Attachment 1 - A D Form.pdf

ABANDONED/DESTRUCTION FORM

DLA DISPOSITION SERVICES

TIRE RECYCLING

Name:

Address:

City: Zip Code:

Phone:

Base Location:

FINDINGS: Property listed has no R/T/D or sales potential nor any value for basic material content, and/or charitable donation is not feasible, and/or sale of property is uneconomical pursuant to the economy formula (property to be buried in commercial landfill).

Public notice not given because property value is so little that the retention/advertising for sale is clearly not practical.

Abandonment action is approved. ________________________________________________ DLA Disposition Services Chief/Designee Date

“I certify these items were abandoned in the manner authorized by DoD 4160.21-M and other applicable regulations”

Abandoned/Destruction Officer Date

I have witnessed the abandonment of this property by delivery to a commercial landfill hauler/operator.

Receiver (Disposal Contractor) Date

DRMS-I 4160.14 GENERAL

PROCESSING CHAPTER 2,

PROPERTY ACCOUNTING

ABANDONED/DESTRUCTION

Attachment 1