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 Revision 1 dated August 2021 

DLA TROOP SUPPORT 

CLOTHING & TEXTILES 

ADDITIONAL QUALITY

ASSURANCE REQUIREMENTS

(formerly 4155.3) 

DLA-Troop Support, 700 Robbins Ave, Philadelphia, PA 19111-5096

Distribution statement A. Approved for public release: distribution unlimited.

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TABLE OF CONTENTS

1. GENERAL REQUIREMENTS Pages 6-9

1.1. Contractor’s Obligation to Obtain TechnicalData

1.2. Contractor’s Obligation for Testing

1.3. Quality System Requirements

1.3.1. Standard Inspection Clause

1.3.2. Higher Level Inspection Contract QualityClause

1.4. Product Demonstration Models(PDMs)

1.5. First Article

1.6. Production Testing

1.6.1. Identification of Testing Sites

1.6.2. Certification of Testing Sites

1.6.2.1. Approval

1.6.2.2. Disapproval

1.7. Government Furnished Material

1.8. Government Furnished Equipment

1.9. Government Furnished Property

1.10. Toxicity Requirements

2. INSPECTION REQUIREMENTS Pages 10-13

2.1. Lot Formation

2.1.1. Fabric Lot

2.1.1.1 Physical Testing Sampling Plan 

2.1.2. Component Lot

2.1.3. Manufactured End Item Lot

2.1.3.1. Treated End Item Lot

2.1.3.2. Combined Manufactured Lots in TreatedLot

2.1.3.3. Multiple Treated Lots from a ManufacturedLot

2.2. Lot Numbering
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TABLE OF CONTENTS, CONTINUED

2.2.1. Serialization 

2.2.2. Traceability 

2.3. Lot Integrity

2.4. Presentation of Lots

2.4.1. Quality Assurance

2.4.2. Side-by-Side Sampling

2.4.3. ANSI ACQ Z 1.4 (SwitchingRules)

3. QUALITY TESTING REQUIREMENTS Pages 13-20

3.1. Certified Test Reports

3.1.1. Completion of DD Form 1222

3.1.1.1. Multiple Contractors

3.1.2. Test Report Data

3.1.3. Certificate of Compliance (CoC) Submission

3.2. Government Acceptance Testing

3.2.1. Shade Evaluation

3.2.1.1. Sampling

3.2.1.2. Submission

3.2.1.3. Shipment of Shade EvaluationLots

3.2.1.4. No Shade Clause inContract

3.2.2. Near Infrared Reflectance (nIR)

3.2.3. Production Lot Testing

3.2.4. Verification Testing

3.3. Government Contractor Testing

3.3.1. Notification

3.3.2. Contractor Furnished Material (CFM)

3.3.3. Defective Government Furnished Material

3.3.4. Correlation Testing
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TABLE OF CONTENTS, CONTINUED

3.4. Non-Conforming Material

3.4.1. Waiver Process

3.4.1.1. Resubmitted Lots

3.4.1.2. Tightened Inspection

3.4.2. Corrective Action Plan CAP Process

4. FINAL EXAMINATION Page 20-21

4.1. Contractor’s Obligation for Examination

4.2. Presentation of End Item Lots

4.3. Product Acceptance and Release

5. FORMS Page 21-40

5.1. DLA Form 6005 Laboratory Testing Capabilities Survey

5.2. DD Form 1222 for Source Sampling

5.3. DD Form 1222 for Shade

5.4. DD Form 250 Material Inspection and ReceivingReport

5.5. DLA Form 6004 Clothing & Textiles Laboratory Test Report and Instructions

5.6. Lab Report Sample

5.7. Letter of Exception for DCMA Stamps

5.8. Certificate of Compliance

5.9. DLA Form 506 Certificate of Deficient Government Furnished Material

5.10. DD Form 1694 Waiver Request

5.11. DD Form 1222 for Correlation Testing

5.12. Instructions for Submitting a DD Form 1222

6. REFERENCES Page 41

7. GLOSSARY OF ACRONYMS Page 42

8. ANNEX A Page 43-45
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1. GENERALREQUIREMENTS

1.1. Contractor’s Obligation to Obtain Technical Data. Offeror shall submit requestfor 

any technical data by utilizing the C&T portal; see Internet Resources for more information.

1.2. Contractor’s Obligation for Testing. The prime contractor is responsible to ensure

all tests are performed as required by the contract. Testing shall take place on every lot of each 

contractor furnished material, or each shipment or lot of end items as applicable. Testing shall 

be performed by an authorized test facility as disclosed and cited on the active contract.

1.3. Quality System Requirements. The extent of contract quality requirements, including 

contractor inspection, required under a contract is based upon the classification of the contract 

item as determined by its technical description, its complexity, and the criticality of its 

application.

(a) Technical description.

(1) Commercial, per FAR 2.101 definition of commercial items.

(2) Military-Federal, all other items that do not meet the FAR 2.101 definition of 

commercial items.

(b) Complexity.

(1) Complex items have quality characteristics, not wholly visible in the end item, 

for which contractual conformance must be established progressively through precise 

measurements, tests, and controls applied during purchasing, manufacturing, 

performance, assembly, and functional operation either as an individual item or in 

conjunction with other items.

(2) Noncomplex items have quality characteristics for which simple measurement 

and test of the end item are sufficient to determine conformance to contract

requirements.

(c) Criticality.

(1) A critical application item, which includes critical safety items, is any item 

containing a critical characteristic whose failure, malfunction, or absence may cause a 

catastrophic or critical failure resulting in loss or serious damage to a weapon or end 

item, unacceptable risk of personal injury, loss of life, or jeopardize a vital agency 

mission.

(2) A noncritical application is any other application.

1.3.1. Standard Inspection Clause FAR 52.246-2 requires the contractor to 1) 

provide and maintain an inspection system that is acceptable to the Government; 2)Give 

the Government the right to make inspections and tests while work is in process; and 3) 

Require the contractor to keep complete, and make available to the Government, records 

of its inspection work. Refer to FAR clause for the complete text.
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1.3.2. Higher Level Contract Quality Clause FAR 52.246-11 requires the 

contractor to include applicable requirements of the higher-level quality standard(s) and 

the requirement to flow down such standards, as applicable, to lower-tier subcontracts,in

(a) Any subcontract for critical and complex items 

or

(b) When the technical requirements of a subcontract require:

(1) Control of such things as design, work operations, in-process 

control, testing, and inspection

or

(2) Attention to such factors as organization, planning, work instructions, 

documentation control, and advanced metrology.

Refer to the FAR clause for the complete text.

1.4. Product Demonstration Models. Product Demonstration Models (PDMs) are 

sample(s) of the item required by the solicitation that are submitted as part of an offeror's 

technical proposal. The PDM permits examination of the offered item for the purpose of 

determining quality of workmanship and conformance to performance requirements. It also 

affords technical evaluators an opportunity to observe specific features or alternative approaches. 

Contractors should request the most recent revision of the specification PD/patterns through the 

C&T portal. See Internet Resources for web address.

Offeror shall review PDM evaluation criteria stated in the solicitation to ensure 

compliance. Prior to PDM submittal, if an offeror has a question or notices a discrepancy in the 

technical requirements between the written documentation and the pattern, or a drawing, or 

between two written requirements, or any other component of the technical data package, they 

should contact the contracting officer for resolution.

The PDM shall be an exact match to all the specific requirements in the contract and 

technical data and shall be in strict accordance with the government provided pattern with no 

deviations in design or manufacturing processes. Deviations from the pattern or technical 

documents will put the contractor at risk for an unfavorable PDM rating.

Offerors must write a letter that accompanies their PDM submission when an alternate 

material is used during the construction of the PDM. If no letter is provided, and alternate 

materials are used during the construction of the PDM, the technical evaluation may be 

adversely affected as the evaluator may not be able to determine if the offeror understands what 

materials are required.

