hand receipt covering contents of components of end item
Transcript of hand receipt covering contents of components of end item
TM 9-6695-307-14-HR
HAND RECEIPTCOVERING
CONTENTS OF COMPONENTS OF END ITEM (COEI),
BASIC ISSUE ITEMS (BII),AND ADDITIONAL AUTHORIZATION
LIST (AAL)FOR
CALIBRATION SET,AN/GSM-705()
NSN 6695-01-473-1473 (EIC: TDD)
DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.
HEADQUARTERS, DEPARTMENT OF THE ARMY 30 NOVEMBER 2007
TM 9-6695-307-14-HR
i/(ii blank)
HAND RECEIPT HEADQUARTERSTM 9-6695-307-14-HR DEPARTMENT OF THE ARMY
WASHINGTON, D.C., 30 NOVEMBER 2007
HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF END ITEM (COEI),
BASIC ISSUE ITEMS (BII), AND ADDITIONAL AUTHORIZATION LIST (AAL)
FOR
CALIBRATION SET, AN/GSM-705() NSN 6695-01-473-1473 (EIC: TDD)
DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.
REPORTING ERRORS AND RECOMMENDING IMPROVEMENTS
You can improve this manual. If you find any mistakes or if you know of a way to improve these procedures, please let us know. Mail your letter or DA Form 2028 (Recommended Changes to Publications and Blank Forms) located in the back of the manual, directly to: Commander, U.S. Army Aviation and Missile Command, ATTN: AMSAM-MMC-MA-NP, Redstone Arsenal, AL 35898-5000. A reply will be furnished to you. You may also provide DA Form 2028 information to AMCOM via email, fax, or the World Wide Web. Our fax number is: DSN 788-6546 or Commercial 256-842-6546. Our email address is: [email protected]. Instructions for sending an electronic 2028 may be found at the back of this manual immediately preceding the hard copy 2028. For the World Wide Web, use https://amcom2028.redstone.army.mil.
TABLE OF CONTENTS
PageSection I. Introduction .................................................................................................................... 1-1
Section II. Hand Receipt .................................................................................................................. 2-1
TM 9-6695-307-14-HR
1-1
Section I. INTRODUCTION
1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt) which lists the contents of Components of End Item (COEI), Basic Issue Items (BII), and Additional Authorization List (AAL) items related to the Calibration Set, AN/GSM-705().
2. GENERAL.a. Section II is the overprinted DA Form 2O62 that lists the line item entry for system/end item and the contents of COE1, Bll, and AAL extracted from TM 9-6695-239-14. The listings consist of exactly the same items and are in the same sequence as those listings in TM 9-6695-239-14. b. The overprinted DA Form 2062 will eliminate manual preparation of the form and will assist organizations in inventorying and accounting for property as required by AR 710-2.c. Local reproduction of the overprinted DA Form 2062 is authorized. However, organizations will comply with local policies in the reproduction of DA Form 2062 by office copying equipment, field printing plant, or duplicating plant facilities.
3. EXPLANATION OF BLOCKS AND COLUMNS (DA FORM 2062). Refer to DA Pam 710-2-1, chapter 6, for additional information required to complete DA Form 2062.
a. From. Enter the organization, unit, section, or squad which issues the property.b. To. Enter the Unit Identifier Code (UIC) and the hand receipt file number of the unit/personnel receiving the property.c. Hand Receipt Number. Enter a locally designated number. Use it to post the location of property in the property book.d. End Item Stock Number. Contains the National Stock Number (NSN) of the end item covered by the hand receipt.e. End Item Description. Contains the end item short title.f. Publication Number. Contains the TM number of the technical manual containing the operator/crew instructions for the equipment.g. Publication Date. Date of the operator/crew technical manual.h. Quantity. Quantity of the end item covered by this hand receipt.i. Stock Number (Column a). NSN of the item described. Item without stock number should be requisitioned by Commercial and Government Entity Code (CAGEC) and part number with exception data in accordance with AR 710-2.j. Item Description (Column b). Describes the end item, including the make or model, and the serial/USA number, followed by item description of COEI, BII, and AAL items. In addition, it contains the five-digit CAGEC, Part Number (P/N), and Used On Code (UOC), if applicable.
