0044.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The 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, Executive Services Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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

D. SYSTEM / ITEM

KC-135 / Fairing, Aircraft

E. CONTRACT / PR NO.

FD20301900122

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Inspection Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

1 XTIME

11. AS OF DATE

Test Day

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 09 AUG 2018DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 90 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

848 SCMG/424 GUEA.

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCK 12: 180 DAYS AFTER CONTRACT AWARD.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

SEE ATTACHED DD FORM 1664, DATA ITEM DESCRIPTION.

A. THE PURPOSE OF THE FIRST ARTICLE INSPECTION IS TO GIVE OBJECTIVE EVIDENCE THAT ALL

ENGINEERING, DESIGN AND SPECIFICATION REQUIREMENTS ARE CORRECTLY UNDERSTOOD,

ACCOUNTED FOR, VERIFIED AND RECORDED.

B. SHOW COMPLETION OF INSPECTION AND RESULTS OF INSPECTION PERFORMED TO

DEMONSTRATE THAT THE FIRST ARTICLE UNIT(S) CONFORM TO THE APPLICABLE CONTRACT

TECHNICAL REQUIREMENTS.

C. REPORT SHALL DELINEATE THE SPECIFIC RESULTS OBTAINED, THE WITNESSES, AND ANY

OTHER PERTINENT OBSERVATIONS.

D. INSPECTION RESULTS SHALL BE THE APPLICABLE VARIABLE & ATTRIBUTE DATA IN THE FORM

OF RECORDINGS, INSTRUMENT READINGS AND RELATED DATA.

E. AS APPLICABLE, THE FIRST ARTICLE INSPECTION TEST REPORT SHOULD IDENTIFY ANY

DEVIATIONS OR LIMITATIONS IN THE FIRST ARTICLE UNIT(S) INVOLVED.

DELETE PARAS: 10.2.4(a), 10.2.5, 10.2.6.2, 10.2.6.3, 10.2.6.4.2(b-d), 10.2.6.5, 10.2.6.6, 10.2.7.2 & 10.2.8

AS 9102 FORMAT OR EQUIVALENT IS ACCEPTABLE.

424 SCMS/GUEA 0 1 0

AFLCMC/LZPED

FA MONITOR DODAAC

FA8111

3001 STAFF DRIVE, STE

1AB85A

TINKER AFB, OK 73145-

0 1 0

0 2 015. TOTAL

Page 1 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

PREVIOUS EDITION MAY BE USED.

REMARK APPLICABLE TO HAZARDOUS ITEMS ONLY: THE TESTS REQUIRED ARE AS

SPECIFIED IN CHAPTER 9 OF THE UNITED NATIONS TRANSPORT OF DANGEROUS GOODS (ORANGE

BOOK) RECOMMENDATIONS.

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

09 AUG 2018

I. APPROVED BY

//DIGITALLY SIGNED//

YOST.MATTHEW.J.1231304815

424 SCMS / GUEA 405-734-7495 / 884-7495

J. DATE

09 AUG 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

KC-135 / Fairing, Aircraft

E. CONTRACT / PR NO.

FD20301900122

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Certification Data for Material

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81020/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 02 AUG 2018DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

848 SCMG/424 GUEA.

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCKS 10 & 12: WITH FIRST ARTICLE SUBMITTAL.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

1. CONTRACTOR FORMAT AUTHORIZED, MATERIAL CERTIFICATION SHALL BE SUPPLIED WITH ALL FIRST ARTICLES. COPIES OF ORIGINAL CERTIFICATION SHALL BE PROVIDED IF THE CONTRACT IS

AWARDED TO THE ORIGINAL MANUFACTURER, AND THE ITEM SHALL BE MADE FROM THE SAME

LOT OF MATERIAL. IF A NEW LOT OF MATERIAL IS USED TO PRODUCE THE ITEM, A NEW MATERIAL

CERTIFICATION SHALL BE REQUIRED. IF THE FIRST ARTICLE IS WAIVED, THE MATERIAL

CERTIFICATION IS ALSO WAIVED.

