SPMYM323Q3102 Exhibit A.pdf

PDF 618 KB Posted

Attached to
Level 1 Shaft Sleeve Federal contract opportunity
Solicitation number
SPMYM323Q3102
Issued by
Defense Logistics Agency Land and Maritime

About this file

This document package includes a Contract Data Requirements List (CDRL) and a solicitation notice for a federal contract opportunity. The CDRL outlines thirteen required data items for a contract to produce two Level 1 Shaft Sleeves for the Portsmouth Naval Shipyard. Required data includes inspection and test plans, procedures, and certifications covering items like material composition, non-destructive testing methods, and process validations. Compliance is to be demonstrated prior to shipment of materials. The solicitation notice provides additional context, specifying a full and open competitive procurement, an unrestricted size status, and a requested delivery date of June 30, 2023. Interested parties can access further details on the technical requirements and terms by referring to the associated attachments.

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Other files attached to Level 1 Shaft Sleeve, newest first.
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SPMYM323Q3102 Amend 0001.pdf PDF
SPMYM323Q3102 Solicitation.pdf PDF
SPMYM323Q3102 Attachment 1 - TDP V2.pdf PDF

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Text version

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

INSPECTION AND TEST PLAN

3. SUBTITLE

INSPECTION SYSTEM PROCEDURES

4. AUTHORITY (Data Acqisition Document No.)

DI-QCIC-81110 (SE)

5. CONTRACT REFERENCE

TDP: PARA 3.13.3

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Paragraph 10.4 of DI-QCIC-81110 does not apply.

Code 136.2 0 1 0

15. Total 0 1 0

G. PREPAREDBY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

Page 1 of 13 Page(s) SD Form 1423-1, JUN 90

S/N 0102-LF-010-5600

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material. Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

Jason Laflamme 01/12/23

0002 A

SPMYM323Q3102

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

CERT DATA FOR SPECIAL EMPHASIS MATL

3. SUBTITLE

CHEMICAL AND MECHANICAL

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-81020 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.19

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material. Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

Code 133.2 0 1 0

15. Total 0 2 0

G. PREPAREDBY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 2 of 13 Page(s)

S/N 0102-LF-010-5600

Jason Laflamme 01/12/23

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

SPECIAL EMPHASIS C OF C

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (CCDD)

5. CONTRACT REFERENCE

TDP: PARA 3.24

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.1, 10.2.2, 10.2.3, 10.3, and 10.4 of DI-MISC-80678 do not apply.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

Code 133.2 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 3 of 13 Page(s)

S/N 0102-LF-010-5600

01/12/23 Jason Laflamme 01/12/23

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

PROCEDURE, TEST

3. SUBTITLE

NDT (VT) PROCEDURE APPROVAL

4. AUTHORITY (Data Acqisition Document No.)

UDI-T-23732B

5. CONTRACT REFERENCE

TDP: PARA 3.10.1

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraph 10.1 of UDI-T-23732B does not apply.

Non-Destructive Test Inspection Procedure:

Visual Inspection (VT) IAW T9074-AS-GIB-010/271, REV 1 Acceptance shall be per S9074-AR-GIB-010A/278, CASTINGS & MIL-C-24615A

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 135T 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 4 of 13 Page(s)

S/N 0102-LF-010-5600

PRIOR TO ANY VT

Jason Laflamme 01/12/23

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

PROCEDURE, TEST

3. SUBTITLE

NDT (PT) PROCEDURE APPROVAL

4. AUTHORITY (Data Acqisition Document No.)

UDI-T-23732B

5. CONTRACT REFERENCE

TDP: PARA 3.10.1

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

PRIOR TO ANY PT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraph 10.1 of UDI-T-23732B does not apply.

