Encl Contract Data Requirements List A001 - Test Report

UNCLASSIFIED

(Updated 20250617)

CONTRACT DATA REQUIREMENTS LIST

A. CONTRACT LINE ITEM NO.
TBD

A

D. SYSTEM/ITEM

IM-272A/WDQ Air Particle Detector
1. DATA ITEM NO.

A001

C. CATEGORY:

B. EXHIBIT

8. APP CODE

F. CONTRACTOR

TBD

3. SUBTITLE

Test/Inspection Reports

IM-272A/WDQ Test Reports

5. CONTRACT REFERENCE

DI-NDTI-80809B

LT

OTHER NDTI

TM

2. TITLE OF DATA ITEM

4. AUTHORITY (Data Acquisition Document No.)

7. DD 250 REQ

TDP

E. CONTRACT/PR NO.
TBD

6. REQUIRING OFFICE

PWS 3.1.5, 3.2.3

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

C (See Block 16)

11. AS OF DATE

A (See Block 16)

17. PRICE GROUP

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

ASREQ (See Block 16)
N/A

18. ESTIMATED

TOTAL PRICE

NAVSEA 04RD

b. COPIES

ASREQ (See Block 16)

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Final
Draft

ASREQ (See Block 16)
NSWCCD Code 631

16. REMARKS

Reg

Repro

Block 8: The draft test report shall be delivered 60 days after completion of testing. The Government will provide comments on the draft test report within 60 days after receipt of the draft. The Contractor shall incorporate comments and deliver the final test report no later than 30 days after receipt of Government comments. The Government will accept or reject the test report no later than 60 days after final submittal. Block 9: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors; Administrative/Operational Use: November 2025. Other requests for this document shall be referred to Naval Sea Systems Command (NAVSEA 04RD).
Information produced for this CDRL shall be considered Controlled Unclassified Information (CUI). In accordance with the DoD phased CUI Program implementation, all documents carry CUI markings in accordance with 5200.48 - Controlled Unclassified Information (CUI). Block 10, 12, and 13: The final test report shall be delivered within 150 days after completion of testing. Block 14: Media Requirement: Test reports shall be submitted electronically in Adobe PDF format as attachments to the TPOCs identified in the contract.

add continuation

G. PREPARED BY

H. SIGNATURE

Adrienne Capil

signed by
CAPIL.ADRIENN Digitally

CAPIL.ADRIENNE.J.1173329900

Connie Hall
E.J.1173329900 Date: 2026.06.18 12:37:46 -04'00'

DD FORM 1423, FEB 2024

Show Attachment Bar

I. APPROVED BY

UNCLASSIFIED

PREVIOUS EDITION MAY BE USED.

15.TOTAL

J. SIGNATURE

+

-

signed by
HALL.CONNIE.A Digitally

HALL.CONNIE.A.1229341851

Date: 2026.08.06 08:16:56 -04'00'
.1229341851

(Updated 20250617)

INSTRUCTIONS FOR COMPLETING DD FORM 1423