Exhibit D - CDRL A004 Report of Shipping & Packaging Discrepancy.pdf

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Overhaul of the Joystick, Data Entry
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W58RGZ-20-R-0079
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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

06/26/2019Page 1 of 2

5895-01-6168227

JOYSTICK, DATA ENTRY

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

GOINS, VIOLA

G. PREPARED BY

06/10/2019

H. DATE

MCREE, DAVID L.

I. APPROVED BY

06/12/2019

J. DATE

WOOD, MARY SHANNA

LOG #

CONCUR:

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

DATE: 06/12/2019

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-MMM-TP

NSN:

PRID: PART NUMBER:FB751-1 26277-201 STATUS: R

AMSRD-AMR-SE-TD

Report of Shipping (Item) and Packaging Discrepancy

DI-MGMT-80503 SOW, PARA F AMSAM-MMM-TP

LT

N/A

D SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

0 1 0

16. REMARKS:

BLOCK 10, 12, & 13:

a. FOR WRONG components received submit a Shipping Supply Discrepancy Report (SDR).

b. For components received improperly packaged in containers, packaged in unserviceable containers, or packaged without containers (when a container is required), submit a packaging SDR.

c. When there is a packaging discrepancy and the wrong component is received submit a dual shipping and packaging SDR.

d. For packaging discrepancies discovered upon induction of the item to repair/overhaul (hidden discrepancies), submit the SDR form within ten (10) days of discovery of the discrepancy.

e. If the packaging discrepancy appears to have caused deterioration of the item, include an estimated cost to repackage the asset in Block 12 of the SF form 364.

f. Report by letter the number of excess reusable containers made available through scrap out of items, to addresses in block 14(A).

Block 9: DISTRIBUTION STATEMENT D. Distribution is authorized to Department of Defense and U.S. DoD contractors only for Administrative or Operational use as of June 3, 2019. Other requests for this document shall be referred to AMSAM-MMM-TP.

Export Control Act Warning-Not Required.

POC: PHONE:

06/26/2019Page 2 of 2

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