TECHNICAL_STATEMENTS _CERTIFICATIONS_ _APPROVAL_-_CLASS_I_OZONE_DEPLETING_CHEMICALS_(ODC)_15321-01.pdf

PBA Form 34-1-4 7 September 2011

TECHNICAL STATEMENTS, CERTIFICATIONS & APPROVAL

CLASS I OZONE DEPLETING CHEMICALS (ODC)

PART I

A technical evaluation of the Procurement Request , was performed on and I do hereby state to the contracting officer that to the best of my knowledge and belief:

1. The above referenced request is for a commercial item. Therefore, no review for ODC was performed.

2. Based on a comparison of the specifications and standards contained in this PR and the DoD list of military specifications and standards that call out the use of Ozone Depleting Chemicals (ODC), I have found no specifications or standards that require the use of a Class I Ozone Depleting Chemical (ODC) or a requirement for the use of such a substance or that can be met only through use of such a substance.

3. Replacement substances or alternate technologies have been incorporated where applicable;

therefore, this PR no longer contains any class I ODC or contractual requirements that can be met only by use of such a substance. These changes have been identified to the contracting officer in writing for inclusion in the solicitation section C or the purchase description as changes to the appropriate technical documents. If this action is a modification or extension to an existing contract awarded before 01 June 1993 and meets the ODC review criteria, the ODC substitutes or alternate technology will result in an estimated ODC avoidance of pounds. (List pounds saved for each substitute used in modifications to existing contracts awarded before 01 June 1993).

4. This PR contains the following specification or standard that requires the use of Class I ODC or requirements that can only be met by use of such a substance:

List of ODC Requirement(s) Estimated Pounds of ODC

Technical Evaluator/Reviewer) Organization:

ODS

Date:

Signature

PBA Form 34-1-4 7 September 2011

(If block 4 is checked, the approval pursuant to Section 326, Public Law 102-484 is provided below.)

I hereby certify to the approving official that a suitable substitute or alternative technology for the class I ODS is not currently available.

Name:

(Approved Technical Representative) Organization:

Date:

PART II

APPROVAL:

Based upon the above certification of the appropriate technical representative, I hereby approve the use of specifications and standards that require the use of a class I ozone depleting substance since a suitable substitute is not currently available.

Name:

(Senior Approval Official) Title:

Organization:

Date:

Microsoft Word - PBA Form 34- 1- 2 mark.springer D:20080305090229- 06'00' D:20080305090232- 06'00' PBA Form 34-1-4 7 September 2011

TECHNICAL STATEMENTS, CERTIFICATIONS & APPROVAL

CLASS I OZONE DEPLETING CHEMICALS (ODC)

PART I

A technical evaluation of the Procurement Request , was performed on and I do hereby state to the contracting officer that to the best of myknowledge and belief:

1. The above referenced request is for a commercial item. Therefore, no review for ODC was performed.

2. Based on a comparison of the specifications and standards contained in this PR and the DoD list of military specifications and standards that call out the use of Ozone Depleting Chemicals (ODC), I have found no specifications or standards that require the use of a Class I Ozone Depleting Chemical (ODC) or a requirement for the use of such a substance or that can be met only through use of such a substance.

3. Replacement substances or alternate technologies have been incorporated where applicable;

therefore, this PR no longer contains any class I ODC or contractual requirements that can be met only by use of such a substance. These changes have been identified to the contracting officer in writing for inclusion in the solicitation section C or the purchase description as changes to the appropriate technical documents. If this action is a modification or extension to an existing contract awarded before 01 June 1993 and meets the ODC review criteria, the ODC substitutes or alternate technology will result in anestimated ODC avoidance of pounds. (List pounds saved for each substitute used in modifications to existing contracts awarded before 01 June 1993).

4. This PR contains the following specification or standard that requires the use of Class I ODC or requirements that can only be met by use of such a substance:

List of ODC Requirement(s) Estimated Pounds of ODC Technical Evaluator/Reviewer) Organization:

PBA Form 34-1-4 7 September 2011 (If block 4 is checked, the approval pursuant to Section 326, Public Law 102-484 is provided below.)

I hereby certify to the approving official that a suitable substitute or alternative technology for the class I ODS is not currently available.

Name:

(Approved Technical Representative) Organization:

Date:

PART II

APPROVAL:

Based upon the above certification of the appropriate technical representative, I hereby approve the use of specifications and standards that require the use of a class I ozone depleting substance since a suitable substitute is not currently available.

Name:

(Senior Approval Official) Title:

Organization:

Date: