Exhibit_A_-_Contract_Data_Requirements_List_(CDRL).pdf

PDF 946 KB Posted Feb 13, 2017

Attached to: 7. 62mm M172 Inert Cartridges
Solicitation number: W52P1J-17-R-0006
Issued by: Department of the Army Materiel Command Joint Munitions Command

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W52P1J-17-R-0006 Exhibit A (Contract Data Requirements List)

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File	Type	Posted
W52P1J17R0006-0006.pdf	PDF	Mar 23, 2017
Attachment_0006-_Proposal_First_Article_Price_Matrix.xlsx	XLSX spreadsheet	Mar 23, 2017
W52P1J17R0006-0005.pdf	PDF	Mar 22, 2017
W52P1J17R0006-0004.pdf	PDF	Mar 13, 2017
W52P1J17R0006-0003.pdf	PDF	Mar 8, 2017
W52P1J17R0006-0002.pdf	PDF	Mar 3, 2017
W52P1J17R0006-0001.pdf	PDF	Feb 13, 2017
Attachment_0002_-_Addresses.pdf	PDF	Feb 13, 2017
Attachment_0005_-_Aquisitions_OPSEC_Plan_(Sample).pdf	PDF	Feb 13, 2017
Attachment_0004_-_Address_Code_Distribution_for_ECP_RFV_VECP.pdf	PDF	Feb 13, 2017
Attachment_0003_-_Contract_Data_Requirement_List_(CDRL)_Guidance.pdf	PDF	Feb 13, 2017
W52P1J17R0006_RELEASE_COPY.pdf	PDF	Feb 13, 2017
Attachment_0001_-_Component_Suppliers_Template.xlsx	XLSX spreadsheet	Feb 13, 2017

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1. DATA ITEM NO. 17. PRICE

GROUP

A001

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 1 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT REVIEW AND APPROVAL. *30 CALENDAR DAYS AFTER THE CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN

CRITICAL INFORMATION (CI)/THREAT INFORMATION. ** RESUBMIT 10 CALENDAR DAYS AFTER

GOVERNMENT REVIEW. SUBMIT ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.

CO**

A ASREQ Reg Repro

ASREQ**

16. REMARKS AMSJM-FP/G2

ONE/R ASREQ*

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80934C PADDS Clause HS7001 AMSJM-FP/G2

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

Operations Security (OPSEC) Plan OPSEC Program

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

Form Approved OMB No. 0704-0188

0 2 0

EXHIBIT A / W52P1J-17-R-0006

A002

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0 0

Page: 2 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80639D SECTION C RDAR-EIS-PD

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

ENGINEERING CHANGE PROPOSAL (ECP)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 0 0

A003

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0 0

Page: 3 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640D SECTION C RDAR-EIS-PD

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

REQUEST FOR VARIANCE (RFV)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

0 0 0

A004

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0 0

Page: 4 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS

SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80642D SECTION C RDAR-EIS-PD

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

NOTICE OF REVISION (NOR)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

00 0

A005

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 5 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

The Contractor shall submit a completed AIE package no later than 120 calendar days after contract award and no later than 60 calendar days prior to First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract to

The Government will furnish disposition within 45 calendar days of final AIE package receipt.

If further revisions are necessary, the Contractor shall have 30 calendar days to generate them and the Government shall have 30 calendar days to review and respond to them. The approved AIE shall be available for First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract.

If Contractor revises a previously Government accepted AIE for this contract, the revised AIE must be submitted to the Government for review and approval. Approval must be granted before AIE is used for acceptance of product. The Government will respond within 30 calendar days.

The Contractor shall notify the responsible Government technical agency a minimum of 30 calendar days prior to acceptance (prove out) testing.

*An MSE Review Guide is available to assist Contractors on the ARDEC Public Website in the application of the MSE Clause. The MSE Review Guide's content, in its entirety, is provided solely for REFERENCE and GUIDANCE PURPOSES ONLY- it is not, nor is it intended to be, contractually binding. Accordingly, the information contained within the MSE Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the MSE clause itself nor into the terms and conditions of any underlying contract which contains the MSE clause.