2. CHANGES TO THE DATA ITEM DESCRIPTION:

2.1 CHANGE TITLE (BLOCK 3) TO READ CERTIFICATION DATA FOR MATERIAL.

2.2 PARAGRAPH 3.1 (FIRST LINE) DELETE THE WORDS "FOR NON-NUCLEAR LEVEL 1" AND (FOURTH

LINE) DELETE THE WORDS "LEVEL 1".

COORDINATORS:

424 SCMS/GUEA

3001 Staff Dr.

Tinker AFB, OK 73145

0 1 0

AFLCMC/LZPED

FA MONITOR, DODAAC

FA8111

3001 STAFF DR., STE 1AB

85A

TINKER AFB, OK 73145-

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

09 AUG 2018

I. APPROVED BY

//DIGITALLY SIGNED//

YOST.MATTHEW.J.1231304815

424 SCMS / GUEA 405-734-7495 / 884-7495

J. DATE

09 AUG 2018

Page 2 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

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

TDP TM OTHER X

D. SYSTEM / ITEM

KC-135 / Fairing, Aircraft

E. CONTRACT / PR NO.

FD20301900122

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Certificate of Compliance

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81356A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

424 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 27 JUL 2018DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

848 SCMG/424 GUEA.

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

BLOCKS 10 & 12: WITH FIRST ARTICLE SUBMITTAL.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

1. CONTRACTOR FORMAT AUTHORIZED, CERTIFICATE OF COMPLIANCE SHALL BE SUPPLIED WITH ALL FIRST ARTICLES. COPIES OF ORIGINAL CERTIFICATION SHALL BE PROVIDED IF THE CONTRACT IS AWARDED TO THE ORIGINAL MANUFACTURER, AND THE ITEM SHALL BE MADE FROM THE SAME LOT OF MATERIAL. IF A NEW LOT OF MATERIAL IS USED TO PRODUCE THE ITEM, A NEW MATERIAL CERTIFICATION SHALL BE REQUIRED. IF THE FIRST ARTICLE IS WAIVED, THE CERTIFICATE OF

COMPLIANCE IS ALSO WAIVED.

COORDINATORS:

424 SCMS/GUEA

3001 Staff Dr.

Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAA

405-736-7976

H. DATE

09 AUG 2018

I. APPROVED BY

//DIGITALLY SIGNED//

YOST.MATTHEW.J.1231304815

424 SCMS / GUEA 405-734-7495 / 884-7495

J. DATE

09 AUG 2018

Page 3 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

DATA ITEM DESCRIPTION I Form Approved OMB No.0704.0188

1.nTLE 2.IOENTIFICATIONNUMBER

TEST/ INSPECTION REPORT DI-NM’I-80809B

L OESCRIPTlOtVPURPOSE

3.1 The testl inspection report is used to document testl inspection results, findings, and analyses that will enable the government or contracting agency to evaluate compliance with system requirements, performance objectives, specifications, and test linspection plans.

1.APPROVALDATE 5.OFFICEOFPRIMARYRESPONSIBILITY(OPB) Ea.DTICAPPLICABLE 6b.CWIEP AppliCable

(YVMMOD)

F/AFMC-DCJP

970124

,.APPLlCAT\0NflNTER7iElAT10NSH1P

7.1 This data item description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement

I as delineated in the contract.

I

7.2 This DID is applicable to engineering (developmental ), preliminary qualification, qualification, and acceptance testing.

7.3 This DID supersedes DI-NDTI-80809A and DI-MISC-80653

1.APPROVALLIMITATION 9a.APPLICABLEFORMS 9b.AMSCNUMBER

F7231

10,PREPARATIONlNSTRUCnONS

10.1 Format. Contractor format is acceptable.

paragraph 10.2 and its subparagraphs in a manner understanding

10.2 CQnL!aL. The test/inspection report shall

applicable.

Organize the information required by that facilitates presentation and contain the following information, as

10. 2.1 Cove. and tile uaae. The following information shall appear on the outside front :over and title page:

a. Report date.

b. Report number (contractor or government)

Contractor’ s name, address, and commercia 1 and government entity code.