Offerors must select potential suppliers of the component materials that are Berry 

compliant and have supporting documentation. See Internet Resources for more information. The 

Offeror is responsible to ensure that offers reach the Government office designated in the 

solicitation on time. Successful awardees shall review PDM comments and take corrective 

actions as required prior to production.
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1.5. First Article. First Article Testing (FAT) is the testing of items submitted by a

contractor prior to regular production on a contract or purchase order, followed by the 

preparation and evaluation of test reports. The purpose of FAT and approval is to ensure that the 

contractor can furnish a product that meets the contract's technical and quality assurance 

requirements, and therefore minimizes the risks for both the contractor and the Government. 

When a First Article is required, the contractor’s notification letter must be submitted to the

Procuring Contracting Officer with a copy submitted to the cognizant quality assurance element 

of the Contract Administration Office. Contracts requiring a First Article shall specify quantity 

of samples required, testing requirements, and the test location/laboratory the First Article shall 

be submitted.

Approval of the First Article does not relieve the contractor from meeting any of the

contract requirements. Change to the manufacturer’s design, materials, process, or place of 

performance may require a new First Article to be submitted for evaluation of either the full 

range of requirements or a limited number as determined by the Contracting Officer in

conjunction with the Product Specialist and Engineering Support Activity. 

1.6. Production Testing. Production may not commence until authorized by the 

Contracting Officer. Production Testing occurs after First Article Testing has passed and/or 

production has been authorized in writing by the Contracting Officer. If not previously

identified, the contractor must utilize an approved laboratory for testing as outlined below in 

section 1.6.1. If End Item and Component Lots are required by the contract to be presented to 

the Government prior to acceptance, the vendor will notify DLA Troop Support that an End 

Item or Component Lot is available for Production Testing. The entire lot must be complete and 

made available to the Government on the date stated for inspection. If a lot is incomplete or 

partially unavailable, the Government will not perform inspection of the lot. (See section 2.1 for 

more information on Lot Formation). Testing shall be in accordance with contract requirements.

1.6.1. Identification of Testing Sites. Unless the contract mandates a Government 

laboratory be used to conduct testing, the prime contractor shall identify all testing sites 

that will perform any test required by the terms of the contract, including end item 

testing, in accordance with contract clause “Identification of Qualified Laboratory and 

Source Sampling”. Any laboratory proposed by the contractor is subject to the approval 

of the contracting officer. Testing facilities shall be subject to on-site witnessing of 

testing by the Government. The use of a laboratory previously approved by the 

Government is not a guarantee that testing will be performed properly, nor does it relieve 

a contractor from the contractual obligation to present conforming supplies accompanied 

by true, accurate, and valid test results.

1.6.2. Certification of Testing Sites. The prime contractor shall identify a 

technical point of contact for the testing site and provide current contact information. The 

prime contractor should alert the technical point of contact that the certification process 

has begun. A current ISO 17025 accreditation whose scope encompasses the contractual 

testing or equivalent will be accepted.
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In the absence of an appropriate ISO 17025 accreditation, the DLA Product Test 

Center (DLA-PTC) will compare all required testing in the contract to the commercial lab 

capability. If the testing facility is new and/or unknown to the DLA-PTC, a lab 

certification survey (DLA Form 6005, see section 5.1) will be provided for submission.

If the DLA-PTC has a lab survey on file that is less than 3 years old, that survey 

will be used for the initial evaluation. The DLA-PTC may ask for additional information 

or clarifications. If the laboratory survey on file is over 3 years old, a new form will be 

sent out for the testing facility to fill out. During the course of a contract, the laboratory 

may be asked to fill out another lab survey when the original survey becomes older than 3 

years.

Note: The Qualified Laboratories List (QLL) previously maintained by DPSC has been 

canceled. No testing facility should refer to their previously issued QLL number.

1.6.2.1. Approval. If the testing facility and its named subcontractors

meet the capability of the required testing, the DLA-PTC will notify the DLA 

Troop Support Product Specialist. Once approved by contracting, the testing 

facility becomes the Place of Performance and is placed in the contract.

1.6.2.2. Disapproval. If a testing facility does not meet the testing 

capability as per the specifications, the prime contractor is asked to submit 

another laboratory, and the process starts anew.

1.7. Government Furnished Material. Government Furnished Material (GFM) is

material purchased and owned by the Government and is provided by the Government to a 

contractor for use in the performance of a contract. The contractor who has received the GFM 

from the Government is not required to test the GFM. The contractor is however required to 

notify the Government if they suspect or have determined that the GFM provided is deficient. 

See paragraph 3.3.3 Defective Government Furnished Material for more information.

1.8. Government Furnished Equipment. Government Furnished Equipment (GFE) is 

equipment purchased and owned by the Government and is provided by the Government to a 

contractor for use in the performance of a contract.

1.9. Government Furnished Property. Government Furnished Property (GFP) is property 

purchased and owned by the Government and is provided by the Government to a contractor for 

use in the performance of a contract.

1.10. Toxicity Requirements. The contractor is responsible and must assure that all 

components are made from non-toxic materials. The Government reserves the right to verify that 

components are non-toxic in accordance with the following:

a. Title 40 Code of Federal regulations, current Edition and applicable sections.

b. As an alternative to animal and human testing, the contractor may provide information 

which certifies that components are composed of chemicals and/or materials which 

have been safely used commercially were prolonged skin contact has occurred.
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2. INSPECTION REQUIREMENTS 

2.1. Lot Formation. A Government Inspection Lot is a grouping of completed items or 

material from one continuous production run. The lot shall be of a set quantity from which the 

required test samples shall be randomly selected by a Government Quality Assurance Specialist 

(DCMA QAS), or Supplier’s Source Sampling Representative, as applicable. The contractor 

will consolidate to the maximum extent possible separate component shipments of the same 

production lot to preclude multiple sampling and testing of the same lot by the contractor or 

Government laboratories. Prime Contractors are required to maintain applicable records for 

each lot of their own production and to be able to produce records representing the treatment 

process for each lot of their subcontractors. Complete traceability shall be maintained for two 

years following delivery of the final lot of supplies. See ANSI Z1.4 for more information on lot 

formation.

2.1.1. Fabric Lot. Government lots shall be homogeneous production runs of 

material consisting of the same print and type of fabric, manufactured under the same 

conditions, from which the required testing samples are to be randomly selected. The 

original lot size and sample size shall be indicated on the test report and DD Form1222 

(see sections 5.2 and 5.3). Partial (incremental) shipments are permitted by the supplier 

after the lot has been sampled, but the test report shall not be adjusted to reflect partial 

shipments.

 2.1.1.1. Physical Testing Sampling Plan. If not otherwise specified in 

the contract or specification, sampling for finished cloth testing shall be 

performed in accordance with the table below. Unless otherwise specified in 

the contract or specification, the sample unit shall be 5 continuous yards full

width of the finished cloth per roll of cloth. 

Lot size (yards) Sample Size (sample units)

800 or less 2

801 up to and including 22,000 3

22,001 and over 5

2.1.2. Component Lot. Government lots shall be homogenous production runs 

from which the required testing samples are randomly selected. The original lot size and 

sample size shall be indicated on the test report and DD Form 1222. Partial(incremental) 

shipments are permitted by the supplier after the lot has been sampled, but the test report 

shall not be adjusted to reflect partialshipments.

2.1.3. Manufacturing End Item Lot. Manufacturing Lots shall be comprised of 

end items possessing the same print, type of fabric, and style assembled into an 

identifiable stationary lot from which samples are randomly selected by the Government 
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Quality Assurance Specialist (DCMA QAS) in accordance with contract requirements 

for the purpose of Government inspection and acceptance. For end item testing, all tests 

shall be based on a definitive lot amount, and the test results and report shall apply 

solely to this amount. The lot formed for end item testing will correspond in quantity to 

the lot formed for end item examination and acceptance under DD Form 250 

(see section 5.4). For end item testing of metallic heraldic items and embroidered 

insignia, the procedures for Component Lot, above, are to be followed.

2.1.3.1. Treated End Item Lot. A “Treated Lot” size may differ from 

the “Manufacturing Lot” size. Test results and full traceability must be 

maintained in association with each lot. Treated Lots shall be a completed

production run comprised of a fixed quantity of end items possessing the same 

print, type of fabric, and style treated under the same conditions at the same time. 