RDAR-EIQ-MD

RDAR-MEM-I

PCO

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAO

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81960 Contract Section E MSE Clause AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

Measurement System Evaluation (MSE) - Measurement and Inspection Equipment System Design Documentation for Acceptance of Product

Measurement System Evaluation (MSE)/AIE

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

QAR 0 1 0

0 6 0

RDAR-MEA-P 010

1. DATA ITEM NO.

17. PRICE

GROUP

A006

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 6 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

PLAN SHALL BE SUBMITTED PRIOR TO SUBMISSION OF FIRST ARTICLE (FA) (IF FA REQUIRED) OR PRIOR

TO INITIATION OF PRODUCTION. ALLOW 30 DAYS FOR GOVERNMENT REVIEW. ONLY 3.2.E APPLIES

WHERE OTHER EQUALS QUALITY SYSTEM PLAN. DATA SHALL BE SUBMITTED ELECTRONICALLY TO

QAR

PCO

RDAR-MEM-I

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAO

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80004A SECTION E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

MANAGEMENT PLAN QA System/Program Plan

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

OMB No. 0704-0188

RDAR-EIQ-MD 0 1 0

RDAR-MEA-P 0 1 0

GROUP

A007

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 7 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

LOT ACCEPTANCE TEST REPORTS SHALL BE SUBMITTED BY ACCESSING THE WORLDWIDE AMMUNITION

DATA CARD REPOSITORY PROGRAM (WARP) WHICH IS located on the Munitions History Program

(MHP) website at https://mhp.redstone.army.mil. LATR shall include Cartridge, M172: IAW MIL-DTL-60573A w/Amendment 1 Link, M13: IAW MIL-DTL-45403E w/Amendment 1 Bandoleer, M4: IAW MIL-B-60107B w/Amendment 3 Can, M19A1: IAW MIL-DTL-3060G w/Amendment 3 Wirebound Box, M19A1: IAW MIL-DTL-46506E w/Amendment 2

N/A N/A Reg Repro

ASREQ

16. REMARKS QAR

ASREQ 30DATC

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SECTION C, E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST/INSPECTION REPORT LOT ACCEPTANCE TEST REPORT

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

A008

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 8 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

General/Detailed plans shall be submitted at least 60 days prior to FAT or production if FAT is not required to . Government will respond within 30 days of receipt of original and any required revisions. If general plan was previously accepted, submit date of acceptance and contract number(s) to PCO and Contract Specialist. Approval of the detailed plan is required prior to FAT. SPC data collected, charted and analyzed and Cpk values observed shall be provided at a minimum at the Quarterly Quality Reviews.

PCO

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAO

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81987 SECTION E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

STATISTICAL PROCESS CONTROL (SPC) PLAN

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 6 0

RDAR-EIQ-MD

RDAR-MEM-I

QAR

0 1

1 0

RDAR-MEA-P 0 01

A009

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 9 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

ADCS SHALL BE PREPARED IAW MIL-STD-1168C, SEC C SOW AND THIS CDRL BY ACCESSING THE WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP) which is located on the Munitions History Program (MHP) website at https://mhp.redstone.army.mil/ *HARD COPY ADCS PROVIDED WITH LOT SHIPMENTS SHALL BE GENERATED FROM THE WARP PROGRAM AND SIGNED AND DATED BY THE

GOVERNMENT AGENCY RESPONSIBLE FOR

ACCEPTANCE (GARA). Sample Ammo Data Cards shall be submitted into WARP system and approved prior to FAT. **WHEN BALLISTIC TESTS ARE REQUIRED, ONE HARD COPY GENERATED FROM THE WARP PROGRAM, SIGNED AND DATED BY THE GARA SHALL BE SENT TO THE PROVING GROUND WITH SAMPLE SHIPMENT, PLUS AN ADDITIONAL SIGNED, HARD COPY PROVIDED TO THE PROVING GROUND BY MAIL. SUBMIT VIA THE INTERNET OR MAIL A CD ROM.

