Contract Data Requirements List - A009

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.
TBD

C. CATEGORY:

B. EXHIBIT

A

TDP

OTHER NDTI

TM

D. SYSTEM/ITEM

E. CONTRACT/PR NO.
Vandenberg Building 9320 Hoist/Crane Replacement
TBD

F. CONTRACTOR

1. DATA ITEM NO.

3. SUBTITLE

TBD

2. TITLE OF DATA ITEM

A009

17. PRICE GROUP

Nondestructive Examination (NDE) Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

7. DD 250 REQ

LT

10. FREQUENCY

A

11. AS OF DATE

N/A

6. REQUIRING OFFICE

SOW Paragraph 3.12.2

9. DIST STATEMENT

REQUIRED

8. APP CODE

NSP

5. CONTRACT REFERENCE

309 MXSG/MASO

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

1/TIME

N/A

18. ESTIMATED

TOTAL PRICE

13. DATE OF SUBSEQUENT

SUBMISSION

0.00

b. COPIES

Block 16

a. ADDRESSEE

Draft

N/A

Final
Reg

Repro

16. REMARKS

(9) DISTRIBUTION STATEMENT A: Approved for public release. Distribution is unlimited.
(12) Due 30 calendar days prior to scheduled proof load testing; resubmittal only if required to correct deficiencies identified during Government review.
(14) One (1) copy of each submittal shall be provided electronically to each addressee in block 16 in Microsoft Office compatible format.
Submit electronically per SOW 3.12.2. The plan shall detail NDE test methods, coverage areas, and pass/ fail criteria. NDE results shall be included in the final test report. Addressees:
Alan Taylor 309 MMXG - EN
[email protected]
DSN: 586-9298

COMM: 801-586-9298

Mason Figueroa 309 MXSS/MXDVAAC
[email protected]
DSN: 777-2545

COMM: 801-777-2545

Shane Weston MXSG/MXDEQ
[email protected]
DSN: 586-8624

COMM: 801-586-8624

John Pedri 309 MXSG - COR
[email protected]
DSN: 775-6122

COMM: 801-775-6122

15.TOTAL

G. PREPARED BY

H. SIGNATURE

I. APPROVED BY

J. SIGNATURE

Paulette Johnson

DD FORM 1423, FEB 2024

UNCLASSIFIED

PREVIOUS EDITION MAY BE USED.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.