Tab 09 Att 10 - F76 Traceability Sheet.pdf
PDF 124 KB Posted
- Solicitation number
- SPE60225R0702
- Issued by
-
Defense Logistics Agency Energy
About this file
This file contains two certification forms from the Defense Logistics Agency Energy related to F-76 fuel traceability and synthetic component verification. The first form is an F-76 Traceability Signature Page that requires contractors to certify that the F-76 fuel supplied maintains traceability for materials composition and additives, with no unauthorized materials or additives blended into the final product per MIL-DTL-16884 specifications. The form includes spaces to document contract details, select one of three traceability options, and list all materials percentages and additive concentrations.
The second form is an F-76 Synthetic Component Certification that requires verification that synthetic paraffinic materials derived from Fischer-Tropsch or Hydroprocessed Renewable Diesel methods have not undergone any changes in feedstock, production location, or processes since the last certificate of analysis. Both forms are part of solicitation SPE60225R0702 for the Atlantic/Europe/Mediterranean 2025 Purchase Program and require company representative signatures certifying compliance. The forms include space for contract/solicitation numbers, CLIN, order numbers, shipment numbers, and company information.
View the file
Other files
Show all 30
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
DEFENSE LOGISTICS AGENCY ENERGY
8725 JOHN J. KINGMAN ROAD
FORT BELVOIR, VIRGINIA 22060-6222
DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED
F-76 Traceability Signature Page
Contract or Solicitation Number:
CLIN:
Order Number:
Shipment Number:
Traceability OPTION selected per paragraph e.5 (circle or otherwise indicate which one of the three options is chosen):
OPTION 1 OPTION 2 OPTION 3
F-76 fuel supplied under the above contract, CLIN, order number and shipment number maintains traceability with respect the materials composition, additives and their concentration levels. This signed statement certifies that at no point have any unauthorized un- hydrotreated light cycle oils, other unauthorized materials, or additives been blended into the final product or any of its associated blend components per the most recent revision of MIL-DTL-16884 at date of contract award. All materials and additives are listed below. The percentage of each material as defined in sections 3.2, 3.2.2, and 3.2.3 (i.e. refined hydrocarbon distillate fuel, Fischer-Tropsch, Hydroprocessed Renewable Diesel, etc.) and the concentration level for each additive are also shown. For the purposes of the offeror submission this signed statement attests that no unapproved additives or materials will be added to batches or components of batches of F- 76 for delivery under government contracts.
Signature:
Printed Name:
Title:
Company Name:
Date:
Material Percent
Additive Concentration Responsible Party for Injection
DEFENSE LOGISTICS AGENCY ENERGY
8725 JOHN J. KINGMAN ROAD
FORT BELVOIR, VIRGINIA 22060-6222
DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED
F-76 Synthetic Component Certification
Contract or Solicitation Number:
CLIN:
Order Number:
Shipment Number:
Synthetic paraffinic materials supplied as indicated with the above contract, CLIN, order number, and shipment number is derived from either Fischer-Tropsch (FT) or Hydroprocessed Renewable Diesel (HRD) methods. This signed statement certifies that since the last certificate of analysis (COA), including table A-II or B-II results of MIL-DTL-16884P, Appendix A or B, no changes, including feedstock material, production location, or production processes have been made. In addition, no turnaround events have been executed on any units utilized to produce the synthetic paraffinic materials since the last COA, including table A-II or B-II, properties were tested. Please supply the date of the most recent COA and an identifying number for that report in the space provided below.
DATE OF COA: _
LAB REPORT ID NUMBER
Signature:
Printed Name:
Title:
Company Name:
Date:
File details come from the government source that posted it. Updated .