Attachment 5: ADC MASTER Rev 16

CAD/PAD AMMUNITION DATA CARD MASTER (Rev 16)

13 June 2023

* * * * AMMUNITION DATA CARD * * * *

NSN: 1377009991212 M009 [NSN and DODIC with no dashes.] Nomenclature: CARTRIDGE IMPULSE, MK 99 MOD 1 [Include model; if applicable; see Contract Section B.] Lot Number: PQP06A001-008 [In accordance with MIL-STD-1168; see Contract Section D.] Contractor: PROVEN QUALITY PRODUCTS INC.
Net Quantity: 2722 [Qty less LAT, investigative (retains), and rejects. Overage units are included. For FAT lots, put “N/A” or “0.”] Packing: SPI 01-0633165H [List SPI or DWG, if applicable, otherwise a brief description; see Contract Section D] Contract/Order Num: N0010406CK999 [Prime contact number with no dashes. See REMARKS for IDIQ contract guidance.] Purchase Order Num: [Subcontractor purchase order number from the prime; if applicable.] Drawing Number: 951AS111 [Use Government number; if none use contractor P/N; see Contract Section B] Drawing Tab: *
Drawing Rev: B [If none, put “NR” for no revision.]
Spec Num: MIL-DTL-99999 [If none, then add approved ATP.] Spec Rev: C [If none, then add revision of approved ATP.] Spec Amend: 1 [If none, put “N/A”]
Date Started: 01/01/2006 [Format: MM/DD/YYYY. Month must match month letter in lot no. Date production started.] Date Completed: 04/20/2006 [Format: MM/DD/YYYY. Date lot was completed.] Date Inspected: 05/01/2006 [Format: MM/DD/YYYY. Date lot presented to DCMA QAR for inspection.] Line: *
Zone Weight: *
Charge Weight: 0.000260 [If end item contains propellant, enter total weight in pounds for a single unit.] Index of Powder: *
Max Pack Depth (US): *
Max Pack Depth (Metric): *
Prod Pack Depth: *
Net Explosive Wt (US): .00106 [Net explosive weight (in pounds) of a single unit; see contract Section D] Net Explosive Wt (Metric): .000481 [Net explosive weight in kilograms of a single unit.] Test Samp: 47 [Total number of LAT or FAT samples including investigative samples (retains).] Test Site: 4 [Test activity code where LAT or FAT is conducted; dropdown menu option.] TS Date Shipped: ** 1/11/2018 [Format: MM/DD/YYYY]
TS Mode Shipped: FEDEX [Method of Shipment]
UN Proper Shipping Name: CARTRIDGE, POWER DEVICE [See Contract Section D.] Hazard Class: 1.4C [See Contract Section D.]
Gov’t QA Activity: 039 [DCMA activity code found in WARP Manual page 58-61] Disposition: PA [PA – Pending Acceptance for LAT/FAT, AC – Accepted Lot (from NAVSUP Approval Letter)] Date Signed: 06/25/2006 [Format: MM/DD/YYYY. Date Signed by Government Inspector.]