Contract number and contract line item number or sequence number (if applicable)

e. ‘fvpe of test/inspection (for example. first article acceptance test, aualitv con formanc-e-inspection, d-evelopmental test-, qualification test, f Identification of item tested/inspected.

9. Date or period of test/inspection.

h. Name and address of requiring government activity.

i. Security classification, downgrading and declassifying environmental Lest) .“ information, if applicable.

(Continued on page 2 )

1.DIS77UBUTIONSTATEMEW

DISTRIBUTION STATEMRNT A : APPROVED FOR PUBLIC RELBASE; DISTRIBUTION IS UNLIMITED.

ID Form 1664,APR 89 PreviOLIsedtliomwe obsdem. Page 1 of & Pages 39123

DI-NDTI-80809B

Block 10, Preparation Instructions (continued)

10.2.2 ~. The table of contents shall identify the following:

a. The title and starting page of each major section, paragraph, and apPendix of the report.

b. The page, identifying number, and title of each illustration (for example; figure, table, photograph, chart, and drawing)

10 .2.3 -ductim. The introduction shall include the following information:

10.2 .3.1 obyectlve W. The specific test/ inspection objective (s) as specified in the contract tasking document.

10. 2.3.2 L.temls) tes~. Complete identification of the item(s) testedl inspected including the following:

a. Nomenclature.

b. National stock number.

Model number, part number t and serial number :: Type of item (for example, prototype, production item, laboratory model )

e. Serial or lot number.

f. Applicable engineering changes

9. Production item specification, if applicable.

h. Date of manufacture.

10.2 .3.3 Complete inspection requirements correlated to contractual following:

Required testl inspection parameters :: Performance requirements, acceptance or environmental criteria.

10.2.4 ~. Complete test/inspection report following:

identification of the testl requirements including the compliance limits, and summary including the

a. A brief discussion of the significant test/inspection results, ObSerVati Qns, conclusions, and recommendations covered in greater detail elsewhere in the report.

b. Proposed corrective actions and schedules for failures or problems encountered.

c. Identification of deviations, departures, or limitations encountered, referenced to the contract requirements.

d. Tables, graphs, illustrations, or charts as appropriate to simplify the summary data.

10.2.5 ~. Complete identification of all documents referenced in the test finspection report including the following, as applicable:

a. Prior testf inspection reports on the same item.

b. Test /inspection plans and procedure documents

c. Prior certifications of compliance.

d. Contractor’ s file designation where test/ inspection records are maintained.

e. Input parameters used.

The applicable issue of the documents cited therein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

Page 2 of 4 Pages

10.2.6 ~. The body of the testlinspection report shall be as follows :

10 .2.6.1 KzZL_ + de.tlflca~.

Complete identification of each item of test equipment used in the testlinspection including the following:

a.

b.

c.

d.

e.

f.

9.

10. 2.6.2

Nomenclature.

Model number.

Serial number.

Manufacturer.

Calibration status.

Accuracy data.

Comments, if applicable.

Testlinmection kuhtv mstd.b&mn and set–w. Complete description of the physical set-up used in conducting the test/inspection to include the following:

a. Location or orientation of the item.

b. Location. orientation, or settinm of test equipment and instrumentation.

c. Location, orientation, or settings of sensors and probes

d. Location or orientation of interconnections, cables, and hoop-ups.

e. Electrical power, pneumatic, fluidic, and hydraulic requirements.

Drawings, illustrations, and photographs maY be used for clarification.

10 .2.6.3 wrocedur~. Complete description of the procedures used in conducting the test/inspection to include the following:

a. Item selection and inspection that verified suitability for test/ inspection.

b. Summarized sequence of testing/inspection steps, including a description of how the item was operated during the test/inspection, and any control conditions imposed.

10 .2.6.4 A copy of all testlinspection results and analysis to include the following:

10.2.6 .4.1 ~. The actual recorded data (for example, log book entries, oscillographs, instrument readings, plotter graphs) If the recorded data is extensive, provide it in an appendix.

10. 2.6.4.2 Test/ insQec!iion resu. Identification of all testlinspection results to include the following:

a. Matrices comparing results achieved against test/inspection objectives or requirements

b. A discussion of these matrices as to their significance, and how they compare to any prior testlinspections.