Samples for all Government Source Sampling Testing or inspection shall be 

pulled by the Government QAS from the completed Manufacturing Lot 

(or a partial quantity of the completed Manufacturing Lot, as described below) 

which has been assembled for final presentation to the Government.

2.1.3.2. Combining Manufacturing Lots in Treated Lot. Multiple 

completed Manufacturing Lots may be combined into a single Treated Lot as long 

as the garments being treated have the same print, type of fabric and garment 

style. Each Manufacturing Lot shall be independently counted for Government 

Source Sampling Testing purposes.

2.1.3.3. Multiple Treated Lots from a Manufacturing Lot. A single 

Manufacturing Lot may be treated in different Treated Lots. While the splitting

of Manufacturing Lots should be minimized as much as possible, when a single 

Manufacturing Lot is too large to be treated as one Treated Lot, it may be 

treated in more than one Treated Lot. In this event, each Treated Lot is sampled 

individually for Government Source Sampling Testing purposes.

2.2. Lot Numbering. The contactor prior to presentation of each lot of finished items for 

Government acceptance, shall stamp legibly with indelible ink the Government lot number on 

each item and outer container in the lot except as provided hereafter, for specific items. For 

items within FSCs 8345 and 8455 Government lot numbers shall only be stamped on the 

intermediate and exterior packs. Discovery of illegible, incorrect, altered or missing lot numbers 

may result in rejection of the lot. The acceptance criteria for both contactor end item 

examination and Government examination on lot numbering errors shall be as follows: 

Sample Size Illegible/Incorrect/Altered/Missing Acceptance Numbers 

32 or less 0 0

33 - 50 0 1

51 - 80 1 2

81 - 125 2 3
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126 - 200 3 5

201 - 315 5 7

316 - 500 7 10

501 - 800 10 14

801 - 1250 14 21

The marking will be designed to prohibit alteration or over stamping without visual evidence of 

this change. The following marking is acceptable: 

 01 -6- (8) 4M

A single digit by itself or a single vertical line is unacceptable since this can be easily changed. The 

lot number on an item/container will not be altered without knowledge and approval of the 

procurement activity. Should the entire contract quantity be presented for acceptance in a single 

lot, this lot numbering requirement is not applicable. 

2.2.1. Serialization. When required, serialization of items within an End Item 

Lot shall enable Traceability to the raw materials used to produce the end item. The 

contractor is required to maintain records and the government reserves the right to 

request this information at any time. Individual serial numbers shall be assigned by the 

manufacturer. Serialization shall be by a block of consecutive numbers to cover the 

entire acquisition document quantity.

2.2.2. Traceability. The contractor shall maintain Traceability Records for all end 

items and component parts used to manufacture the End Item Product. For component 

parts purchased separately from the End Item Product, all Component Parts Lot 

Identification shall be traceable via the Component Part Lot Number. Component Part 

Lot Information shall enable Traceability to the raw materials used in the component 

part and/or the End Item Product. Traceability information shall also enable the 

manufacturer to determine the date of manufacture for the End Item Product and 

component parts. Each End Item Lot shall consist of one size, type, design, and color 

item. Further constraints to the number of Component Lots used within an End Item Lot 

may apply; refer to the contract for additional information.

2.3. Lot Integrity. The prime contractor will require the textile fabric supplier to present 

to the Supplier’s Source Sampling Representative the complete lot for shipment, a set of tally 

sheets by shipment listing case numbers, roll numbers and yardage of each roll, and a swatch 

(header) from each roll, with roll and case numbers identified on each swatch. The Supplier’s 

Source Sampling Representative will verify the integrity of the headers and roll numbers with 

the tally sheets by comparing the shade of the test samples selected for verification to the 

corresponding header. The QAS at the prime contractor’s facility will verify the integrity of the 

Component Lots by matching shipping documents with tally sheets and by comparing the

shade of at least 1% of rolls received with swatches received from Set B (see section 3.2.1.1 for 

more information) submitted by the Supplier’s Source Sampling Representative. Samples of a 
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questionable match will be sent to the DLA Product Test Center with DD Form 1222 Marked 

“Evaluated for Lot Integrity.”

 2.4. Presentation of Lots. Whenever the contractor presents an examination record to the 

Government Quality Assurance Specialist (DCMA QAS), the lot of items represented by the 

examination record shall be assembled into an identifiable, stationary lot so that the QAS may 

draw samples to verify the contractor’s examination results. The QAS also verifies that vendor 

sent notice of lot presentation if required. If the appropriate lot presentation notice was notsent, 

sampling may be delayed. Samples shall be selected, stamped, and signed off by the source QAS, 

refer to 5.7 to requirements for QAS stamps for Clothing and Textile items.

2.4.1. Quality Assurance. Contractors are responsible for the quality of the items 

submitted to the government for inspection. Government Production Lot 

Inspection shall not replace a contractor’s own testing or quality assurance 

requirements.

2.4.2. Side-by-Side Sampling. Side-by-side sampling is not automatic. It is only 

required if directed by the DLA-PTC or if officially notified (via QALI, modification or 

as annotated on DLA Form 6004 (see section 5.5)) by the DLA Troop SupportProduct 

Specialist. When side-by-side sampling is applicable, the QAS will draw “side-by-side” 

samples and forward them to the DLA-PTC for testing along with their DD Form 1222 

documentation.

2.4.3. ANSI ACQ Z1.4 (Switching Rules). Unless otherwise citedin the contract, 

production lot sampling and testing shall follow requirements stated within ANSI ACQ 

Z1.4. Alternative Release Procedures are prohibited unless prior approval is granted by

DLA.

3. QUALITY TESTING REQUIREMENTS

3.1. Certified Test Reports. Test reports shall be signed and certified by the testing 

facility, accompanied with a DD Form 1222 and emailed to the Government for evaluation to

the following address: paactlab@dla.mil.

The test report presented to the Government shall be not older than ninety (90) calendar 

days. A separate report shall be provided from each test facility when a single lot of material, 

components, or end items is tested by more than one test facility for different characteristics. 

These separate reports may be combined and submitted with a single DD Form 1222. All 

certifications made under the contract are covered by a statutory provision regarding false 

statements, U.S.C. Title 18, Section 1001, which provides a fine of not more than $10,000 or 

imprisonment for not more than five (5) years, or both. See Section 5.6, End Item Test Report 

Example.

3.1.1. Completion of DD Form 1222. Each certified test report shall be 

accompanied by a DD Form 1222. The DD Form 1222 must be signed, stamped

and dated by the QAS in box 15 (see DCMA policy memorandum in section 5.7).
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The DD Form 1222 Section A is required to be filled out in its entirety. For routine 

shade or physical testing of fabric lots, Government sampling is not required. The 

DD Form 1222 for routine shade or physical testing of fabric lots shall be signed 

and dated by the Supplier’s Source Sampling representative in Box 15. Incomplete 

DD Form 1222s will be returned to the contractor. Section B of the DD Form 1222 

will be reserved for use by the DLA Product Test Center. See Section 5, DD Form 

1222 Example. Use the newest available published version of DD Form 1222. 

3.1.1.1. Multiple Contractors. When multiple contractors are cited

to receive a portion of the quantity represented in block number 11 of DD Form 

1222, they shall be noted in either box 3 or box 22. The number of contracts 

listed on a DD Form 1222 is limited to six. 

3.1.2. Test Report Data. The test report shall specify all test results and include 

the date testing was completed. The lot size, sample size, Government lot number, 

specification, and roll number should be noted. Each test characteristic (including units) 

and analytical results are tobe reported, including ALL determinations made on each 

sample unit. In addition, the test report should include the result of each sample unit 

and the lot average, if there is a lot average requirement. The contract requirement for

each test characteristic is to be included. Pass or Fail, if applicable, shall also be 

indicated for each test performed and represented on test report. Failing results shall be 

noted by an asterisk. Test reports shall include a signed certification by the laboratory 

and the supplier that only those samples drawn by the Government QAS or Supplier’s 

Source Sampling Representative, as applicable, were tested and the test report 

represents a sample size consistent with applicable specification requirements.