TM 9-6695-307-14-HR
1-2
For the AN/GSM-705 systems, there are no different models only variations of the components. The only two variations, a carry over from ARMY legacy hardware (971 Semi-trailer Vans), within the AN/GSM-705 systems are the components of the aircraft loading equipment needed for loading the AN/GSM-705 onto a C130, C141, or C5 aircraft with use of 40K-Loader. These variations have been given the following designations, Type 1 and Type 2 and will be shown in similar fashion as the UOC on hand receipts to the far right in column b, Item Description for that particular component. Refer to the figures in Appendix B of TM 9-2330-362-14 & P for these components.
k. (Column c). The Accounting Requirements Code (ARC) is provided here. One of the following ARCs will apply:
NOTEThe Accounting Requirements Code (ARC) refers to property accountability, not the Recoverability Code (RC). The ARC and the RC are listed in the Army Master Data File (AMDF).
(N) - Nonexpendable: Items not consumed in use, retaining their identity during use, and requiring that accountability be maintained throughout the life of the item.
(D) - Durable: Nonconsumable components of sets, kits, outfits, and assemblages; all tools in Federal Supply Codes (FSCs) 5110, 5120, 5130, 5133, 5136, 5140, 5180, 5220, and 5280; and any other nonconsumable with a price in excess of $50.00 not already N.
(X) - Expendable: Items, regardless of type classification or price and which are consumed in use. Includes all class 9 repair parts and items not consumed in use which cost $50.00 or less and not already N or D.
l. SEC (Column d). The Controlled Inventory Item Code (formerly SEC code) is entered here. This is a one-position code which indicates the security classification or pilferage controls required for storage or transportation of assets. Order of precedence for assignment of codes is classified, sensitive, pilferable, or unclassified, as applicable. Codes applicable to this hand receipt are as follows:
SECCODE CONTROLLED INVENTORY ITEM CODE
U UNCLASSIFIED PILFERABLE ITEMS.
M Hand tools and shop equipment.
J Pilferable item, due to its size, shape, utility, which does not fall under one of the above categories. Pilferage controls may be designated by the coding activity to items coded U (unclassified) by recoding the items to J.
TM 9-6695-307-14-HR
1-3/(1-4 blank)
m. UI (Column e). Unit of Issue. Refer to AR 708-1 and/or CDA Pam 18-1 (Catalog Data Activity) for explanation of abbreviations used in this column.n. QTY AUTH (Column f). The quantity authorized to be on hand, or part of the end item.o. Quantity (Column g). Actual quantity on hand. Subcolumns A through F are to be filled in by the receiving unit/personnel in accordance with DA Pam 710-2-1, chapter 6.p. Page ___ of ___ Pages. Contains page number and total number of pages for the COEI, BII, and AAL portions of the hand receipt. Hand receipt holder will initial each page number (only when two or more forms are involved). When hand receipt holders change, the old initials will be lined out, and the new hand receipt holder will initial each page.
4. AUTHORIZATION DOCUMENTS. a. Components of End Item (COEI) are authorized by the applicable Repair Parts and Special Tools List (RPSTL).
b. Basic Issue Items (BII) are authorized by the applicable operator's manual.
c. Additional Authorization List (AAL) items are authorized by the appropriate MTOE, TDA, CTA, or JTA authorization documents.
5. SPECIAL INFORMATION. Items coded (.) indicate information is not available.
HA
ND
RE
CE
IPT/A
NN
EX
NU
MB
ER
FR
OM
: TO
: H
AN
D R
EC
EIP
T N
UM
BE
R
For use of this form, see D
A P
AM
710-2-1 The proponent agency is O
DC
SLO
G.
END
ITEM STO
CK N
UM
BER
END
ITEM D
ESCR
IPTION
P
UB
LICA
TION
NU
MB
ER
P
UB
LICA
TION
DATE
Q
UAN
TITY FO
R
AN
NE
X/C
R
ON
LY 6695-01-473-1473
CA
LIBR
ATIO
N SET, A
N/G
SM-705
SN:
TM 9-6695-239-14
APR
-03
STO
CK
NU
MB
ER
ITE
M D
ISC
RIP
TION
*
SE
C
UI
QTY
AU
TH
g. Q
UAN
TITY
a.b.
c.d.
e.f.
