Part II: Results of Surveillance Test.

SB 740-95-20

(a) Block 1. Enter the actual storage location,

Defect

Number of Defects

131

which may not necessarily be the depot or storage

141

activity having accountability.

(b) Block 2. Enter the local report number.

291

(t) Block 20. Note any observation relevant to the

(d) Block 4.

condition of an item or to the actual inspection in this

Enter the complete standard

block. Examples of such observations are: different

nomenclature and model number of the item.

storage conditions of lot segments, unlisted defects,

(e) Block 5. Record the complete manufacturer's

inspection equipment not available or calibration interval

lot number. When surveillance is authorized on the

exceeded, and severity of defects listed in block 19.

basis of a depot lot, miscellaneous lot, or grand lot, enter

Include a brief lot history when possible.

the lot number applicable to the type of lot, and complete

(u) Block 21a. Self-explanatory.

DA Form 985 (Data Sheet for Grand Lots, Miscellaneous

(v) Block 21b. Based on the results of visual

Lots, or Depot Lots) using the instructions in paragraph

examinations (Part I, Block 19) enter the condition code

2-9a(2).

(f) Block 6. Describe the packing of the items in

(see para 2-7e).

(w) Block 21c. Based on the test results (Part II,

narrative form.

(g) Block 7. Enter the National Stock Number

Block 13) enter the condition code see para 2-7e).

(x) Block 22. Self-explanatory.

(NSN) of the item.

Part II: Results of Surveillance Test.

(h) Block 8. Enter the current and past type of

(a) Block 1. Self-explanatory.

storage, e.g., heated warehouse, unheated warehouse,

(b) Block 2, 2a, and 2b. Enter this bulletin number

shed, open, etc.

(I) Block 9. Record the number of samples

(SB 740-95-20), revision, or change, and the date of this

selected for examination and test.

bulletin, revision, or change. When applicable, enter the

(j) Block 10. Record the number of items (minus

letter of authority or directive for any performed special

surveillance not in accord with this bulletin.

the sample size if the samples cannot be returned to the

lot) remaining in the lot at the depot.

(k) Block 11. Self-explanatory.

conditions at the test area if they are relevant to the test.

(l) Block 12. Self-explanatory.

Otherwise enter N.A.

(d) Blocks 7 and 8. Consecutively number the

(m) Block 13. Enter the type and date of the last

outer packages from which the samples were selected,

inspection, e.g., Prestorage, 10 July 1981.

and the individual samples, starting with "1". Record

(n) Block 14. Enter the type of inspection and the

these numbers in blocks 7 and 8.

date that this current inspection is performed, e.g.,

(e) Blocks 9a and 9b. Enter the type and model of

Cyclical, 1 July 1982.

the component or item in the heading of each column

(o) Block 15.

Record the manufacturer or

and enter the lot number of each sample on the

reconditioning agency and the date of manufacture.

appropriate line.

When more than one manufacturer is represented

(f) Block 10. In the heading of each column,

because of the nature of the lot enter N.A.

describe the test characteristic to be tabulated. Indicate

(p) Block 16. Self-explanatory.

attribute deficiencies with "x" at the intersection of the

(q) Block 17. Self-explanatory.

individual sample number and the test characteristic, or

(r) Block 18.

Record the condition of the

enter the actual test result.

packaging, packing, marking, and preservation.

(g) Blocks 11 and 12. In the space above blocks

(s) Block 19. State whether the lot passed or

11 and 12 indicate whether the evaluation is based on

failed the visual examination requirements of this supply

"defects" or "defectives" by crossing out the one that

bulletin. Record by Quality Defect Code, Category,

does not apply. Enter an "x" at the intersection of the

Defect Number, and number of Defects or Defectives, all

applicable defective column sample number when

applicable visual defects or defectives. (Quality Defect

deficiencies have been noted in block 10 and evaluation

Codes shall be as given in appendix A. Categories and

is based on defectives. Enter the total number of defects

Defect Numbers shall be as given for a defect listed in

observed for each sample in the appropriate columns

the various classification paragraphs of the applicable

when the evaluation is based on defects.

appendix.) Reference this bulletin, appendix A, the

(h) Block 13. State whether the lot passed or

applicable appendix, and the table number for the item.

failed the test requirements established in the

Example: SB 740-95-20

APPENDIX A

Defect

Number of Defects

113

2-9