Where contractors have computerized their material certification for components 

and end items, the test reports shall have an actual or electronic signature, or have 

attached to the test reports a letter signed by the corporate/company officer attesting that 

the contractor is using a computerized system, the typed name on the report is an 

authorized employee, and the contractor is liable for the information it contains.

3.1.3. Certificate of Compliance (CoC) Submission. When the total cost of a 

component required for the entire contract quantity does not exceed $100,000, the 

contractor may provide to the Government a Certificate of Compliance for this 

component, unless otherwise specified. All Certificates provided by the contractor shall 

be supported by test reports to ascertain their validity. Contractors are required to 

provide these test reports to the Government when requested by the Government. The 

Government reserves the right to check and test items provided with a Certificate of 

Compliance to determine the validity of the certification. See section 5.9: CoC Example.

3.2. Government Acceptance Testing. Unless otherwise stated in the contract, testing 

performed at the DLA PTC for acceptance purposes will be completed in forty five (45)

calendar days. The contract delivery requirements are based on the assumption that DLA Troop 

Support and the DLA PTC will require a total of 45 calendar days from the date of the receipt of 

samples at the Government laboratory to the date the completed test results are mailed to the 
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contractor. If this time frame is exceeded, the contract delivery schedule will be extended by the 

number of additional days needed to complete the testing, provided the contractor can establish 

that the delay in its delivery was caused by the Government exceeding the prescribed time. The 

foregoing provision for the extension of delivery schedules is exclusive and the Government 

shall not be liable to suit for breach of contract by reason of any delay of the Government in 

providing test results.

3.2.1. Shade Evaluation. Shade Evaluation is Acceptance Testing; each lot must 

be submitted for evaluation. Lots shall not be shipped until shade is approved by 

Government. The prime contractor will require the fabric or component supplier to 

present to the Supplier’s Source Sampling Representative the complete lot prepared for 

shipment, a set of tally sheets by shipment listing case numbers, roll numbers, and 

yardage of each roll and a shade swatch (header) from each roll with roll and case 

numbers identified on each swatch. The following sampling procedure will be followed 

unless otherwise specified.

3.2.1.1. (a) Sampling. Sampling will be specified in the Shade

Evaluation Clause of the contract as either 100% or through a statistical 

sampling procedure as specified for that component in the contract. Unless 

otherwise specified, the table below will be used to determine quantity for 

submission. 

Caution: In one contract there may be multiple components requiring shade 

sampling and each component may require a different sampling method.

Lot Size No. of Rolls to be sampled

1 to 8 rolls Each roll

9 to 25 rolls 8 rolls

26 to 90 rolls 20 rolls

91 to 160 rolls 32 rolls

Over 160 rolls 1/5 of total rolls

Cutting Swatches. The Supplier’s Source Sampling Representative is required to 

physically sample the material in one of the below manners, as defined by the 

contract. The result of the material sampling will be two sets of samples: Set A 

and Set B. Set A shall be sent to DLA Product Test Center for evaluation. Set B 

shall be cut in half, one set sent to the prime QAS for lot integrity, the other set 

shall be retained by the component supplier.

Single color rolls - 4"x24". Supplier’s Source Sampling Representative cuts 

this sample in half to have A and B sets, both sets shall be 4"x12". The 12" 

should be in the Filling Direction or cross- machine direction.

Multi-color Camouflage including OCP and OEFCP – full width x 2 yd. 
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Supplier’s Source Sampling Representative cuts this sample in half to have A 

and B sets, both sets shall be full width by 1 yard. The 1 yd. should be in the 

warp direction.

 3.2.1.1. (b) Sampling. Size/units for all components items such as 

webbings, binding tapes, and fastener tapes that are to be forwarded for shade 

evaluation, will be determined by Annex A.

3.2.1.2. Submission. Each lot of a component required by the contract to 

have shade evaluation shall be submitted to the DLA Product Test Center—

Analytical for evaluation. Samples shall be selected and signed off by the 

Supplier’s Source Sampling Representative. Samples, accompanied with a DD 

Form 1222, Section A completed in its entirety, shall be forwarded to the 

Government for evaluation to the following address. Incomplete DD Form 1222s 

will be returned and the lot not evaluated until the corrected form is received. See 

Section 5.3, DD Form 1222 Example for Shade.

DLA Product Test Center—Analytical 

700 Robbins Avenue Bldg. 5D 

Philadelphia, PA 19111

3.2.1.3. Shipment of Shade Evaluation Lots. Components requiring shade 

evaluation shall not be shipped to the prime contractor until shade is approved by 

the Government. Approval is through the Government issuance of the DD Form 

1222 with passing test results. Approval may also be granted through the Request 

for Waiver process and a DLA Form 6004 will be issued by the Government 

designating approval of waiver request, if request is denied, components shall not 

be shipped to prime contractor.

3.2.1.4. No Shade Clause in Contract.

1. When no shade clause is cited in the contract, the prime 

contractor shall contact the Contracting Officer (KO) to ensure 

there are no requirements for shade testing.

2. When no shade clause is cited in the contract, the Supplier’s 

Source Sampling Representative will perform in-house shade 

evaluation according to the requirements cited in the

specification.

3.2.2. Near Infrared (nIR). When cited in the contract that Near Infrared Testing 

is Acceptance Testing; sampling shall be through a statistical sampling procedure cited in 

the contract. Samples shall be selected and signed off by the Supplier’s Source Sampling 

Representative. Cut a 36" x full width sample. Supplier’s Source Sampling 

Representative cuts this in half to have an A and a B set. Both sets are now 18" x full 
Page 17 of 45

width. Set A shall be sent to the DLA PTC for evaluation. Samples, accompanied with a 

DD Form 1222, Section A completed in its entirety, shall be forwarded to the

Government for evaluation to the following address simultaneously but separately from 

any shade submissions. Incomplete DD Form 1222s will be returned and the lot not 

evaluated until the corrected form is received. 

DLA Product Test Center—Analytical 

700 Robbins Avenue Bldg. 5D 

Philadelphia, PA 19111

Shipment of nIR Acceptance Lots shall follow the procedure outlined for shade in section 3.2.1.3.

3.2.3. Production Lot Testing. When applicable, both the Government and the 

contractor’s laboratories will test every lot. The Government’s test results will be used for 

acceptance/rejection purposes. In order to avoid shipping delays, it is recommended that 

the government and contractor’s testing occursimultaneously. Sampling will be specified 

in the contract as either 100% or through a statistical sampling procedure as specified for 

that component in the contract. Samples shall be selected, stamped, and signed off by the 

source QAS.

3.2.4. Verification Testing. When applicable, both the government and 

contractor’s laboratories will perform the same tests to correlate results. The 

Government’s test results will be used for acceptance/rejection purposes. In order to 

avoid shipping delays, it is recommended that the government and contractor’stesting 

occursimultaneously. Sampling will be specified in the contract as either 100% or

through a statistical sampling procedure as specified for that component in the 

contract. Samples shall be selected, stamped, and signed off by the source QAS.

3.3. Government Contractor Testing. Testing required in a contract but not identified as 

being Government Acceptance Testing shall be performed as stated in the contract and in 

compliance with the below.

3.3.1. Notification. The vendor shall notify the DLA-PTC representative via 

email between fourteen (14) calendar days and thirty (30) calendar days from when lots 

are to be presented to the QAS or Supplier’s Source Sampling Representative. This 

allows arrangements to be made if the lab specialist requests to witness testing at the 

place of performance. The DLA-PTC will reply in writing by the date of lot 

presentation, whether witnessing, or side-by-samples, are requested. If no reply is 

received by the date of presentation to the QAS or Supplier’s Source Sampling 

Representative, the contractor may proceed.
Page 18 of 45

Notifications should include: 

Commercial lab contact information 

Government lot #

Contract 

Product 

Specification

 Date of lot presentation to the QAS

3.3.2. Contractor Furnished Material (CFM). DLA Troop Support Clothing and 

Textile contracts require source sampling of CFM at finishing plants. The following 

provisions apply to sample selection and lot acceptance.

(a) The Samples shall be randomly selected by the Supplier’s Source

Sampling Representative.

