AI617-1_CDRL_A005.pdf
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EXHIBIT A005 QUALITY DEFICIENCY REPORT (CDM)
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
12/21/2017Page 1 of 2
6115-01-4710888
GENERATOR, ALTERNATING
D. SYSTEM / ITEM
A005
1. DATA ITEM NO.
GUTJAHR, MICHAEL E.
G. PREPARED BY
09/27/2017
H. DATE
GUTJAHR, MICHAEL E.
I. APPROVED BY
09/27/2017
J. DATE
MAYHALL, CONNIE
LOG #
CONCUR:
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
DATE: 09/29/2017
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. ADDRESSEE11. AS OF DATE 13. DATE OF SUBEQUENT
SUBMISSION
15. TOTAL
17. PRICE GROUP 18. ESTIMATED TOTAL PRICE
AMSAM-MSC-CLP
NSN:
PRID: PART NUMBER:AI617-1 AGH828-3 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:
12/21/2017Page 2 of 2
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