TB 1-2840-248-20-2
Block 55. Signature and telephone number. The person verifying that the installation has been properly
done will enter their signature and telephone number.
Block 56. New NSN/PN/SN. Leave blank unless an MWO or other directive application is involved and the
national stock number, part number, and/or serial number is being changed. In that event follow the procedure
at paragraph 3-34 of DA Pamphlet 738-751.
Block 36. Inspection and action codes. This block will have been marked by the activity that repaired,
overhauled, or rebuilt the item.
Block 57. Reason for loss. Leave blank unless there is a loss to the inventory. Follow the procedure in
paragraph 3-36 of DA Pamphlet 738-751 if there is a loss.
Block 58. UIC (rcvd from). Enter the unit identification code of the organization from which the item was
received. If from a contractor enter their CAGE code prefixed with a "K." Blocks 59. Through 62. Leave blank
unless there is a loss to the inventory. See paragraph 3-36 of DA Pamphlet 738-751.
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