CONTRACT INSPECTION REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A001800100004-8
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 28, 2016
• Document Release Date: April 16, 2001
• Sequence Number: 4
• Publication Date: January 10, 1963
• Content Type: FORM

Approved For Release 2001
/07/16: CIA-RDP78EI04 T T 0004-8
TASK NO.
,
T.O.
X1A
CONTRACT I NSrr~'T I ON REPORT
1Jr c11s9 fi t , SC-0
DATE
TO: 10 January 1;
ENGINEERING SECTION/CB/PD/OL INSPECTION REPORT NO. (If final, so state)
ESTIMATED COMPLETION DATE
,ER y x963
NAME OF CONTRACTOR
TYPE OF COMMODITY OR SERVICE
I maze Enbawment Device
THE CONTRACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
THE CONTRACTOR IS ON SCHEDULE
FUNDS ? YES ^ NO
YES NO
THE CONTRACTOR WILL COMPLETE TASK WITHIN ALLOTTED TIME
THE TECHNICAL PROGRESS ARE SATISFACTORY
ALL PHASES OF
YES ^ NO
YES ^ NO
[:I
HAS AN INTERIM REPORT. FINAL REPORT. PROTOTYPE. OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD? ^ YES ^ NO (If yes, give details on reverse side.)
No Change,
DURING THIS PERIOD? ^ YES a No
O
R
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACT
(If yes, indicate items, quantity, and cost on reverse side.)
DECLASS REVIEW by NIMA/DOD
OVERALL PERFORMANCE OF CONTRACTOR
1. OUTSTANDING 3. ^ EXCELLENT 5. ? ACCEPTABLE 7. ^ UNSATISFACTORY
2. SUPERIOR 4. El HIGHLY SATISFACTORY 6. ^ BARELY ADEQUATE
IF OVERALL PERFORMANCE OF CONTRACTOR IS UNSATISFACTORY OR BARELY ADEQUATE, INDICATE REASONS ON
REVERSE SIDE.
RECOMMENDED ACTION
CONTINUE AS PROGRAMMED WITHHOLD PAYMENT PENDING
SATISFACTORY PERFORMANCE
^ TERMINATE El OTHER (Specify)
IF TERMINATION IS RECOMMENDED OR IF THIS IS A FINAL REPORT. CERTIFY THAT ALL DELIVERABLE ITEMS
UNDER THE CONTRACT HAVE BEEN RECEIVED. THESE INCLUDE. WHERE APPLICABLE. THE FOLLOWING:
DOES NOT
ITEM
REC'D
DOES NOT
ITEM
RECD
APPLY
APPLY
PROTOTYPES
MANUALS
DRAWINGS AND SPECIFICATIONS
FINAL REPORT
ND/OR OTHER
O
SPECIAL TOOLING
PRODUCTI
N A
END ITEMS
OTHER GOVERNMENT PROPERTY
DATE OF LAST CONTACT WITH CONTRACTOR
DE
C 1"joL
3
SIGNATURE OF INSPECTOR
DIVISION
P&M
INSPECTOR'S EXTENSION
SIGNATURE OF APPROVER
A
pprov~ for Release 2001/07/16 -
FORM SECRET GROUP 1
1 1.62 1897 Excluded floor automatic
downgrading and
e Iossi matron
SECRET
(When Filled In)