Attachment 1: Air Specv4

PR/MIPR AIR MUNITIONS SPECIFICATION COORDINATION SHEET

FD2020-24-52553

Package is: PR

NSN: 1370016776009
Item Manager
OR
Program Manager

MIPR

DODIC: LA88

NOUN: MJU-76/B

Special Instructions

QTY: TBD

P/N: 201825310

Is this item in the Commodity Council Compliance Database (CCCD)? If Yes: No

Reason for PR/MIPR? PRODUCTION OF MJU-76/B

Is GFM required? Yes
If Yes, provide: NSN:1377016421574

P/N: 7729436-30

Hard copy of PR/MIPR Attached

Coordination Start Date: 06/06/2024

CSI? Yes

Completion Date:

Contract Cost 250M

Tyson Pesnell
Program Manager Name
Program Manager

QTY: TBD

TDP
Initials

02/23/2026

Date Completed

Is Section 806 Determination completed (PRs Only)? Yes
If no, reason:

Equipment
Specialist

Engineer

Bill Cutler
Equipment Specialist Name

BC
Initials

02/24/2026

Matt Adams
Engineer Name

MMA
Initials

02/23/2026

Date Completed

Date Completed

AFMC Form 807 Completed? Yes

Remarks:

Market Research Required? Yes

Remarks:

DD Form 254 Required? Yes

Note: Only Applicable to a PR

06/06/2024

Safety

Travis C. Madden
Safety Name

TCM
Initials

Date Completed

PQM

Gerald Pehrson
Program Quality Manager Name

Initials

Date Completed

Engineering
Supervisor

Michelle Warmoth
Engineering Supervisor Name

Initials

Date Completed

Data Manager

Robert Morgan
Data Manager Name

Initials

Date Completed

EBE Control #
Item Manager

Tanya McCall
Item Manager Name

801-586-9098
Phone #

EBHJ

Select Branch:

STATEMENTS REQUIRED ON THIS PURCHASE REQUEST/MILITARY INTERDEPARTMENTAL PURCHASE

REQUEST (PR/MIPR)

“AIRMUNITIONS SPECIFICATION” February 6 2024

IM: Tanya McCall

PR/MIPR# FD2020- 24-52553

Please initial each item. If you want the statement on the PR/MIPR, initial “YES”! If you do not want the statement on the PR/MIPR, initial “NO”! Please ensure all PRs and MIPRs containing Foreign Military Sales (FMS) requirements are coordinated with the appropriate Case Funded Country Program Manager. OPR

YES

TRANS

TM

IM

TM

IM

TM

NO

STATEMENTS (Information for “Airmunitions Specification”) Note: Blocks shown on right of CDRLs are for DM use only – “☐“

The contractor shall provide an advanced Report of Shipment (REPSHIP) to the consignee no later than 24 hours prior to the shipment arrival, and for ammunition shipments no later than two hours after shipment departure. A (REPSHIP) shall include all the following data in accordance with ATTACHMENT 1.
CDRL Required
CDRL Not Required

CDRL (DI-SESS-82098)

Contractor shall contact their nearest Defense Contract Management Agency (DCMA) Office for transportation guidance and assistance for all Foreign Military Sales (FMS) deliveries prior