Calculation examples.

;; Discussion of anomalies, deviations, discrepancies, or failures, including their impact, causes, and proposed corrective actions The discussion shall address discrepancies between design requirements and the tested/inspected Configuration.

10. 2.6.5 Conclusicxls Test/ inspection conclusions distinguished between objective and subjective to include the following:

a. The effectiveness of the testlinspection procedures in measuring item performance.

Page 3 of 4 Pages

b. The success or failure of the item to meet required test/inspection objectives.

c. The need for repeat, additional, or alternative tests linspections.

d. The need for item redesign or further development.

e. The need for improved test/inspection procedures, techniques, or facilities.

f. The adequacy and completeness of the test/inspection requirements.

10.2 .6.6 Recommendations appropriate to the test/inspection results and conclusions including the following:

a b.

c.

d.

e.

f.

9.

h.

Acceptability of the item tested/inspected (pass or fail) Additional testing/inspection required. ,.

Redesign required.

Problem resolution.

Test/inspection procedure or facility improvements Disposition of items tested/inspected.

Documentation changes required.

Testing/ inspection improvements

10.2.7 The following certifications shall be included, .as

applicable:

10.2 .7.1 A statement that the testlinspection was performed in accordance with applicable testlinspection plans and procedures, and that the results are true and accurate. The authentication shall include the signature of the contractor personnel that performed the test(s) /inspection(s) , a contractor representative authorized to make such certification, and any government witnesses

10.2 .7.2 A statement identifying those requirements not tested/inspected or measured that were previously validated.

Include identification of the data and method employed for such validation (for example, prior test/inspection, analytical verification, equivalent item, and so on) The authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness.

10.2 .7.3 A statement that the item tested/ inspected either passed or failed item acceptability requirements This authentication shall include the signature of a contractor representative authorized to make such authentication and any government witness

10.2.8 Appendices shall be used to append detailed

test/inspection daia, drawings, photographs , or other documentation too voluminous to include in the main body of the report This includes referenced documentation not previously provided by the government, and test/ inspection reports from any associated test/inspection activity that may have performed some of the testing/inspecting requirements.

Page 4 of 4 Pages

DATA ITEM DESCRIPTION

Title: Certificate of Compliance Number DI-MISC-81356A Approval Date: 20071218 AMSC Number: N9036 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Office of Primary Responsibility: NAVICP Code 8741 Applicable Forms: N/A

Use/Relationship: The Certificate of Compliance provides certification from the contractor that the materiel supplied is in full compliance with all contract requirements. This DID contains the format, content, and intended use information for the data deliverable required by the contract.

This DID supersedes DI-MISC-81356.

Requirements:

1. Format. The Certificate of Compliance shall be presented in a format similar to that of Figure 1.

2. Content. The Certificate of Compliance shall contain:

a. Contractor’s name.

b. Contractor’s address.

c. Contractor’s phone number.

d. Date.

e. Contracting Agency’s name.

f. Contract Number.

g. National Stock Number (NSN).

h. Item nomenclature.

i. A statement certifying that all items furnished on the contract are in full compliance with all specification and contract requirements.

j. Authorized personnel’s signature.

k. Authorized personnel’s printed name and title.

DI-MISC-81356A

From: ______________________ (Contractor’s name)

Address: ______________________ (Contractor’s address)

Phone Number: ________________ (Contractor’s phone number)

Date: ________________

To: _______________ (Contracting Agency)

Contract Number: _______________

National Stock Number: _______________

Item Nomenclature: ___________________

“All items furnished on this contract are in full compliance with all specification and contract requirements.”

(Signature of Authorized Personnel

(Printed Name and Title of Authorized Personnel)

Note: The recording of false, fictitious, or fraudulent statements or entries on this document may be punished as a felony under Federal Statutes.

