INDEX PAGE ITEM NAME CI NO. PART NUMBER CAGE CODE SERIAL NO. Flight Hardware Ground Support Equipment DOCUMENTS INCLUDED IN THIS DATA PACKAGE NONE SECTION INDEX INCLUDED I DD FORM 250/1149 OR EQUIVALENT HISTORICAL LOG/NOTES/COMMENTS II WAIVER/DEVIATIONS III UNEXPLAINED ANOMALIES IV V SHORTAGES VI UNPLANNED/DEFERRED WORK PREPLANNED/ASSIGNED WORK VII IDENTIFICATION - AS-DESIGNED/AS-BUILT LISTING VIII IX OPERATING TIME/CYCLE X AGE SENSITIVE/TIME ACTION ITEMS XI NON-STANDARD CALIBRATION DATA REPAIR LIMITATIONS DATA XII PRESSURE VESSEL DATA XIII XIV PYROTECHNIC DATA XV NONFLIGHT HARDWARE/TEMPORARY INSTALLATIONS XVI CERTIFICATIONS MSDS XVII __________________________________________________________________________________________________________________ ACCEPTANCE DATA PACKAGE APPROVAL _____________________________________ _________________ SUPPLIER QUALITY DATE _____________________________________ _________________ BOEING QUALITY DATE _____________________________________ _________________ GOVERNMENT QUALITY DATE
INDEX PAGE ITEM NAME CI NO. PART NUMBER CAGE CODE SERIAL NO. Flight Hardware Ground Support Equipment DOCUMENTS INCLUDED IN THIS DATA PACKAGE INCLUDED NONE SECTION INDEX I DD FORM 250/1149 OR EQUIVALENT II HISTORICAL LOG/NOTES/COMMENTS III WAIVER/DEVIATIONS IV UNEXPLAINED ANOMALIES V SHORTAGES VI UNPLANNED/DEFERRED WORK VII PREPLANNED/ASSIGNED WORK VIII IDENTIFICATION - AS-DESIGNED/AS-BUILT LISTING IX OPERATING TIME/CYCLE X AGE SENSITIVE/TIME ACTION ITEMS XI NON-STANDARD CALIBRATION DATA XII REPAIR LIMITATIONS DATA XIII PRESSURE VESSEL DATA XIV PYROTECHNIC DATA XV NONFLIGHT HARDWARE/TEMPORARY INSTALLATIONS XVI CERTIFICATIONS XVII MSDS __________________________________________________________________________________________________________________ ACCEPTANCE DATA PACKAGE APPROVAL _____________________________________ _________________ SUPPLIER QUALITY DATE _____________________________________ _________________ BOEING QUALITY DATE _____________________________________ _________________ GOVERNMENT QUALITY DATE
ADP_Template_Rev_A_10-14-15.docx