AB
CD
EF
CO
MPO
NE
NT
S OF E
ND
ITE
M (C
OE
I)
Generator M
ounting Kit (Installed on M
1088Al) w
ith hand crank EA
1
5935-01-092-3451 G
enerator Pigtail Connection (Installed on 15 K
W G
enerator) (81349) MIL-C
-22992
XU
EA1
Chair (1N
125) 363891 EA
6
Smoke D
etector SA68C
EA
2
5999-01-381-8660 D
ual Mount ESD
(62576) 14260 EA
5
6230-00-137-6394 Light, Em
ergency X
USE
2
Monitor M
ount Assem
bly (18876) 13603152 EA
5
Patch Panel Assem
bly (18876) 13602389 EA
5
Uninterrupted Pow
er Supply (18876) 13603214 EA
6
Waste B
asket (1N125) 15000
EA5
Power Supply, Lam
bda (18876) 13603199 EA
1
Line Conditioner, Triplite (18876) 13603131
EA1
10 Base- T H
ub (18876) 13603277 EA
2
100 Base- T H
ub (18876) 13603278 EA
1
Converter, M
edia 10baseFL to 10 base T (18876) 13603130 EA
1
6625-01-497-7844 Fiber H
ub, Ethernet 8-port (18876) 13603137 EA
1
Production Control (18876) 13603305
EA1
GPS A
ntenna Cable A
ssembly (18876) 13603219
EA1
GPS PV
C Extension A
dapter (18876) EA
1
* WH
EN U
SED AS A:
HA
ND
RE
CE
IPT, enter H
and Receipt A
nnex Num
ber H
AND
REC
EIPT FOR
QU
ARTER
S FUR
NITU
RE, enter C
ondition Codes
HAN
D R
ECEIPT AN
NEX
/CO
MPO
NEN
TS REC
EIPT, enter Accounting Requirem
ents Code (AR
C).
PAG
E 1 O
F 5 PAG
ES
DA
FOR
M 2062, JA
N 82
US
AP
PC
V1.10
TM 9-6695-307-14-HR Section II. HAND RECEIPT
2-1
CU
RR
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TM 9-6695-307-14-HR
STOC
K NU
MBER
ITE
M D
ES
CR
IPTIO
N
*SEC
UI
QTY
AUTH
g. Q
UAN
TITY
a.b.
c.d.
e.f.
AB
CD
EF
5895-01-443-5081 Interface U
nit, Autom
atic Data Processing
NU
EA1
6665-01-493-8499 R
emote O
xygen Sensor Assem
bly, Tox Guard II W
/Calibration K
it EA
1
6645-00-410-2395 C
lock, Panel X
UEA
1
Temperature/H
umidity M
eter (3A054) 3993-K
61 EA
1
4940-01-462-9767 U
ltrasonic Leak Detector K
it (0VJ05) TM
ULD
-300 SE
1
Key C
abinet, High Security, 30 keys
EA2
Refrigerator (18876) 914951
EA1
Clam
ping Kit, 52 pieces
EA1
Nitrogen B
ottle (18876) 13608990 EA
2
Pressure Distribution A
ssembly (18876) 13602392
EA1
Scale Support Mount B
lock (18876) 13602382 EA
1
Spring Scale Support Assem
bly (18876) 13602380 EA
1
Torque Plate Assem
bly (18876) 13602487 EA
1
UD
M-2 Storage B
ox (18876) 13610863 EA
1
BA
SIC ISSU
E IT
EM
S (BII)
NO
TE
: There are 2 types of A
ircraft Loading E
quipment, T
ype 1 and Type 2. R
efer to figures in A
ppendix B of T
M 9-2330-362-14&
P.