(b) Upon presentation of a lot, the Supplier’s Source Sampling Representative 

will draw samples and forward the samples to the contractor’s laboratory 

specified in the contract for testing.

(c) Shipment of Component Lots from the source to the prime contractor need 

not be deferred except for Government Acceptance Testing (i.e., shade 

evaluation). Commencement of production prior to receipt of a passing test 

report from the contractor’s authorized laboratory is solely at the contractor’s

risk. 

(d) The contactor will provide copies of Certificates of compliance to the QAS.

(e) The contractor is required to ensure that a complete test report for all lots is 

furnished to the source’s QAS and the appropriate DLA-PTC representative. 

3.3.3. Defective Government Furnished Material. The contractor who has 

received the GFM from the Government is not required to test the GFM. The contractor 

is however required to notify the Government if they suspect or have determined that 

the GFM provided is deficient. The Contractor shall submit DLA Form 506 Certificate 

of Deficient Government Furnished Material (see section 5.10) and is required to notify 

their contracting officer. The Government will investigate the contractor’s claim of 

deficient GFM and advise contractor what actions will be taken if necessary.

3.3.4. Correlation Testing. When applicable both the Government and the 

contractor’s laboratories will perform the same testing to correlate results. The 

contractor’s test results will be used for acceptance/rejection purposes. If results for 

correlation testing indicate significant variation between the government and

contractor, on site survey, and/or additional testing shall be performed to assure the 

validity of test results.
Page 19 of 45

3.4. Non-Conforming Material. In the event of non-conforming material, the vendor may 

be required to submit a Failure Analysis and Corrective Action Plan (FACAP) to address the 

non-conformance. The FACAP shall include at minimum: a detailed, specific description of the 

problem, how many items are effected, when, where, and how the non-conformance was 

discovered, root cause analysis of the failure that explains why the failure happened, how the 

failure will be corrected and prevented in the future. Based on the non-conformance, the vendor 

may elect to submit a Request for Variance. Furthermore, Material Review Board (MRB)

authority may be withheld by the Government for certain items and contracts. MRB authority is

defined as disposition of nonconforming material whose non-conformance affects adherence to 

internal specifications or end item requirements. Non-conforming material can be any item, part, 

supplies, or product containing one or more non-conformities.

3.4.1. Waiver Process. All Requests for Variances (RFVs) shall be directed 

toward the Contracting Officer after coordinating it with the DCMA QAS. RFVs shall

be submitted completing the DD Form 1694 (see section 5.11) unless otherwise 

specified in the contract or by the KO. The Government reserves the right to deny any 

Request for Variance. Based on the item and/or the classification of defect that the RFV 

is submitted against, further review by the responsible Engineering Support Activity 

may be required. Official RFV response will be sent to the vendor via official letter 

signed by the KO.

3.4.1.1. Resubmitted Lots. Notwithstanding any contract provisions, each 

resubmitted lot previously rejected by either the contractor or the Government 

shall be re-examined by the contractor using tightened inspection criteria for all 

the characteristics listed for that category of defects (i.e., visual, dimensional, 

preparation for delivery) that caused the lot to be rejected. In addition to the 

above requirements, the Government also requires that the next original lot (for 

the same item) be examined using tightened inspection criteria, unless otherwise 

prescribed. All supplies rejected by the Government shall be screened, corrected 

and re-examined by the contractor using tightened inspection and resubmitted to 

the Government.

3.4.1.2. Tightened Inspection. When normal inspection is in effect, 

tightened inspection shall be instituted when 2 out of 5 or fewer consecutive lots 

or batches have been non-acceptable on the original inspection (i.e., resubmitted 

lots are not taken into account in this procedure) and also as directed by the 

government.

3.4.2. Corrective Action Plan (CAP) Process. After a non-conformance is 

detected, the contractor may be required to submit a CAP prior to the authorization of 

further testing or resubmission of items for presentation. A complete CAP shall consist of 

the following 6 factors:

(a) Problem description. The problem description shall be a specific description of 

the problem including how many items were initially found to contain the 

problem, along with how, when and where the problem was discovered. 
Page 20 of 45

Identification information of the items effected should include at a minimum: 

quantity per contract number(s), size (if applicable), NSN(s), item nomenclature, 

lot(s), date and location of manufacture, design code (if applicable), and serial 

number (if applicable).

(b) Containment actions/short term corrections. The containment actions should 

specify the quantity of suspect product at the vendor’s facility, the method of 

quarantine, and how quarantined items are identified. For items that have been 

evaluated and determined to not contain the non-conformance, the method of 

certification against the problem and how these items are identified should also be 

included. If there is suspect product in transit or already delivered to the customer 

or depot, these items must also be identified.

(c) Root cause analysis. Once containment/short term actions have been 

completed, the root cause analysis shall be performed and include an explanation 

of why the failure happened and why it was not detected. To verify the true root 

cause has been identified, explain in detail what actions were taken to assure that 

no other root cause could be responsible for the problem.

(d) Corrective actions/verifications of corrective actions. Once the true root cause 

or causes has been identified, the corrective actions shall be established to remedy

the problem. Each action item should be listed individually and include the date 

of implementation and department/person responsible for implementing the 

action. Provide detail of how each action taken assisted in eliminating the 

problem. The action items shall address both the occurrence of the problem and 

also the non- detection of the problem.

(e) Standardization and control. After corrective actions have been implemented 

and proven effective, vendor documentation (i.e., work instructions, process

control plans, visual aids, preventative maintenance plans, operating procedures, 

etc.,) shall also be updated to include the corrective actions.

(f) Verification of corrective actions. To verify the corrective actions after 

standardization and control has been addressed, describe the methods used to 

verify the actions taken are effective and will remain effective. Include as

much data as possible to support the effectiveness of the actions.

Once the CAP information is available, it shall be submitted to the cognizant

DCMA QAS for review prior to submittal to the Contracting Officer. The CAP may be 

reviewed by DLA and the applicable Engineering Service Activity. Once the review 

has been completed, the KO will provide an official letter summarizing the disposition 

regarding the initial problem, approval/disapproval of the CAP, and the path forward.

4. FINALEXAMINATION

4.1. Contractor’s Obligation for Examination. The contractor is required (unless 

otherwise specified) to perform all examinations set forth in the contract. The contractor will 
Page 21 of 45

certify the results of these examinations and have certified records of these examinations 

available for review by the Government. The contractor will perform single sampling

according to ANSI-ASQC Z1.4, unless the contract cites otherwise. Where the end item is 

being manufactured in more than one facility, the contractor will examine each lot produced at 

each facility and ensure that each lot retains its identity as a separate inspection lot.

4.2. Presentation of End Item Lots. Whenever the contractor presents an examination 

record for the end items to the Government Quality Assurance Specialist (DCMA QAS), the lot 

of items represented by the examination record shall be assembled into an identifiable, 

stationary lot so that the QAS may draw samples to verify the contractor’s examination results.

4.3. Product Acceptance and Release. The DCMA QAS shall randomly sample items 

from lots per contract requirements after the complete production lot is available. Unless 

written approval is granted by the Contracting Officer, contractors are prohibited from selecting

samples for government testing. The DCMA QAS shall verify that the contractor has all test 

reports and Certificates of Compliance available for review at any time during the contract.

DCMA QAS shall perform examinations as specified in contract and notify DLA Troop 

Support of any discrepancies found. If discrepancies are found during this examination, DCMA 

QAS shall issue a Corrective Action Report (CAR) and forwarded a copy to the Contracting 

Officer. DCMA QAS shall maintain their examination records and make them available to DLA 

upon request.

