBD N/A PSNS & IMF, Banaor - C830E
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12, DATE OF FIRST 14. DISTRIBUTION
NO REQUIRED SUBMISSION See Block 16
SEE BLOCK 16 SEE BLOCK 16 b. COPIES
17. Pl
8. APP CODE N/R 11. AS OF DATE 13. DATE OF SUBSEQUENT A.ADDRESSEE Final
N/A SUBMISSION
N/A N/A Draft Reg Ropr 1e. e:
TC
16. REMARKS See Block 16
Block 3: The NRTL (Nationally Recognized Testing Laboratory) certification report 1 shall be in an appropriate fonnat, but shall include all required items included In content section (paragraph 2.2) on page two of this document. NRTL stickers shall be mounted on the X-Ray Machine System.
Blocks 1 o & 12 & 14: The Contractor shall provide three copies of the certification report and one NRTL Sticker (mounted on the unit), prior to final acceptance.
TOTAL 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Carl Jaeckel 16 Jul 2019 Carl Jaeckel 16 Jul 2019
DD Form 1423-1, FEB 2001 previous edition may be used. Page _1_of_2_Pages
0003AA A
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