2590-00-856-1952 Shoe, V
ehicle Support X
UEA
2
2610-00-269-7383 Inner Tuber: Tire (Spare Tire)
XU
EA1
2640-00-810-5861 V
alve Core: Inner Tube (Spare Tire)
XU
EA1
2530-00-026-0265 W
heel Rim
(Spare Tire) X
UEA
1
2510-01-031-4455 A
dapter, Loading Jack Used w
ith Type 1 and Type 2 X
UEA
2
2540-00-892-6243 Ladder, G
enerator (located in storage box) w/hand rail
XU
EA1
Ladder, Boarding w
/ rails (18876) 13602441 X
UEA
2
5935-00-224-5260 R
od, Ground 6 feet long
XU
EA1
Reverse of D
A Form
2062 PA
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F 5 PAG
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TM 9-6695-307-14-HR
STOC
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MBER
ITE
M D
ES
CR
IPTIO
N
*SEC
UI
QTY
AUTH
g. Q
UAN
TITY
a.b.
c.d.
e.f.
AB
CD
EF
5120-00-243-2419 H
andle: leveling jack D
MEA
2
5120-00-224-7330 Jack, H
ydraulic D
MEA
1
5120-00-293-1289 W
rench, Socket D
MEA
1
8105-01-171-4739 B
ag: Tiedown R
ings X
UEA
2
1670-01-092-9236 R
ing, Assem
bly Cargo
XU
EA30
Crank, H
and (18876) EA
2
2540-01-033-0703 C
hock, Wheel-Track
XU
EA2
2590-01-181-6331 B
race Jack (undercarriage between belly box and dolly) Type 1
XU
EA4
5120-01-185-0477 Jack Leveling Support (undercarriage betw
een belly box and dolly) Type 1 D
UEA
2
2590-01-207-6366 Shoe Loading Jack (undercarriage betw
een belly box and dolly) Type 1 X
UEA
2
2590-01-043-7892 Stand, Jack Leveling (undercarriage betw
een belly box and dolly) Type 2 X
UEA
2
2590-01-124-5063 U
pper Mount A
ssembly: Jack (undercarriage betw
een belly box and dolly) Type 2 X
UEA
2
2590-01-038-1507 Jack, Leveling Support (undercarriage betw
een belly box and dolly) Type 2 X
UEA
2
Spacer, Wood B
lock (18876) 13609878 EA
2
5820-01-263-1760 G
rounding Kit
XU
EA2
5995-01-376-7941 Pow
er Cable A
ssembly, Pigtail 25 feet
XU
EA1
5995-01-134-3159 Pow
er Cable A
ssembly, 50 foot
XU
EA2
2540-01-092-4056 Ladder, Folding 12 feet
XU
EA1
5120-00-138-3772 W
rench Jack Type 1D
UEA
2
5120-01-398-7886 Extension, Socket W
rench, 1/2 inch, Craftsm
an (0TA44) 9-44131
DM
EA1
5120-01-429-6379 U
niversal Joint, 1/2 inch, Craftsm
an (0TA44) 9-4425
DM
EA1
5120-01-398-9267 D
rive, 1/2 inch, 27 MM
socket 12 pt, Craftsm
an (0TA44) 9-44243 O
R D
rive, 1/2 inch, 1 3/16 inch socket 6 pt, C
raftsman (0TA
44) 9-44052 D
MEA
1
6240-00-155-8717 Lam
p Incandescent X
UEA
9
6240-00-019-0877 Lam
p Incandescent X
UEA
9
Reverse of D
A Form
2062 PA
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OF 01 A
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TM 9-6695-307-14-HR
STOC
K NU
MBER
ITE
M D
ES
CR
IPTIO
N
*SEC
UI
QTY
AUTH
g. Q
UAN
TITY
a.b.
c.d.
e.f.