N/A N/A Reg Repro

ASREQ

16. REMARKS WARP

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80043B NOT 1 SECTION C & E, MIL-STD-1168C AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

AMMUNITION DATA CARD Data Input (ADC)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

0 1 0

A010

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 10 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

CICL, IF APPLICABLE, CONTRACTOR SHALL SUBMIT 60 DAYS PRIOR TO FIRST ARTICLE OR PRODUCTION IF FA IS NOT APPLICABLE. GOVERNMENT WILL RESPOND WITHIN 45 DAYS OF RECEIPT OF ORIGINAL AND ANY REQUIRED REVISIONS. UNLESS OTHERWISE STATED, CONTRACTOR SHALL SUBMIT REVISIONS WITHIN 10 DAYS OF RECEIPT OF GOVERNMENT RESPONSE. NOTIFICATION OF CRITICAL DEFECT, UNLESS OTHERWISE APPROVED BY THE PCO, NOTIFICATION OF THE OCCURRENCE OF ANY CRITICAL DEFECTS SHALL BE MADE TO GOVERNMENT, SEE DISTRIBUTION LIST, WITHIN 24 HOURS OF THE EVENT BY THE MOST EXPEDITIOUS MEANS AVAILABLE. ROOT CAUSE INVESTIGATION AND CORRECTIVE ACTION AND SEGREGATED SUSPECT MATERIAL USE, CONTRACTOR SHALL SUBMIT TO GOVERNMENT, SEE LIST, FOR

APPROVAL. GOVERNMENT WILL RESPOND WITHIN 45 DAYS OF RECEIPT OF ORIGINAL AND ANY

REQUIRED REVISIONS. REQUEST TO RESTART OPERATIONS, CONTRACTOR SHALL SUBMIT TO

FOR APPROVAL. GOVERNMENT WILL RESPOND WITHIN 3 WORKING

DAYS OF RECEIPT.

AMSJM-QAO

A N/A Reg Repro

ASREQ

16. REMARKS QAR

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SAFT-80970A NOT 1 Contract Section E Clause AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

CRITICAL SAFETY ITEM, CHARACTERISTIC AND CRITICAL DEFECT REPORT

CICL, NOTIFICATION, INVESTIGATION, SEGREGATED MATERIAL

USE AND RESTART REQUEST

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

1PCO

RDAR-EIQ-MD

RDAR-MEM-I

A011

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 11 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

FIRST ARTICLE TEST PLAN SHALL BE SUBMITTED AND APPROVED WITHIN A MINIMUM OF SIXTY (60)

DAYS PRIOR TO FIRST ARTICLE TESTING (FAT) TO . DISPOSITION OF

PLAN SHALL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT BY THE PCO. RESUBMITTALS (IF

REQUIRED) SHALL BE SENT WITHIN TEN (10) DAYS AFTER GOVERNMENT DISPOSITION. PCO

APPROVAL OF TEST PLAN SHALL BE OBTAINED PRIOR TO FIRST ARTICLE TEST. ELECTRONIC

SUBMITTALS ARE ACCEPTABLE (MICROSOFT OFFICE FORMAT ONLY). DISTRIBUTION STATEMENT D, DOD USE ONLY. PLAN SHALL INCLUDE ALL VERIFICATIONS BY EXAMINATIONS, ANALYSES, DEMONSTRATIONS OR TESTS NEEDED TO MEET ALL REQUIREMENTS OF PRIME ITEM SPECIFICATION AND DISTRIBUTION LISTS. CONTRACTOR FORMAT ACCEPTABLE, SAMPLE AVAILABLE UPON REQUEST.

PCO

QAR

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAO

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-81307A Section E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

First Article Qualification Test Plan and Procedures

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0RDAR-EIQ-MD

RDAR-MEM-I

A012

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 12 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

CONTRACTOR FORMAT ACCEPTABLE. *COMMENTS/APPROVAL/DISAPPROVAL WILL BE SUBMITTED

WITHIN 30 CALENDAR DAYS AFTER RECEIPT BY GOVERNMENT. **SUBMIT WITHIN 7 CALENDAR DAYS

OF EACH FAILURE TO . FINAL WITHIN 15 CALENDAR DAYS AFTER

RECEIPT OF GOVERNMENT'S COMMENTS. DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DOD AND U.S. DOD CONTRACTORS ONLY (CRITICAL TECHNOLOGY) (DATE OF CONTRACT

AWARD). OTHER REQUESTS SHALL BE REFERRED TO GOVERNMENT. WARNING - THIS DOCUMENT

CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ) OR THE EXPORT ADMINISTRACTION ACT OF 1979, AS AMMENDED, TITLE 50, U.S.C., APP 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT

TO SEVERE CRIMINAL PENALTIES.

