A015_-_ADC.pdf

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M1061 60mm He Mortar Cartridge
Solicitation number
W15QKN-17-R-0041
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CDRL ADC

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the 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 ____________________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13.13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

1 DATA ITEM NO:
2 TITLE OF DATA ITEM: Ammunition Data Cards (ADCs)
3 SUBTITLE:
5 CONTRACT REFERENCE:
6 REQUIRING OFFICE: RDAR-EIQ-PE
7 DD 250 REQ: LT
9 DIST STATEMENT REQD: A
10 FREQUENCY: As Required
12 DATE OF FIRST SUBMISSION: As Required
11 AS OF DATE: As Required
13 DATE OF SUBSEQUENT SUBMISSION: See Block 16
a ADDRESSEERow1: ACC-NJ-CA
DraftRow1: 1
RegRow1: 1
ReproRow1:
a ADDRESSEERow2: RDAR-MEM-M
DraftRow2: 1
RegRow2: 1
ReproRow2:
a ADDRESSEERow3: RDAR-EIQ-PE
DraftRow3: 1
RegRow3: 1
ReproRow3:
a ADDRESSEERow4: Government QAR
DraftRow4: 1
RegRow4: 1
ReproRow4:
a ADDRESSEERow5: SFAE-AMO-CAS
DraftRow5: 1
RegRow5: 1
ReproRow5:
a ADDRESSEERow6: RDAR-EIQ-MC
DraftRow6: 1
RegRow6: 1
ReproRow6:
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Draft15 TOTAL: 6
Reg15 TOTAL: 6
Repro15 TOTAL:
H DATE: 31 Jan 2017
J DATE: 31 Jan 2017
A CONTRACT LINE ITEM NO:
B EXHIBIT:
TDP:
TM:
OTHER:
D SYSTEMITEM: 60mm M1061 HE Mortar Cartridge W/Fuze M734A1
E CONTRACTPR NO: W
F CONTRACTOR:
Pg:
Remarks: Ammo Data Card's (ADC) shall be prepared in accordance with MIL-STD-1168B and electronic submission shall be accomplished by accessing the Worldwide Ammunition Data Repository Program (WARP).

Input a sample card into WARP 30 days prior to First Article (FA), or production if FA is not applicable, for review and approval of technical content. When submitting the sample ADC for review input the words “SAMPLE CARD ONLY” in the remarks section of the ADC.

Hard copy ADCs shall be generated from WARP and accompany each Lot, and shall be signed & dated by the representative of the Government Agency Responsible for Acceptance (GARA)usually the DCMA QAR or other government designee. When ballistic tests at Government proving grounds are required, two hard copy ADCs generated and accompany the Lot.

*****Every avenue shall be pursued to assure an accurate ADC is produced with all the appropriate documentation included. Any unknown components, older components, off the shelf items and different lot interfix numbers (with the reason for different interfix numbers) can be annotated in the "REMARKS SECTION." This is to include any and all information that is unavailable at the time of production.

*****With the permission of the GARA older lots of ammunition that undergo the renovation processes may not contain all the required information. This unknown information can be clarified in the “REMARKS SECTION” of the ADC. When an older lot of ammunition is used and a lot number is not available for reference a detailed explanation should be documented in the “REMARKS SECTION.” Any additional special conditions that apply to the lot shall be documented in the “Remarks Section"

Note: Submission shall commence with the first deliverable lot and continue with each subsequent lot. ADCs shall include procurement acquisition numbers for each applicable Request for Deviation, Notice of Revision and Engineering Change Proposal listed on the card.

Submit an email Letter of Transmission (LT) notifying the Product Quality Manager identified below when a card has been entered into WARP

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2017-02-23T14:15:00-0500
CHAMBERS.DARRIN.S.1367772740
2017-01-31T14:28:05-0500
CHAMBERS.DARRIN.S.1367772740
8 APP CODE:
4 AUTHORITY Data Acquisition Document No: DI-MISC-80043B

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