TB 5-4210-220-24
8. PD AUTHENTICATION
a. The commander or the designated representative signs when a PD of 01 through 10 is in Block
7.
b. Enter the job order number when a PO of 01 through 10 is taken from a maintenance request.
9. END ITEM NOMENCLATURE
Enter the noun abbreviation of the end item for the part or
component in Block 6.
10. MODEL Enter the model number of the end item.
11. SERIAL NO. Enter the serial number of the end item.
12. DEFICIENCY OR SYMPTOM Briefly describe the problem.
13. DATE ACCEPTED When the Form is used as a receipt. the exchange facility will enter the Julian
date.
14. SIGNATURE The person who receives the item for exchange signs.
15. NMCS Print the word "Yes" for an NMCS condition.
16. JON The facility that will repair the item enters the job order number.
17. INITIALS The person receiving the item for repair initials in this block.
18. DATE REPAIRED The person doing the work enters the date the work was finished.
19. INITIALS The person doing the work initials in this block.
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