5. FORMS

5.1. DLA Form 6005 Laboratory Testing Capabilities Survey

5.2. DD Form 1222 for Source Sampling

5.3. DD Form 1222 for Shade

5.4. DD Form 250 Material Inspection and Receiving Report

5.5. DLA Form 6004 Clothing & Textile Laboratory Test Report and Instructions 

5.6. Lab Report Sample

5.7. Letter of Exception for DCMA Stamps

5.8. Certificate of Compliance

5.9. DLA Form 506 Certificate of Deficient Government Furnished Material

5.10. DD Form 1694 Waiver Request

5.11. DD Form 1222 Correlation Testing

5.12. Instructions for Submitting a DD Form 1222
5.1. DLA Form 6005 Laboratory Testing Capabilities Survey

Page 22 of 45
5.1. DLA Form 6005 Laboratory Testing Capabilities Survey

Page 23 of 45
5.1. DLA Form 6005 Laboratory Testing Capabilities Survey

Page 24 of 45
DLA PRODUCT TEST CENTER

700 ROBBINS ST., BLDG 5D

PHILADELPHIA, PA 19111

TWILL INDUSTRIES

JANE JONES 

GOVERNMENT WARFIGHTER INCORPORATED

SPE1C1-10-D-0456

TWILL INDUSTRIES

Blouse, Marine Corps Desert Uniform Source Sampling

20170512

Cloth, Nylon/Cotton 3 - 5 yd pieces 3,124 yd MIL-PRF-MCCUU E, Class I, Type II

Jane Jones

1

By signing in box 15, I certify that the samples referenced above were randomly selected and represent the lot identified above.

Shade: MARPAT Desert Roll #3848

Sample numbers: 769322, 769245, 769252

warfighter@gwi.com; jjones@twillinds.com

5.2. DD Form 1222 for Source Sampling

 Page 25 of 45

SAMPLE

SAMPLE
DLA PRODUCT TEST CENTER

700 ROBBINS ST., BLDG 5D

PHILADELPHIA, PA 19111

TWILL INDUSTRIES

JANE JONES 

GOVERNMENT WARFIGHTER INCORPORATED

SPE1C1-10-D-0456

TWILL INDUSTRIES

Blouse, Marine Corps Desert Uniform Shade Evaluation

20170512

Cloth, Nylon/Cotton 7 swatches 3,124 yd MIL-PRF-MCCUU E, Class I, Type II

Jane Jones

1

By signing in box 15, I certify that the samples referenced above were randomly selected and represent the lot identified above.

Shade: MARPAT Desert Roll #3848

Sample numbers: 769322, 769245, 769252, 769258, 769260, 769263, 769282

warfighter@gwi.com; jjones@twillinds.com

5.3. DD Form 1222 for Shade

Page 26 of 45

SAMPLE
5.4. DD Form 250 Material Inspection and Receiving Report

Page 27 of 45

SAMPLE
5.5. DLA Form 6004 Clothing & Textile Laboratory Test Report and Instructions

Page 28 of 45
Stark Industries

47 Ishamel Ave, New York, NY 07319 

Tel: (402)-555-1660 Fax: (402)-555-1611

Specification: GL/PD 13-04A/13-08A & 13-05A/13-09A, Dtd. 19-March-2014

Product: Basic Material, Jacket/Pants (Unisex & Female) Army Physical Fitness Uniform 

Customer: Various Lot: 3 

Item: MP90700S Shade: Black 557 Yardage: 12,368 

Testing Completed: July 25, 2014 

Contract No. SPM1C1-10-D-F010, SPM1C1-12-D-F512 

Page 1 of 2 

Test: Fed. Std. 191A Roll #1 Roll #1 Roll #1

Unless Noted Otherwise 631613 631799 631948

Weight, oz./sq.yd. 3.5 3.5 3.5

p.p 3.4.1, ASTM D 3776 Option C 3.5 3.4 3.5

3.5 (+/- 0.3) 3.5 3.4 3.4

3.5 3.5 3.5

3.5 3.4 3.5

5 Readings w/average 3.5 3.4 3.5

Yarns per inch Warp Warp Warp

ASTM D 3775 160 159 159

Warp 157 minimum 159 159 159

159 159 160

159 159 159

159 159 159

5 Readings w/average 159 159 159

Yarns per inch Fill Fill Fill

ASTM D 3775 74 72 74

Fill 66 minimum 74 72 74

74 72 74

74 72 74

73 73 74

5 Readings w/average 74 72 74

5.6. Lab Report Sample

Page 29 of 45

SAMPLE
Stark Industries

47 Ishamel Ave, New York, NY 07319 

Tel: (402)-555-1660 Fax: (402)-555-1611

Specification: GL/PD 13-04A/13-08A & 13-05A/13-09A, Dtd. 19-March-2014 

Product: Basic Material, Jacket/Pants (Unisex & Female) Army Physical Fitness Uniform 

Customer: Various Lot: 3 

Item: MP90700S Shade: Black 557 Yardage: 12,368 

Testing Completed: July 25, 2014 

Contract No. SPM1C1-10-D-F010, SPM1C1-12-D-F512 

Page 2 of 2

I certify that the samples referenced above were randomly selected and represent the 

lot of components identified above. I further certify that the components tendered are 

all part of the lot of components referenced herein.

The above sales order was evaluated for shade using AATCC evaluation procedure 9 

option A and was determned to be an acceptable match when compared to the standard.

Signed VP Samuel Date: July 25, 2014

VP Samuel

Vice President of Manufacturing

Stark Industries

I certify that the above lot was tested under my supervision in accordance with the

specification test requirements and the reported test results are true, valid and

applicable to thesamples tested.

The component lot referenced above was found to be passing, reliable, and meeting

the requirements of the above specification. Any test result, which does not conform

to the requirements, is highlighted in RED.

Signed LM Jarvis Date: July 25, 2014

LM Jarvis

Lab Manager/Stark Industries

I certify that, to the best of my knowledge, the greige goods used in producing the

above product are made of domestic components, fiber and yarn forward, which are

"Berry Compliant" meeting the requirements of 252.225-7012 Preference for

Certain Domestic Commodities.

I also certify that processing and treatment of the above product was performed in the

United States of America.

I further certify that the documentation from component suppliers, verifying origin

and manufacturing locations are on file at the processors offices and availiable for

review upon written request. Government Representatives or QAR's may review

the documentation during normal work hours upon verbal request.

Signed D Kent Date: July 25, 2014

D Kent

Director of Commercial Business Operations

Stark Industries

5.6. Lab Report Sample

Page 30 of 45

SAMPLE
DEFENSE CONTRACT MANAGEMENT AGENCY

3901 A AVENUE, BUILDING 10500

FORT LEE, VA 23801-1809

10 Nov 15 

MEMORANDUM FOR OPERATIONS REGIONAL COMMANDERS/DIRECTORS 

OPERATIONS CMO COMMANDERS/DIRECTORS 

QUALITY DIRECTORS 

SUBJECT: TASKING: Stamp Usage Adjudication In Support of Agency FIAR Controls 

Suspense: December 31, 2015 

Target Audience: CMO Commanders/Directors, Quality Assurance 

Directors/Supervisors and Quality Assurance Specialists 

Results/Recommendations:

An Inspection Stamp Inventory was received from each CMO to include their justifications to

retain Inspection Stamps. Based on the results from the adjudication process, Quality Assurance 

Specialists are allowed to retain inspection stamps only in support of the following requirement: 

Physical Stamping of Product/Item 

Where a Chain of Custody requirement exists and the placement of the “Inspection

Stamp” on the part or item is required to support Lot Acceptance Test, First Article Test 

(i.e. as it pertains to physical stamping) and Batch Samples. Source documents for this 

requirement include: 

i. DLA Troop Support Memorandum dated 30 Mar 2015/DSCP 4155.3 (Clothing

&Textile items requiring stamping)

ii. Department of the Navy’s Naval Sea Systems Technical Representative (NSTR)

2000, Naval Nuclear Propulsion

iii. Soft Body Armor and Ballistic Test Sample requirements

Electronic Signature via the Common Access Card (CAC) is the preferred method for providing 

“Proof” of inspection (DCMA INSTR 310, para 3.1.1.3). 

Physical Signature per DCMA-INST 310, paragraph 3.1.1.4 is considered the exception and 

requires coordination from the Operations Director of QA prior to use. If Physical Signature is

the only practical method to show “Proof” of inspection, the CMO’s Quality Assurance Director 

shall request permission through their respective Region to use Physical Signature as the method 

for “Proof” of inspection. 

Retention of Stamps: 

Stamps will be maintained IAW DCMA-INST 310 paragraph 2.5 Stamp Custodian and must be 

100% controlled. 

