TB 5-6115-585-23-2
Print the
NOUN NOMENCLATURE.
(12)
DEFICIENCY OR SYMPTOM.
Briefly
(6)
d e s c r i b e the problem.
n o u n abbreviation of the item to be exchanged.
( 1 3 ) DATED ACCEPTED. When the form is
( 7 ) P D . E n t e r the priority designator (PD)
t h a t applies to the action. T h e unit or organ-
u s e d as a receipt, t h e support unit will enter
the Julian date.
i z a t i o n listed in Block 3 normally assigns the
PD. W h e n the form supports a customer main-
tenance request, use the PD of the mainte-
n a n c e request.
( 1 4 ) S I G N A T U R E . T h e p e r s o n who receives
the item signs.
( 8 ) PD AUTHENTICATION.
P r i n t the w o r d "Yes" for an
(15) NMCS.
NMC condition.
The commander or the designated
a.
r e p r e s e n t a t i v e signs when a PD of 01 through
( 1 6 ) J O N . The facility that will repair the
1 0 is in Block 7.
i t e m enters the job order n u m b e r .
F o r war-
r a n t y claims actions, u s e the control number
i n s t e a d of the JON.
b . E n t e r the job order number when a PD
o f 01 through 10 i s taken from a maintenance
request.
The person receiving the
(17) INITIALS.
i t e m for repair initials in this block.
( 9 ) END ITEM N O M E N C L A T U R E . Enter the
n o u n abbreviation o f the end i t e m for the part
T h e person doing
(18) DATE REPAIRED.
or component in Block 6.
the work enters the date the work was fin-
ished.
E n t e r t h e m o d e l number of
MODEL.
(l0)
the end item.
( 1 9 ) I N I T I A L S . T h e person doing the work
i n i t i a l s in this block.
E n t e r the serial number
(11) SERIAL NO.
o f the end item.
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