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Annex A to Lesson Plan DK02

DATE: 15-JUN-97 EQUIPMENT MAINTENANCE AND DA FORM 5988-E


INSPECTION WORKSHEET

UIC: W1L4E1 HHT 5-15TH CAV 1ATB

-------------------------------------------------- EQUIPMENT DATA ------------------------------------------------

ADMIN NUM: EQUIP SERIAL NUM:


EQUIP MODEL: REGISTRATION NUM:
EQUIP NOUN: TYPE INSPECTION:
EQUIP NSN: CURRENT READING:

NUMBER DATE CHANGE NUMBER


PUBLICATION:
PUBLICATION:

INSPECTOR LIC#:_______________ TIME:______ SIGNATURE:_________________ TIME:______

--------------------------------------------------- PARTS REQUESTED ----------------------------------------------

QTY STATUS DATE


FAULT DOC NUM NIIN DUE/REC DATE COMP PRI DLC

------------------------------------------------ MAINTENANCE FAULTS ------------------------------------------

ITEM FAULT FAULT FAULT CORRECTIVE


NUM DATE STATUS DESCRIPTION ACTION INITIALS

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6L1MAR99DK02 A-6 VIEWGRAPH #5

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