Attachment_J-11_REPSHIP_Form.xls
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Attachment J-11 REPSHIP Form
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Sheet1
| Naval Sea Logistica Center, Newport, RI | |||||||
| Advance Report of Shipment (REPSHIP) | |||||||
| The following information is provided as required by DoD 4500.9-R, the Defense Transportation Regulation, Chapter 205, and constitutes official notification of a pending shipment that will require special handling upon receipt. | |||||||
| Central Receiving Point of Contact | |||||||
| Name | Commercial Phone | ||||||
| Inbound REPSHIP Folder | (401) 832-6150 | ||||||
| Fax | |||||||
| NWPT.NUWC_NPT_IBND_REPSHIP@navy.mil | (401) 832-6198 | ||||||
| Consignor at Point of Origin | |||||||
| DODAAC | Command Name and Address | ||||||
| Consignee and Ultimate Destination | |||||||
| DODAAC | Command Name and Address | ||||||
| N66604 | Commanding Officer Naval Undersea Warfare Center Newport 47 Chandler Street, Newport, RI 02841-1708 | ||||||
| POC Name | Commercial Phone | ||||||
| Fax | |||||||
| Shipment Information | |||||||
| Requisition Document No. / Pruchase Order No. / Contract No. | |||||||
| TCN: | |||||||
| Specific Description of Material | |||||||
| Pieces | Weight | Length | Width | Height | Specifics regarding heavy lift or oversize pieces | ||
| NOMENCLATURE: | |||||||
| Special Handling Requirements | |||||||
| Highest Classification of any piece in the shipment | Does the shipment contain NRNW? NO | ||||||
| Environmental and Other Special Handling Requirements | |||||||
| Transportation Information | |||||||
| Anticipated shipping method | Carrier | ||||||
| Estimated Shipping Date* | Bill of Lading No. / Transportation Control No. / Tracking No. | ||||||
| Route Order Number | Routing | ||||||
| MTX No. | RIS No. | Seal Numbers. | |||||
| Consignor Acknowledgements | |||||||
| Please confirm receipt of this Advanced REPSHIP notificiation by signing in this block and faxing or emailing the form back to the POC indicated above. *Note, we will not release the shipment to the carrier until we have received this acknowledgement. | |||||||
| * Request your acknowledgement NLT |
or shipment will be delayed until you respond
| Name of Person Acknowledging Receipt of REPSHIP | Signature | Date |
| When material is received, sign these blocks and fax or email form to the same POC | ||
| Name of Person Acknowledging Receipt of Material | Signature | Date |
| FISCN Form 4500/1 version 25 FEB 10 |
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