Non-Destructive Test Inspection Procedure: Liquid Penetrant (PT) IAW T9074-AS-GIB-010/271, REV 1 Acceptance shall be per MIL-STD-2035, Castings, Class-1.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 135T 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 5 of 13 Page(s)

Jason Laflamme 01/12/23

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

PROCEDURE, TEST

3. SUBTITLE

NDT (RT) PROCEDURE APPROVAL

4. AUTHORITY (Data Acqisition Document No.)

UDI-T-23732B

5. CONTRACT REFERENCE

TDP: PARA 3.10.1

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

PRIOR TO ANY RT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraph 10.1 of UDI-T-23732B does not apply.

Non-Destructive Test Inspection Procedure: Radiographic (RT) IAW T9074-AS-GIB-010/271, REV 1 Acceptance shall be per S9074-AR-GIB-010A/278, table XIX, criticality level 1.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 135T 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 6 of 13 Page(s)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

PROCEDURE, TEST

3. SUBTITLE

NDT (SHOOTING SKETCH) PROCEDURE APPROVAL

4. AUTHORITY (Data Acqisition Document No.)

UDI-T-23732B

5. CONTRACT REFERENCE

TDP: PARA 3.10.1

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

PRIOR TO ANY RT

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraph 10.1 of UDI-T-23732B does not apply.

Radiographic Shooting Sketch (RSS) IAW T9074-AS-GIB-010/271, REV 1

Acceptance shall be per S9074-AR-GIB-010A/278 as amplified by Drawing 4678497

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 135T 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 7 of 13 Page(s)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

PROCEDURE, TEST

3. SUBTITLE

TEST PROCEDURES Weldability Test

4. AUTHORITY (Data Acqisition Document No.)

UDI-T-23732B

5. CONTRACT REFERENCE

TDP: PARA 3.10.1

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraph 10.1 of UDI-T-23732B does not apply.

Weldability Test Procedures per MIL-C-24615A as amplified by E3163C.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 138.2 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE

01/12/23

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 8 of 13 Page(s)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

TEST CERTIFICATIONS (VT)

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.11

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

All Test Certifications of NDT Procedure:

Visual (VT) with acceptance.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 133.2 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE J. DATE

DD Form 1423-1, JUN 90 Page 9 of 13 Page(s)

01/12/23

I. APPROVED BY

Jason Laflamme 01/12/23

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

TEST CERTIFICATIONS (Liquid Penetrant PT)

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.11

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

All Test Certifications of NDT Procedures:

Liquid Penetrant (PT) with acceptance.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE J. DATE

DD Form 1423-1, JUN 90 Page 10 of 13 Page(s)

I. APPROVED BY

CODE 133.2

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

TEST CERTIFICATIONS (RADIOGRAPHIC TEST RT)

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.11

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

All Test Certifications of NDT Procedures:

Radiographic (RT) with acceptance.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 135.3 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 11 of 13 Page(s)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

TEST CERTIFICATIONS (WELDABILTY)

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.11

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

All Test Certifications of NDT Procedures:

Weldability per MIL-C-24615A as amplified by E3163C.

For payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Certification data shall be submitted to Portsmouth Naval Shipyard for review and acceptance prior to each shipment of material.

Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of Acceptance.

CODE 133.2 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 12 of 13 Page(s)

Form Approved OMB No. 0704-0188

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

TDP

D. SYSTEM/ITEM

TRIDENT SHAFT SLEEVE

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

TEST CERTIFICATIONS

4. AUTHORITY (Data Acqisition Document No.)

DI-MISC-80678 (DD)

5. CONTRACT REFERENCE

TDP: PARA 3.11

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Paragraphs 10.2.2, 10.2.3, 10.2.4, and 10.3 of DI-MISC-80678 do not apply.

Metallographic Test per MIL-C-24615A.

For Payment & submission of data refer to clauses 252.232-7006 and 252.232-7003 or 52.232-36. Each data item submitted by vendor must be submitted under separate shipment number. No material is to be shipped prior to the receipt of acceptance.

CODE 133.2 0 1 0

15. Total 0 1 0

G. PREPARED BY

Michael OBrien

I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 Page 13 of 13 Page(s)

S/N 0102-LF-010-5600

H. DATE

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