AB
CD
EF
6240-00-617-0991 Lam
p Incandescent X
UEA
2
6240-00-044-6914 Lam
p Incandescent X
UEA
2
5180-01-042-3394 Tool K
it: Air C
raft Loading Com
posed of: Used w
ith Type 1 and Type 2 SE
Extension, Socket 5UP46
EA1
Handle, R
atchet 5UP56
EA1
Pliers 5WN
17 EA
1
Socket, ¾ Inch 5TZ51
EA1
Socket, 15/16 inch 5TZ55 EA
1
Socket, 1 1/8 inch 5TZ58 EA
1
Wrench, 1-11/16 inch 54L18-5
EA1
Tool Box 6C
326 EA
1
5305-00-724-7222 Screw
, Cap, H
exagon Head (96906) M
S35303-164 Type 1 X
UEA
4
Screw: Jack Type 1
EA4
5310-00-763-8920 N
ut, Plain, Hexagon Type 1
XU
EA4
Screwdriver, 24 inch long (39428) 5682A
47 EA
1
4940-01-320-7328 N
ozzel, Air (39428) 5536K
12 X
UEA
1
First Aid K
it 212330 EA
1
Level, 24 inch, Stanley 42-074 EA
1
4210-00-270-4512 Fire Extinguisher (99539) 5R
AC
02 X
JEA
2
5120-01-468-6124 W
rench, Torque, 1/2 inch drive, 20 to 150 ft-lbs. (53800) 9-44595 U
EA1
5340-01-463-5841 Padlock, Set (set of 5 each) (81346) A
STM F883
XU
EA1
9905-01-207-3508 Plate, Instruction
XU
EA2
Bar, B
reaker, 1/2 inch drive X 24 inch long (1EA
85) T20727 EA
1
Technical Manual: TM
9-2330-362-14&P (on C
D)
EA1
AD
DIT
ION
AL
AU
TH
OR
IZED
LIST
(AA
L)
Reverse of D
A Form
2062 PA
GE 4 O
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OF 01 A
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TM 9-6695-307-14-HR
STOC
K NU
MBER
ITE
M D
ES
CR
IPTIO
N
*SEC
UI
QTY
AUTH
g. Q
UAN
TITY
a.b.
c.d.
e.f.
AB
CD
EF
4520-01-177-6198 H
eater, Space P-15D (Inside H
eater Box C
AG
E: 18876 PN: 13602427)
EA2
Box, Pow
er Breakout (Inside B
elly Box) (18876) 13602496
EA1
5410-01-323-2454 M
odular Com
mand Post System
(MC
PS), Green O
R M
odular Com
mand Post System
(M
CPS), TA
N (N
SN 5410-01-334-7529) See TM
10-5410-229-13 & P for com
ponent inventory.
NU
EA1
Reverse of D
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2062 PA
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By Order of the Secretary of the Army
GEORGE W. CASEY, JR. General, United States Army
Chief of StaffOfficial:
JOYCE E. MORROW Administrative Assistant to the
Secretary of the Army 0728408
DISTRIBUTION:
To be distributed in accordance with Initial Distribution Number (IDN) 362429, requirementsfor TM 9-6695-307-14-HR.
TM 9-6695-307-14-HR
These are the instructions for sending an electronic 2028The following format must be used if submitting an electronic 2028. The subject line must be exactly the same and all fields must be included; however only the following fields are mandatory: 1, 3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, and 27.
From: “Whomever” [email protected]: [email protected]
Subject: DA Form 20281 From: Joe Smith 2 Unit: home 3 Address: 4300 Park 4 City: Hometown 5 St: MO 6 Zip: 77777 7 Date Sent: 19--OCT--93 8 Pub no: 55--2840--229--239 Pub Title: TM 10 Publication Date: 04--JUL--8511 Change Number: 712 Submitter Rank: MSG13 Submitter FName: Joe14 Submitter MName: T15 Submitter LName: Smith 16 Submitter Phone: 123--123--123417 Problem: 1 18 Page: 2 19 Paragraph: 3 20 Line: 4 21 NSN: 5 22 Reference: 6 23 Figure: 7 24 Table: 8 25 Item: 9 26 Total: 123
27 Text:This is the text for the problem below line 27.
EXAMPLE
RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS
For use of this form, see AR 25--30; the proponent agency is ODISC4.
Use Part II (reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)
DATE
8/30/02
TO: (Forward to proponent of publication or form)(Include ZIP Code)
Commander, U.S. Army Aviation and Missile Command
ATTN: AMSAM--MMC--MA--NP
Redstone Arsenal, AL 35898
FROM: (Activity and location)(Include ZIP Code)
MSG, Jane Q. Doe
1234 Any Street
Nowhere Town, AL 34565
PART 1 - ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS
PUBLICATION/FORM NUMBER TM 9-1005-433-24
DATE16 Sep 2002
TITLE Organizational, Direct Support, And General Support Maintenance Manual for Machine Gun, .50 Caliber M3P and M3P Machine Gun Electrical Test Set Used On Avenger Air Defense Weapon System
ITEMNO.
