FATR

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT

A. CONTRACT LINE ITEM NO.

0001AA

D.SYSTEM/ITEM

1. DATA ITEM NO.

AOOl

SD

is.APP CODE

Dl-NDTI-80809B

9. DIST STATEMENT

REQUIRED

/A

B

16. REMARKS

□

D™

TOP

3. SUBTITl.E

5. CONTRACT REFERENCE

10. FREQUENCY

INPUT CONTRACT H

11. AS OF DATE

Per contract reqs

C8J OTHER Procurement

F. CONTRACTOR

FD20202600435-00

2.. TITl.E OF DATA ITEM

Test/Inspection Repons

C.CATEGORY:

A

E. CONTRACT/PR NO.
I

First Article

14. AUTHORITY (Data Acquisition Documenl No.)

7. DD250 REQ

B

Government Testing

12.. DATE OF FIRST SUBMISSION

Per contract re,qs

13. DATE OF SUBSEQUENT

SUBMISSION

NIA

IBLOCK 4:

!Contractor format acceptable. Paragraph 10.23.3 ofDI-NDTI-80809B is clarified as follows: a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column with lthe actual corresponding reading obtained from the inspection of the pans listed in another column. b. Materials utilized in the manufacture of the FIRST ARTICLE item shall be identified and certified !along with a copy of material purchase requests as conforming to applicable data requirements. c. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, ianodize, painting, etc.) utilized in the manufacture of the FIRST ARTICLE item shall be identified and !Certified as conforming to applicable requirements. A copy of the purchase order certifying the process iaccomplished at other than contractor facility shall be included. cl Other requirements (as necessary) as called out within the Technical Data Package.

�7. PRICE GROUP

SP

6. REQUIRING OFACE

14. DISTRIBl/TION

417 SCMS

a. ADDRESSEE

Draft

f82029

�09 MXSS/MXDEB

IBldg. 849 Attn:

�8.ESTIMATED

TOTAL PRICE

b.COPIES

Final

Reg

0.00

Repro

INon Accountable Bay

Hill AFB, UT
�056-5713

IBLOCK 9:

IDistnlrution authorized to U.S. Government Agencies only, test and evaluation, 1 March 2024. Other !requests for this document shall be referred to 417 SCMS.

!BLOCKS 10, 11, 12, and 13:
!Report to assist in the FIRST ARTICLE testing by the Government shall be submitted concurrently with ithe FIRST ARTICLE item. Subject test report shall be included in FIRST ARTICLE asset container.

IFOB:

IDESTINATIO

IINSPECTIO /ACCEPTANCE:

IDESTINATIO

G. PREPARED BY

!Lori Grygier

iLeadIM,417 SCMS/GUMD

DD FORM 1423, FEB 2024

I
Show Attachment Bar

H. SIGNED ON 20240308

add continuation

15.TOTAL

I. APPROVED BY

Brad Martin
GRYGIER.LORID .._...,�,..,
EBBIE..1231508100 ... __,..,..,._,:.•• Principal Engineer, 417 SCMS/GUEA

UNCLASSIFIED [:]

PREVIOUS EDITION MAY BE USED.