Tab 09 Att - F76 Traceability Sheet.pdf
PDF 124 KB Posted
- Solicitation number
- SPE602-26-R-0706
- Issued by
-
Defense Logistics Agency Energy
About this file
These are certification forms issued by the Defense Logistics Agency Energy for F-76 naval aviation turbine fuel supplied under government contracts. The forms establish traceability and authenticity requirements for fuel deliveries.
The F-76 Traceability Signature Page certifies that supplied fuel maintains complete traceability regarding material composition, additives, and concentration levels, with no unauthorized un-hydrotreated light cycle oils or unapproved materials blended into the final product or blend components per MIL-DTL-16884. Signatories must identify one of three traceability options and document all materials as defined in sections 3.2, 3.2.2, and 3.2.3 (refined hydrocarbon distillate fuel, Fischer-Tropsch, Hydroprocessed Renewable Diesel, etc.) with their respective percentages and additive concentration levels. The form requires contract number, CLIN, order number, shipment number, signature, printed name, title, company name, and date. The F-76 Synthetic Component Certification form certifies that synthetic paraffinic materials derived from either Fischer-Tropsch or Hydroprocessed Renewable Diesel methods have undergone no changes in feedstock material, production location, or production processes, and no turnaround events have occurred on production units since the last certificate of analysis. This certification requires the date and lab report ID number of the most recent COA including table A-II or B-II results per MIL-DTL-16884P, along with signature, printed name, title, company name, and date.
View the file
Other files
Show all 29
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 .