Attachment 0005 - Form 1379.pdf

PDF 236 KB Posted

Attached to
Overhaul of the UH-60 ACTUATOR, ELECTROMEC
Solicitation number
W58RGZ-25-R-0037
Issued by

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This is Form 1379 (AMSAT-M FORM 1379), a Request for Depot Engineering Support form dated 16 SEP 93. The form is designed to report engineering issues or problems with publications and request support in addressing them.

The blank form contains fields for contract number, priority of request (urgent/routine), date, sender/recipient information, point of contact, publication details, and a section to describe the problem and proposed solution. It includes spaces to specify the exact location of issues (page number, paragraph, figure, table) and an area for recommended solutions or dispositions. The form has signature blocks at the bottom and indicates that a continuation sheet may be used if necessary. This appears to be a standard template form rather than a completed request containing specific engineering support requirements.

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Continuation Sheet

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Text1: AMSRD-AMR FORM 1379, 28 JAN 09
PageText2:
Page2Text1: AMSRD-AMR 1379, 28 JAN 09 (CONTINUATION SHEET)

File details come from the government source that posted it. Updated .