3. End of DI-MISC-81356A

Figure 1 – Sample format for a Certificate of Compliance

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20301900122-00 VERSION: 1

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAC MIL Long Line Packaging MIL B

ITEM(S):

1560011480538FL 1560DTH180235FL 1560DTH180239FL 1560DTH18023AFL

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

UNIT PACK

LENGTH

UNIT PACK

WIDTH

UNIT PACK

DEPTH

UNIT PACK

CUBE OPI

1 000 10 1 00 EA LC A ZZ 00 B 00 32.30 58.0 20.0 11.0 7.384 O

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

ED FULL OVERLAP SLOTTED BOX ASTM D-5118 STYLE 0203

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Bar code format shall conform to bar code symbology Format 3 of 9, Code 39 as specified in MIL- STD-129. (c.) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

O'Neal, Michael A

PHONE NUMBER:

405-582-9766 / 852-9766

SIGNATURE:

//SIGNED//O'Neal, Michael A

DATE:

18260 - 17 SEP 2018

Page 1 of 1AFMC 158 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20301900122-00

DATE INITIATED:

17 SEP 2018

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER X DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 F.O.B. Destination 52.247-34 Freight Classification Description 52.247-53 Contact DCMA Transportation Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB:

Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

Vendor Transportation Instructions

IAW Basic Contract FD20301900122-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

First Destination Transportation Account Code: FRS2

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1560011480538FL

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): FY2303

Mark For: First Article Monitor

Ship To (Address): FY2303 DDOO SOP 1ST ARTICLE

8080 PERIMETER RD BLDG 18 DR 16

TINKER AFB OK 73145

73145 - 3145

USA

WPOD:

APOD:

BBP / CCP:

RIC: 0

Requisition Number:

Supplemental Address:

FMS Case:

CP 405 739 8596

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

Page 1 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

TACRN:

AAB

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

First Destination Transportation Account Code:

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

FOB Destination

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1560DTH180235FL

Purchase Instrument Line Item Number: 0003

Ship to (DoDAAC / MAPAC): FA8111

Mark For: First Article Monitor

Ship To (Address): FA8111 AFLCMC LZPED

3001 STAFF DR BLDG 3001 STE 1AB85A

TINKER AFB OK 73145-3303

73145 - 3303

USA

WPOD:

APOD:

BBP / CCP:

RIC: 0

Requisition Number:

Supplemental Address:

FMS Case:

CP 405 736 7455

Ship To (Remarks):

NSN / Pseudo NSN: 1560DTH18023AFL

Purchase Instrument Line Item Number: 0004

Ship to (DoDAAC / MAPAC): FA8111

Mark For: First Article Monitor

Ship To (Address): FA8111 AFLCMC LZPED

3001 STAFF DR BLDG 3001 STE 1AB85A

TINKER AFB OK 73145-3303

73145 - 3303

USA

WPOD:

APOD:

BBP / CCP:

RIC: 0

Requisition Number:

Supplemental Address:

FMS Case:

CP 405 736 7455

Ship To (Remarks):

Page 2 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

NSN / Pseudo NSN: 1560DTH180239FL

Purchase Instrument Line Item Number: 0005

Ship to (DoDAAC / MAPAC): FA8111

Mark For: First Article Monitor

Ship To (Address): FA8111 AFLCMC LZPED

3001 STAFF DR BLDG 3001 STE 1AB85A

TINKER AFB OK 73145-3303

73145 - 3303

USA

WPOD:

APOD:

BBP / CCP:

RIC: 0

Requisition Number:

Supplemental Address:

FMS Case:

CP 405 736 7455

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

TACRN:

AAC

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 648 47GT 15119Z 01N000 00000 GGGTTT 503000 F03000 FSR: 013352 PSR: K15265

First Destination Transportation Account Code: FRS2

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1560011480538FL

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3211

Mark For: ACCT 09

Ship To (Address): DLA DISTRIBUTION DEPOT OKLAHOMA

TINKER AFB OK 73145-8000

73145 - 8000

USA

WPOD:

APOD:

BBP / CCP:

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

3301 F AVE CEN REC BLDG 506 DR 22

Ship To (Remarks):

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

Page 3 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018

OTHER TRANSPORTATION DATA:

NAME

Little, Phillip D

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-6350 / 497-6350

SIGNATURE

//SIGNED//Little, Phillip D

DATE

17 SEP 2018

Page 4 of 4DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Oct 2018