Af Imt 3000 Material Approval Submittal
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2Form Approved
MATERIAL APPROVAL SUBMITTAL
OMB No 9000-0062
(See Instructions on Reverse)
Expires May 31, 2005
Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington
DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to: SAF/AQCP, 1060 Air Force Pentagon, Washington DC 20330-1060.
TO: (Contracting Officer)
FROM: (Contractor)
DATE
(YYYYMMDD)
CONTRACT NUMBER
SUBMISSION NUMBER
SUBMITTAL
NEW
RESUBMITTAL
PREVIOUS SUBMISSION NUMBER
PROJECT NUMBER
TO BE COMPLETED BY CONTRACTOR
FOR GOVERNMENT USE ONLY
ITEM
SPECIFICATION SECTION/
DESCRIPTION OF MATERIAL
AP-
DISAP-
SEE
REVERSE INITIAL
PROVED
PROVED
NO.
PARA NO./DRAWING NO.
(Include Type, Model Number, Catalog Number, Mfg., etc.)
BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT
THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.
DATE
(YYYYMMDD)
TYPE OR PRINT NAME AND TITLE
SIGNATURE
FOR GOVERNMENT USE ONLY
TO: (Base Civil Engineering Officer)
For Evaluation and Action
DATE
(YYYYMMDD)
TYPE OR PRINT NAME AND GRADE
SIGNATURE
TO: (AF Contracting Office)
RECOMMEND
APPROVAL
DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE
DATE
(YYYYMMDD)
TYPE OR PRINT NAME AND GRADE
SIGNATURE
TO: (Contractor)
DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. REQUEST
APPROVED
RESUBMITTAL ON DISAPPROVED ITEMS WITHIN
DAYS OF DATE SHOWN BELOW.
DATE
(YYYYMMDD)
TYPE OR PRINT NAME AND GRADE
SIGNATURE
AF IMT 3000, 20030901, V1
PREVIOUS EDITION IS OBSOLETE.
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