Exhibit_F_-_DD1423_-_CDRL_A006_-_Test-Inspection_Report_-_FAT.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXH/ATCH NO. C. CATEGORY:

TDP TM OTHER

D.SYSTEM/ITEM

M739A1 PD/DLY Fuze

E. CONTRACT/PR

F. CONTRACTOR

17.PRICE

GROUP

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Test Report

(FATR)

18.ESTIMATED

TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B (Tailored)

5. CONTRACT REFERENCE

M739A1 Fuze SOW: C.3.12

6. REQUIRING OFFICE

RDAR-EIQ-MA

7. DD 250 REQ

LT

9.DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. ADP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

BLK 4: Tailor DID. Use paragraphs 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.3.3 10.2.6, 10.2.6.1, , 10.2.6.2, 10.2.6.3, 10.2.6.4, 10.2.6.4.1, 10.2.6.4.2, 10.2.7, 10.2.7.1

BLK 9: Distribution is authorized to US Government agencies only. Other requests shall be referred to: Commander, RDECOM- ARDEC, ATTN:RDAR-MEF-F, Picatinny Arsenal, NJ 07806-5000

BLK 12: FAT. The contractor shall provide a First Article Test (FAT) Report containing copies of all the test results one time to the Government within 30 days after test for Government review and acceptance.

BLK 12: Audits and other testing. The contractor shall provide a copy of any inspection conducted in support of audits.

BLK 14: It is preferred that the data be submitted using electronic media with email as the preferred format. Contact information will be provided as an attachment in Section J after contract award.

RDAR-EIQ-MA 1

RDAR-MEF-F 1

RDAR-EIQ-PE 1

Local DCMA 1

ESED: Code

JXPMN

ACC-NJ-CA 1

G. PREPARED BY

Jason Menegus

H. DATE

11/15/16

I. APPROVED BY

12/22/2016

X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408

J. DATE

12/22/2016