Tomahawk TSI - Form 7 Hazardous or Explosives.pdf

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NSWC IHEODTD 4200

NSWC IHEODTD 4200/4 REV ( AUG 2018) Page 1 of 1PREVIOUS EDITION IS OBSOLETE

HAZARDOUS/EXPLOSIVES MATERIAL WORKSHEET

AKA Contracts Form 07

REQUISITION: DATE:

Apr 1, 2020

ITEMS BEING PURCHASED:

Tomahawk TSI and CLS Initiators SLAP Test

HAZARDOUS MATERIALS:

All hazardous material to be procured must be on the Authorized User's List (AUL) that is managed by the Safety Department (00SA). If this purchase is for hazardous material, please attach a copy of the AUL page that verifies that your organization may purchase this material.

(Note: propellants, explosives, and pyrotechnics are excluded)

If you are in the process of adding this material to the AUL, please attach a copy of the AUL Request Form.

EXPLOSIVE MATERIALS: The following two fields apply only to explosives

NSN / LSN: National Stock Number or Local Stock Number

Tomahawk Standard Initiator: 1336-01-146-0729 CLS Initiator: 1377-01-0

SENSITIVITY CATEGORY:

As required by OPNAVINST 5530.13C, all procurements for Arms, Ammunition and Explosives (AA&E) must be approved by a designated individual.

The purpose of this review is maintain internal control of energetic inventories. The Ordnance Storage / Shipment Branch must approve this requisition. Please contact Donna Karabin, on extension X6411 and / or Lois Marshall, on extension X2558 for approval.

The energetic material listed above is approved for purchase:

SIGNATURE: DATE:

DISCLAIMERS / NOTES

- Energetic materials must be delivered to explosive scales, Building 1104.

- Energetic materials are NOT to be delivered to Receiving (Building 116) or any office building.

- Source Selection Information see FAR 2.101 and FAR 3.104.

NSWC IHEODTD 4200

NSWC IHEODTD 4200/4 REV ( AUG 2018)

Page of

PREVIOUS EDITION IS OBSOLETE

HAZARDOUS/EXPLOSIVES MATERIAL WORKSHEET

AKA Contracts Form 07

HAZARDOUS MATERIALS:

All hazardous material to be procured must be on the Authorized User's List (AUL) that is managed by the Safety Department (00SA). If this purchase is for hazardous material, please attach a copy of the AUL page that verifies that your organization may purchase this material. (Note: propellants, explosives, and pyrotechnics are excluded) If you are in the process of adding this material to the AUL, please attach a copy of the AUL Request Form.

EXPLOSIVE MATERIALS: The following two fields apply only to explosives As required by OPNAVINST 5530.13C, all procurements for Arms, Ammunition and Explosives (AA&E) must be approved by a designated individual. The purpose of this review is maintain internal control of energetic inventories. The Ordnance Storage / Shipment Branch must approve this requisition. Please contact Donna Karabin, on extension X6411 and / or Lois Marshall, on extension X2558 for approval.

The energetic material listed above is approved for purchase:

DISCLAIMERS / NOTES

- Energetic materials must be delivered to explosive scales, Building 1104.

- Energetic materials are NOT to be delivered to Receiving (Building 116) or any office building.

- Source Selection Information see FAR 2.101 and FAR 3.104.

DEC 2017

degas.legal@navy.mil 12/08/2017 Degas Legal HAZARDOUS/EXPLOSIVES MATERIAL WORKSHEET AKA Contracts Form 07 08/22/2018 Tomahawk TSI and CLS Initiators SLAP Test Tomahawk Standard Initiator: 1336-01-146-0729 CLS Initiator: 1377-01-096-9444

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