TB 1-2840-248-20-2
Block 51. Maint level. Enter the maintenance level of the unit/activity performing the action. ("O" for
AVUM, "F" for AVIM, or "D" for depot.)
Block 52. Date installed. Enter the julian date that the reportable item was installed.
Block 53. UIC (this action). Enter the unit identification code of the organization doing the installation. If a
contractor, enter the proper CAGE code prefixed with a "K".
Block 54. Manhrs to install. If removal of the component/module was necessary to comply with the MWO,
enter the manhours in hours and tenths it took to do the reinstallation.
Block 55. Signature and telephone number. The person certifying that the MWO or other directive has
been properly done will enter their signature and telephone number (DSN/AUTOVON or commercial).
Block 56. New NSN/PN/SN. Leave this block blank.
Block 36. Inspection & action codes. Enter an "E" in the box in front of the (E) Repair block.
Blocks 57. Through 62. Leave these blocks blank.
NOTE: Mail copy 3 to USAATCOM.
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