AMSJM-QAO

PCO

A* N/A Reg Repro

ASREQ**

16. REMARKS QAR

ASREQ ASREQ**

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81315B Section E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 6 0

0RDAR-MEM-I

RDAR-EIQ-MD

A013

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 13 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

1/30/2017

PQM will supply copy of FAT report to customers. FOR SUBMISSION OF FIRST ARTICLE TEST REPORTS, SEE CONTRACT CLAUSES PERTAINING TO FIRST ARTICLES FOR INSTRUCTIONS REGARDING SUBMISSION AND DISPOSITION OF FIRST ARTICLES. THE QAR WILL PROVIDE DISPOSITION OF PRODUCTION

ACCEPTANCE TEST REPORTS. SUBMIT VIA THE INTERNET OR MAIL A CD ROM (PC FORMAT) TO

QAR

A N/A Reg Repro N/A

16. REMARKS AMSJM-QAO

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SECTION E AMSJM-QAO

D. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST/INSPECTION REPORT FIRST ARTICLE ACCEPTANCE TEST REPORT

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0PCO

RDAR-MEM-I

RDAR-EIQ-MD

GROUP

A014

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 14 of 18

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CRITICAL CHARACTERISTICS CONTROL PLAN (CCCP)

TDP____________ TM____________ OTHER____________

F. CONTRACTORD. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81986 Contract Section E Clause AMSJM-QAO

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

16. REMARKS QAR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

J. DATE

1/30/2017

DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Conditional Approval of CCCP is required prior to start of production. CONTRACTOR'S ELECTRONIC

FORMAT USING MICROSOFT WORD OR COMPARABLE SOFTWARE IS ACCEPTABLE. ADDITIONAL

GUIDANCE ON CONTENT OF THE CCC PLAN IS AVAILABLE AT

http://www.ardec.army.mil/organizations/QESA/. CONTRACTOR SHALL SUBMIT PLAN COVERING ALL

CRITICAL CHARACTERISTICS AS REQUIRED IN CONTRACT CLAUSE REFERENCE. CONTRACTOR SHALL

SUBMIT 60 DAYS PRIOR TO FIRST ARTICLE OR PRODUCTION IF FA IS NOT APPLICABLE TO

. GOVERNMENT WILL RESPOND WITHIN 45 DAYS OF RECEIPT OF

ORIGINAL AND ANY REQUIRED REVISIONS. UNLESS OTHERWISE SPECIFIED, CONTRACTOR SHALL

SUBMIT REVISIONS WITHIN 10 DAYS OF RECEIPT OF GOVERNMENT RESPONSE.

AMSJM-QAO

PCO

Form Approved

OMB No. 0704-0188

1RDAR-EIQ-MD

RDAR-MEM-I

GROUP

A015

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 15 18 of

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CRITICAL PLAN OF ACTION (CPOA)

TDP____________ TM____________ OTHER____________

F. CONTRACTORD. SYSTEM/ITEM

CTG, LINKED CARTON PACK - 7.62MM, M172

E. CONTRACT / PR NO.

4A5A15KZM2

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81996 Contract Section E Clause AMSJM-QAO

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

16. REMARKS QAR

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

J. DATE

1/30/2017

DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CONTRACTOR'S ELECTRONIC FORMAT USING MICROSOFT WORD OR COMPARABLE SOFTWARE IS

ACCEPTABLE. ADDITIONAL GUIDANCE ON CONTENT OF THE CPOA IS AVAILABLE AT

http://www.ardec.army.mil/organizations/QESA/. CONTRACTOR MAY VOLUNTARILY SUBMIT A

CPOA FOR ALL CRITICAL CHARACTERISTICS AS SPECIFIED IN THE CONTRACT CLAUSE REFERENCE.

