Form Instructions

SB 740-95-20

(4) Critical defects report. When a critical defect is

applicable appendix. Enter any additional information

that might have had an effect on test results. Enter any

found, report it immediately to the Commander, US Army

recommendations on lot disposal, e.g., screen or

Armament, Munitions and Chemical Command, ATTN:

renovate.

DRSMC-QAE-B(R), Rock Island, IL 61299. Report the

(I) Block 14. Self-explanatory.

incident via teletype or telephone and follow the initial

(j) Block 15. Not applicable.

report with a DA Form 984 giving complete information

(2) Data sheet for Grand Lots, Miscellaneous Lots,

concerning the extent of, and the circumstances

pertaining to, the critical defect.

or Depot Lots, (DA Form 985, 1 Jul 53). This form shall

b. Errors in Reports.

be used by the depot or storage activity to record the

(1) Only errors that affect the serviceability status

formation of these lots.

of the materiel evaluated need be corrected. Make

Form Instructions

corrections by replacing those specific pages affected by

(a) Block 1.

Enter the complete standard

the error with "Corrected Copies."

nomenclature and model number of the item. Enter the

(2) The inspection activity that initiated the

National Stock Number (NSN).

erroneous report shall prepare and distribute the

(b) Block 2. Enter the depot or storage activity

corrected pages required by (1) above. Each such page

where the items that make up the lot are stored.

shall be marked "Corrected Copy." Denote the corrected

entries by circling them.

(d) Block 4. State the previous serviceability of

c. Classified Data. Unless specifically authorized

each lot composing the grand lot, miscellaneous lot, or

by the US Army Armament, Munitions and Chemical

depot lot.

Command, Security Office, place no classified

(e) Block 5. Enter the method of packing and

information on the materiel serviceability reports. Use

preservation.

special codes as much as possible in preparing the

(f) Block 6. Not applicable.

documents when materiel or information is classified. If

(g) Column a.

Enter the manufacturer or

classified information is required place it on a separate

manufacturers of the individual lots forming the grand lot,

sheet, not the materiel serviceability report form.

miscellaneous lot, or depot lot.

Properly mark this sheet and transmit it by authorized

(h) Column b.

Enter the manufacturer's lot

means according to its degree of classification. Attention

number for each of the individual lots.

is directed to AR 380-5 which states that unnecessary

(I) Column c. Enter the date of manufacture of

classification or higher than necessary classification is to

each lot.

be avoided.

(j) Column d. Enter the lot size for the individual

d. Submission of Reports. With the exception of

lots listed in column b. Total the column values and

reports used for "Special Inspection", submit the original

enter the sum in the total block at the foot of the column.

and two copies of all reports required by this bulletin to

(k) Column e. Record the number of samples

the Commander, US Army Armament, Munitions and

selected for test from each lot listed in column b. Total

Chemical Command, ATTN: DRSMC-QAE-B (R), Rock

the column values and enter the sum in the total block at

Island, IL 61299.

the foot of the column.

(l) Column f. Record the number of samples

Special Instructions. a. Special Testing.

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selected for visual examination from each lot listed in

Some tests included in this bulletin or reference herein

column b. Total the column values and enter the sum in

may require the use of special test equipment, or special

the total block at the foot of the column.

test facilities. The items requiring this type of testing are

(m) Columns g. h, and i. Not applicable.

identified in the appropriate appendix. Items so identified

(n) Remarks. Enter any pertinent information

may be tested at the US Army Armament, Munitions and

regarding formation of the lot or sampling procedure.

Chemical Command, Product Assurance Directorate,

(o) Supplementing serviceability report number.

ATTN: DRSMC-QAO-P (A), Aberdeen Proving Ground,

Enter the same report number here that is on DA Form

MD 21010, Pine Bluff Arsenal, Product Assurance

984.

Directorate, ATTN: SMCPB-QAL, Pine Bluff, AR 71611

(p) Other blocks. Self-explanatory.

or other approved testing facility. Have the shipment of

(3) Quality Deficiency Report (QDR) (SF 368).

test samples coordinated and directed by the National

Submit this form when initial receipt inspection reveals

Inventory Control Point (NICP),

unsatisfactory new materiel from a manufacturer or

unsatisfactorily renovated, repaired, or modified materiel

from a contractor. Prepare and distribute SF 368 as

specified in AR 702-7.

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