Returned Stamps: 

Unapproved stamps that do not meet the above criteria to be retained, shall be returned to the 

Operations QA Directorate at the address below by November 30, 2015 (Note, DCMA 

Operations will continue to support stamp control and issuance IAW DCMA-INST 310 

Paragraph 2.2).

5.7. Letter of Exception for DCMA Stamps

Page 31 of 45
 Unapproved stamps that do not meet the above criteria to be retained shall be returned to the

Operations QA Directorate at the above address by November 30, 2015.

Resource Impact:

 The estimated time required for completing this task is 3 hours per CMO.

Administrative Information:

 Use DAI code IDC03 (Strategic Planning/Performance Management) for this task.

 Direct all task-related questions to Lytel Johnson: Lytel.Johnson@dcma.mil, 804-734-1129.

FANNEY.RICHARD Digitally signed by

FANNEY.RICHARD.HANSEL.1103757319

.HANSEL.1103757 

319

Mr. Richard H. Fanney 

DN: c=US, o=U.S. Government, ou=DoD,

ou=PKI, ou=DCMA,

cn=FANNEY.RICHARD.HANSEL.1103757319

Date: 2015.11.10 10:25:43 -05'00' 

Deputy Chief Operations Officer 

Attachment(s): 

None 

Defense Contract Management Agency 

ATTN: Edward Schnell 

3901 A Avenue BLDG 10500 

Fort Lee, VA 23801-1809 

Requirement(s) Summary:

Page 32 of 45

 5.7. Letter of Exception for DCMA Stamps
Certificate of Compliance

ACE WIDGET CO.

1 KINGS STREET

HILLS, NJ 11111

PRODUCT: Ink, Marking, Stencil, Opaque

SPECIFICATION: A-A-208 dated 18 April 1981

IDENTIFICATION: Mfg’s Lot No. 100

QUANTITY: 6 pints

PURCHASED FROM: Acme Ink Company

DATE PURCHASED: 15 April 2017

LOT NO.: 1 

SAMPLE NO.: 4

PRODUCT: Tape, Gummed, Paper, Plain

SPECIFICATION: A-A-1492A, dated 10 August 1982

IDENTIFICATION: Mfg.’s Lot No. 90

QUANTITY: 200 rolls

PURCHASED FROM: Toby Supply Company

DATE PURCHASED: 15 April 2017

LOT NO.: 1 

SAMPLE NO.: 5 

I certify that the above component(s) presented for acceptance under the terms of the Contract 

Number SPE1C1-18-C-1000 comply with the applicable specification(s) and contract requirements. 

I further certify that the cost of each component listed above, sufficient for the entire contract, does not 

exceed $100, 000. 

SIGNED: _____________________________________

PLANT MANAGER

ACE WIDGET CO.

15 MAY 2017

5.8. Certificate of Compliance

Page 33 of 45

SAMPLE
CERTIFICATE OF DEFICIENT

GOVERNMENT FURNISHED MATERIAL DLA 506

CONTRACTNUMBER CONTRACTOR NAME CAGE

GFM SHIP DOC 

NUMBER

GFM VENDOR DESTINATION 

(CITY, ST)

GFM 

MATERIAL

NUMBER GFM DESCRIPTION END ITEM DESCRIPTION

CONTENTS

GROSS YARDS WIDTH

ACTUAL YARDS WIDTH

CONTAINER NO TICKET NO

GFM CONTRACT # GFM SHIP FROM PLANT

GFM SUPPLIER GFM CONDITION ON ARRIVAL

VARIANCE

YARDS INCHES

REMARKS

TYPE OF PACKING

ROLL FLAT FOLD CARTON STRAPPED WRAPPED

CONTAINER IN GOOD 

CONDITION ONARRIVAL

YES NO

PACKED IN ORIGINAL 

CONTAINER

YES NO

I CERTIFY THAT THE DEFICIENCIES RECORDED ABOVE OF MATERIAL SUPPLIED BY THE GOVERNMENT FOR USE ON THIS CONTRACT WAS 

REPORTED TO ME AND THAT I PERSONALLY HAVE VERIFIED THE DEFICIENCY BY INSPECTION, ACTUAL MEASUREMENT OR COUNT.

Contractor CERTIFIES THAT THE DEFICIENCIES RECORDED ABOVE OF MATERIAL SUPPLIED BY THE 

GOVERNMENT FOR USE ON THIS CONTRACT WAS REPORTED TO ME AND THAT I PERSONALLY HAVE 

VERIFIED THE DEFICIENCY BY INSPECTION, ACTUAL MEASUREMENT OR COUNT.

The CONTRACTOR AGREES with therecorded Data.

Quality Assurance Representative Signature and Date

Contractor Name, Signature , Title and Date

DLA 506 EDITION OF AUG 2011 SHEET OF SHEET(S)

5.9. DLA Form 506 Certificate of Deficient Government Furnished Material

Page 34 of 45 SAMPLE
5.10. DD Form 1694 Waiver Request

Page 35 of 45

SAMPLE
5.10. DD Form 1694 Waiver Request

Page 36 of 45

SAMPLE
DLA PRODUCT TEST CENTER

700 ROBBINS ST., BLDG 5D

PHILADELPHIA, PA 19111

TWILL INDUSTRIES

JANE JONES 

GOVERNMENT WARFIGHTER INCORPORATED

SPE1C1-10-D-0456

TWILL INDUSTRIES

Blouse, Marine Corps Desert Uniform Source Sampling

20170512

Cloth, Nylon/Cotton 3 - 5 yd pieces 3,124 yd MIL-PRF-MCCUU E, Class I, Type II

Jane Jones

1

By signing in box 15, I certify that the samples referenced above were randomly selected and represent the lot identified above.

Shade: MARPAT Desert Roll #3848

Sample numbers: 769322, 769245, 769252

warfighter@gwi.com; jjones@twillinds.com

5.11. DD Form 1222 Correlation Testing

Page 37 of 45

SAMPLE
Instructions for Submitting a DD Form 1222 

Any DD 1222 form created in house rather than using the official DoD Form or Scan from the PTC should be identical in

the spacing and fonts as the official form. Modified forms that do not meet this requirement will be rejected. 

Section A

Box 2 – From (Finishing Plant DCMA QAS or SSSR information)

Box 1 – To (DLA Product Test Center, 700 Robbins St, Bldg 5D, Philadelphia, PA 19111)

Box 3 – Prime Contractor and contract number

• street address and ZIP code NOT REQUIRED

• If location matters for distribution of reports, include the minimum information required (i.e., State, City).

Space is limited in this box. Another option is to use Box 23 to be clear as to the requested distribution.

• Do NOT list the delivery order number

Box 4 – Manufacturing Plant and P.O. Number

• street address and ZIP code NOT REQUIRED

• If location matters for distribution of reports, include the minimum information required (i.e., State, City).

Space is limited in this box. Another option is to use Box 23 to be clear as to the requested distribution.

• P.O. Number is optional

Box 5 – End Item (ex: MCCUU Woodland Blouse, Type I, Class 3) 

• Use nomenclature from the specification or purchase description

Box 6 – Sample No.