PAGE NO.
PARA-GRAPH
LINENO. *
FIGURE NO.
TABLENO. RECOMMENDED CHANGES AND REASON
1 WP0005PG 3
2 Test or Corrective Action column should identify a different WP number.
* Reference to line numbers within the paragraph or subparagraph.TYPED NAME, GRADE OR TITLE
MSG, Jane Q. Doe, SFC
TELEPHONE EXCHANGE/ AUTOVON, PLUS EXTENSION
788-1234
SIGNATURE
DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01
EXAMPLE
TO: (Forward direct to addressee listed in publication)
Commander, U.S. Army Aviation and Missile Command
ATTN: AMSAM-MMC-MA-NP
Redstone Arsenal, AL 35898
FROM: (Activity and location) (Include ZIP Code)
MSG, Jane Q. Doe
1234 Any Street
Nowhere Town, AL 34565
DATE
8/30/02
PART II - REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER DATE TITLE
PAGE NO.
COLMNO.
LINENO.
NATIONAL STOCK NUMBER
REFERENCENO.
FIGURE NO.
ITEMNO.
TOTAL NO. OF MAJOR
ITEMSSUPPORTED
RECOMMENDED ACTION
PART III - REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications andblank forms. Additional blank sheets may be used if more space is needed.)
TYPED NAME, GRADE OR TITLE
MSG, Jane Q. Doe, SFCTELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION
788-1234SIGNATURE
USAPA V3.01
RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS
For use of this form, see AR 25--30; the proponent agency is ODISC4.
Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)
DATE
TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location)(Include ZIP Code)
PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS
PUBLICATION/FORM NUMBER DATE TITLE
ITEMNO.
PAGE NO.
PARA-GRAPH
LINENO. *
FIGURE NO.
TABLENO. RECOMMENDED CHANGES AND REASON
* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/
AUTOVON, PLUS EXTENSION
SIGNATURE
DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01
TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location) (Include ZIP Code) DATE
PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER DATE TITLE
PAGE NO.
COLMNO.
LINENO.
NATIONAL STOCK NUMBER
REFERENCENO.
FIGURE NO.
ITEMNO.
TOTAL NO. OF MAJOR
ITEMSSUPPORTED
RECOMMENDED ACTION
PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)
TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION
SIGNATURE
USAPA V3.01
RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS
For use of this form, see AR 25--30; the proponent agency is ODISC4.
Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)
DATE
TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location)(Include ZIP Code)
PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS
PUBLICATION/FORM NUMBER DATE TITLE
ITEMNO.
PAGE NO.
PARA-GRAPH
LINENO. *
FIGURE NO.
TABLENO. RECOMMENDED CHANGES AND REASON
* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/
AUTOVON, PLUS EXTENSION
SIGNATURE
DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01
TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location) (Include ZIP Code) DATE
PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER DATE TITLE
PAGE NO.
COLMNO.
LINENO.
NATIONAL STOCK NUMBER
REFERENCENO.
FIGURE NO.
ITEMNO.
TOTAL NO. OF MAJOR
ITEMSSUPPORTED
RECOMMENDED ACTION
PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)
TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION
SIGNATURE
USAPA V3.01
RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS
For use of this form, see AR 25--30; the proponent agency is ODISC4.
Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)
DATE
TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location)(Include ZIP Code)
PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS
PUBLICATION/FORM NUMBER DATE TITLE
ITEMNO.
PAGE NO.
PARA-GRAPH
LINENO. *
FIGURE NO.
TABLENO. RECOMMENDED CHANGES AND REASON
* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/
AUTOVON, PLUS EXTENSION
SIGNATURE
DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01
TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898
FROM: (Activity and location) (Include ZIP Code) DATE
PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS
PUBLICATION NUMBER DATE TITLE
PAGE NO.
COLMNO.
LINENO.
NATIONAL STOCK NUMBER
REFERENCENO.
FIGURE NO.
ITEMNO.
TOTAL NO. OF MAJOR
ITEMSSUPPORTED
RECOMMENDED ACTION
PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)
TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION
SIGNATURE
USAPA V3.01
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