CONTRACTOR SHALL SUBMIT THE CPOA FOR APPROVAL PRIOR TO USE TO

. GOVERNMENT WILL RESPOND WITHIN 45 DAYS OR RECEIPT OF

ORIGINAL. UNLESS OTHERWISE SPECIFIED, CONTRACTOR SHALL SUBMIT REVISIONS WITHIN 10 DAYS

OF RECEIPT OF GOVERNMENT RESPONSE. UNLESS OTHERWISE APPROVED BY THE PCO, THE CPOA IS

NOT AUTHORIZED FOR USE PRIOR TO GOVERNMENT APPROVAL.

AMSJM-QAO

PCO

Form Approved

OMB No. 0704-0188

0 6 0

RDAR-EIQ-MD

RDAR-MEM-I

GROUP

A016

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 16 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

SUBMIT PROCEDURE FOR APPROVAL 60 DAYS PRIOR TO FIRST ARTICLE TEST OR PRODUCTION IF FIRST

ARTICLE IS NOT APPLICABLE. ALLOW 14 DAYS FOR APPROVAL/DISAPPROVAL THROUGH THE

CONTRACTING OFFICER. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.

RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER.

COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH

PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. A DD FORM 250 IS

NOT REQUIRED FOR PHOSPHATE COATING PROCEDURAL APPROVAL. CONTRACTOR FORMAT

ACCEPTABLE. WRITTEN PROCEDURES SHALL BE SUBMITTED USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT FORMAT (RTF), OR WORD FILE).

A N/A Reg Repro N/A

16. REMARKS RDAR-MEE-W

N/A

ONE/R ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2 RDAR-MEE-W

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST PROCEDURE-PHOSPHATE COATING PRE-PRODUCTION PROCEDURE

TDP____________ TM____________ OTHER____________

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

OMB No. 0704-0188

4A5A15KZM2CTG, LINKED CARTON PACK - 7.62MM, M172

1/30/2017

GROUP

A017

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: 17 of 18DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

SUBMIT PROCEDURE FOR APPROVAL THROUGH CONTRACTING OFFICER 60 DAYS PRIOR TO FIRST

ARTICLE TEST OR PRODUCTION IF FIRST ARTICLE IS NOT APPLICABLE. ALLOW 14 DAYS FOR

APPROVAL/DISAPPROVAL. CONTRACTOR TO RESUBMIT CONTRACTOR SHALL RESUBMIT WITH

GOVERNMENT REVISIONS WITHIN 10 DAYS. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER. A DD FORM 250 IS NOT REQUIRED FOR PHOSPHATE COATING PROCEDURE

APPROVAL. CONTRACTOR FORMAT ACCEPTABLE. SHALL BE SUBMITTED USING A PC COMPATIBLE

format (i.e., .PDF, RICH TEXT FORMAT (RTF) OR WORD).

RDAR-MEE-W

A N/A Reg Repro N/A

16. REMARKS CONTRACTING OFFICER

N/A

ONE/R ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A MIL-DTL-16232G, Para 3.1 RDAR-MEE-W

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST PROCEDURE - PHOSPHATE COATING PRE-PRODUCTION PROCEDURE

TDP____________ TM____________ OTHER____________

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved

OMB No. 0704-0188

CTG, LINKED CARTON PACK - 7.62MM, M172 4A5A15KZM2

1/30/2017

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM -

Technical Manual; Other - other category of data, such as

"Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of

CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the

Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items

12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The

Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423 (BACK)

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the

Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form

1423.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form

1423.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the

Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD

Form 1423 at no cost.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the

Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

4a5a15kzm2_phosphate_addn
4a5a15kzm2_qa_addn
4A5A15KZM2_ppi_CDRL
80934a
80639
80640
80642
81960
80004B
80043
80970C
81307
81315
80809B
HH6F06BP1A_spc_janik.pdf
80004P

File details come from the government source that posted it. Updated Nov 14, 2017.