Exhibit_B_Data_Item_A002_W58RGZ-16-R-0140.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

12/12/2016Page 1 of 2

1560-01-2363078

MODULE ASSEMBLY

D. SYSTEM / ITEM

A002

1. DATA ITEM NO.

GDULA, ROBERT H.

G. PREPARED BY

01/20/2016

H. DATE

CHILDS, BERNIDA

I. APPROVED BY

01/21/2016

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

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

DATE: 01/22/2016

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSC-CLP

NSN

PRID: PART NUMBER:BB601-1 70308-03613-042 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Quality Deficiency Report

DI-QCIC-80736 SOW, PARA S RDMR-SEQ

LT

N/A

A SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

0 1 0

16. REMARKS:

BLOCKS 10, 12, AND 13: No report is necessary unless there is a discrepancy.

Contractor shall submit NLT 10 days after discovery of deficiency.

The Contractor shall coordinate quality deficiency with the Cognizant Government Representative.

POC: PHONE:

W58RGZ-16-R-0140

Exhibit B

12/12/2016Page 2 of 2

W58RGZ-16-R-0140

Exhibit B