• Vendor’s choice – optional

Box 7 – Reason for submittal (possible entries below)

1. Source Sampling

a. for Source Sampling where the DLA PTC is reviewing contractor’s test report

2. Correlation Testing

a. for Source Sampling where side by side samples are tested by source and DLA PTC and review occurs

3. Verification Testing

a. where DLA PTC is testing samples and lots ship on DLA PTC results

4. Shade Evaluation

5. NIR Acceptance

6. Evaluate for Lot Integrity (QAR use)

7. Technical Support (courtesy shade, C&T special projects)

Box 8 – Date Submitted

• Date samples are selected

Box 9 – Material to be tested (MCCUU Cloth, Type I, Class 2) 

• Cloth, Nylon/Cotton Ripstop

• Use the nomenclature from the specification or purchase description

• Do not use vendor specific trade names

Box 10 – Quantity submitted 

• number of samples/garments being tested

• sample size

5.12 Instructions for Submitting a DD Form 1222

Page 38 of 45
Box 11 – Quantity represented 

• total quantity of lot

Box 12 – Spec & Amendment 

• MIL-PRF-MCCUU E

• Salient Characteristics

• Should match the version that is specified in the contract

Box 13 – Purchased from or source

• Vendor’s choice – optional

Box 14 – Shipment method

• Vendor’s choice – optional

Box 15 – Date Sampled and submitted by

• Signature of the DCMA QAS or SSSR

Box 16 – NSN

• Please include the PGC if possible

Box 17 – Part number

• Vendor’s choice – optional

Box 18 – Lot/batch number

• Use government lot number

• Lot numbers should be in sequential order, staring with lot 1 at the beginning of the contract

• Do not use batch numbers in this field – use Box 6 if you want to record the batch number

Box 19 – Date of Manufacture

• Optional

Box 20 – Engineering Authority

• Does not apply – leave blank

Box 21 – MQSS/QSL Review

• Does not apply – leave blank

Box 22 – Remarks and/or special instructions and/or waivers

• Add “By signing in box 15, I certify that the samples referenced above were randomly selected and

represent the lot identified above.”

• Record shade requirement

• Record shade standard roll#

• Record roll #s selected for testing (may indicate on a separate tally sheet)

• Do not completely fill in this box. The DLA PTC uses it for processing.

Box 23 – Send report of test to

• Include prime contractor and supplier email addresses

• Shade and NIR Acceptance are the only types that will automatically be sent directly to contractors on

completion.

• Source Sampling Test Report reviews and Verification/Correlation test reports will be sent to C&T Tech

Quality and Contracting for review prior to any wider distribution

5.12 Instructions for Submitting a DD Form 1222

Page 39 of 45
1. The total quantity in lot represented by the samples present

2. Each characteristic tested

3. Analytical results, including all determinations made on each sample unit

4. The result of each sample unit and the lot average when there is a lot average requirement

5.12 Instructions for Submitting a DD Form 1222

Section B. 

Leave blank. This section is for the DLA PTC and our evaluation process. If using a 3rd party lab that completes this 

section, another copy that is blank for the DLA PTC must be provided. 

Physical/chemical test reports must list: 

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References 

• Clothing & Textiles Website:

http://www.dla.mil/TroopSupport/ClothingandTextiles.aspx.

• Portal Address can be used to request specifications, patterns and drawings.

http://www.dla.mil/TroopSupport/ClothingandTextiles/SpecRequest.aspx

• The ASSIST website can be used to access military specifications and commercialitem

descriptions. http://quicksearch.dla.mil/

• The DLA Product Test Center Website can be used to access the shade criticality list

along with available instrumental standards and tolerances.

htpp://www.dla.mil/TroopSupport/ProductTestCenter/ShadeEvaluation.aspx

• Berry Compliance:

http://farsite.hill.af.mil/archive/dfars/dpn20110725/Dfars252_220.htm#P983_63643

• ANSI/ASQC Z 1.4 – copies can be obtained from American Society for Quality

Control, 611 East Wisconsin Ave, Milwaukee WI 53202

• FAR 52.246-2 – Federal Acquisition Regulations, Part 52 Solicitation Provisions &

Contract Clauses. FAR clauses can be accessed at

https://www.gsa.gov/portal/content/101126

• ISO/ISE 17025 – International Organization for Standardization/International

Electrotechnical Commission (ISO/IEC), General requirements for the competence of

testing and calibration laboratories may be found at https://www.iso.org.
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Glossary of Acronyms

CAP Corrective Action Plan 

C&T Clothing and Textiles 

CFM Contractor Furnished Material 

CoC Certificate of Compliance

DLA PTC Defense Logistics Agency Product Test Center

FACAP Failure Analysis and Corrective Action Plan 

FAR Federal Acquisition Regulations 

FAT First Article Testing 

GFE Government Furnished Equipment 

GFM Government Furnished Material

GFP Government Furnished Property 

KO Contracting Officer

MRB Material Review Board

nIR Near Infrared 

OCP Operational Camouflage Pattern

OEFCP Operational Enduring Freedom Camouflage Pattern 

PDM Product Demonstration Models 

QAS Quality Assurance Specialist

RFV Requests for Variances
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Annex A

Default Sampling Plans for Shade and Physical Testing

Sample unit – the total quantity of material necessary to obtain one test result for each of the 

properties and characteristics specified in the material specification or procurement document. In 

testing of small package units, the sample unit may be a package unit randomly selected from the 

material representing the lot. In testing commodities in which the units are individually too small to 

provide sufficient material for evaluating all of the properties specified in the material 

specification, the sample unit may be a sufficient amount of material, taken as an aggregate, to 

provide the quantity of material required.

Thread/Yarn Shade Matching General Instructions:

The lot size shall be expressed in units of holders (i.e., cones, spools, or tubes as applicable). The 

sample unit shall be one holder of thread or twine. The thread sample shall be wound around a card 

at a sufficient thickness to conceal the card for examination or knit into a 5" × 8" sample. The 

sample size shall be in accordance with the following:

Lot size (holders) Sample size (sample units)

800 or less 6

801 up to and including 22,000 9

22,001 and over 15

Thread/Yarn Physical Testing General Instructions:

The lot size shall be expressed in units of holders (i.e., cones, spools, or tubes as applicable). The 

sample unit shall be one holder of thread or twine. The lot shall be unacceptable if any sample unit 

fails to meet any requirement specified. All test reports shall contain the individual values used in 

expressing the results. The sample size shall be in accordance with the following:

Lot size (holders) Sample size (sample units)

800 or less 2

801 up to and including 22,000 3

22,001 and over 5

Wool Physical Testing General Instructions:

The unit of product shall be one (1) yard of undyed top. The result of each unit of product shall be 

reported separately. The lot shall be unacceptable if a single unit of product fails to meet the 

required grade. The sample size (number of units of products) shall be as shown in the table below: 
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Lot size (pounds) Sample size (sample units)

800 or less 2

801 up to and including 22,000 3

22,001 and over 5

Webbing Shade General Instructions:

The lot size shall be expressed in yard of webbing. The sample unit shall be 8" × full width. The 

sample size (number of units of products) shall be as shown in the table below: 

Webbings and tapes: 

Lot size in yards Number of samples

1200 or less 3

1201 up to and including 3200 5

3201 up to and including 10,000 8

10,001 up to and including 35,000 13

35,001 up to and including 150,000 20

150,001 and over 32

Leather Shade General Instructions:

Fifteen (15) units of product shall be selected at random from each lot for the purpose of testing. 

For lots consisting of less than 15 units of product, each unit shall be sampled for testing. Each 

sample shall be at least 10” × 10". 

Leather Physical/Chemical General Instructions:

The sample required for testing the lot for physical and chemical characteristics shall be selected 

from the sample for visual, dimensional, or tactile characteristics. Each item of the sample, 

regardless of its visual, dimensional, or tactile characteristics, shall be given an equal chance of 

being included in the sample for testing.

Fifteen (15) units of product shall be selected at random from each lot for the purpose of testing. 

For lots consisting of less than 15 units of product, each unit shall be sampled for testing.

The 8" × 8" area of the unit of product from which pieces shall be taken for use in preparing the 

specimens shall be of sufficient size and shape to furnish all of the specimens required by the 

material specification for testis. The pieces shall be marked to indicate the side that is parallel to 

the backbone. The size and shape of the specimen for test cut from the pieces shall be as specified 

in the applicable test method or in the material specification. Unless otherwise specified in the 

applicable test method or in the detail specification, the specimen for the test shall be cut with the 

long dimension perpendicular to the backbone.
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Beret Shade Sampling Plan

The lot size shall be expressed in beret shells. The sample unit shall be one beret shell. The sample 

size (number of units of products) shall be as shown in the table below: 

Lot size (beret shells) Sample size (sample units)

Less than 2,500 5

2,500 up to and including 4,999 9

5,000 up to and including 9,999 18

10,000 up to and including 20,000 36

Hardware Sampling Plan

The lot size shall be expressed in pieces of hardware. The sample unit shall be one piece of 

hardware. The sample size (number of units of products) shall be 3 each.