SPI_AK16999301 REV A.pdf

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Attached to
Medical Treatment Table Federal contract opportunity
Solicitation number
SPRDL1-23-R-0062
Issued by
Defense Logistics Agency Land and Maritime

About this file

This special packaging instruction provides detailed requirements for packaging a medical treatment table for shipment. The instruction specifies materials, dimensions, and assembly procedures for unit packaging the table along with custom fabricated wood blocking and bracing. Specific requirements include fabricating wood blocks of varying sizes and materials in accordance with sketches and assembly instructions. Cushioning, barrier materials, and container specifications are defined along with preservation, packing, and marking requirements conforming to military standards. Quality assurance and inspection requirements are also included, with the unit container serving as the shipping container.

The related federal contract opportunity is a solicitation for supply of a medical treatment table. The solicitation number is SPRDL1-23-R-0062 and was issued by the Defense Logistics Agency Land and Maritime. No further details are provided on pricing terms, response dates, or other solicitation requirements.

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Text version

SPECIAL PACKAGING INSTRUCTION

Form Approved OMB No. 0704-0188

-BM

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

.12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

7. QUP 8. ICQ 9. UNIT PACK WT (LB.) 10. UNIT PACK CU (CU. FT.) 11. UNIT PACK SIZE (INCHES)

1 EACH NONE 597.2 69.948 72.0 X 42.5 X 39.5

12. MILITARY PRESERVATION 18.

STEPS

19.

REQD

20.

DESCRIPTION

MIL-STD-2073-1, METHOD 43

13. CLEANING 1-B WRAP: MIL-B-121G, TY II, GR A, CL 2,

MIL-STD-2073-1 SIZE: 33 X 21 (4 EACH)

14. DRYING SIZE: 21 X 12 (2 EACH), SIZE: 25 X 12 (2 EACH),

MIL-STD-2073-1 2-C CUSHIONING: A-A-59135, CL 2, GR A,

15. PACKING

SEE CHART ON PAGE 3

3-D 1 BARRIER BAG: MIL-DTL-6060, MIL-PRF-131, CL 3,

A. LEVEL A SIZE: 144 X 134

MIL-STD-2073-1 & NOTE J 4-E BLOCKING/BRACING: SEE NOTES

B. LEVEL B

NOT APPLICABLE 5-F 1 CONTAINER: ASTM D6880, CL 2, STYLE 2,

16. MARKING SIZE: 69 X 39-1/2 X 33-3/4

MIL-STD-129

17. NOTES/DRAWING

A. QUALITY ASSURANCE PROVISIONS:

1. INSPECT PRESERVATION AND UNIT PACK IN ACCORDANCE WITH MIL-STD-2073-1.

2. INSPECT THE PACKING IN ACCORDANCE WITH MIL-STD-1186 AND THE APPLICABLE CONTAINER

SPECIFICATION.

B. WRAP SIZE 33 X 21 (4 EACH) SHALL BE PLACED ON BLOCK ASSEMBLY “3” UNDER THE MEDICAL TABLE AS SHOWN IN SKETCH ON PAGE 13. PLACE WRAP SIZE 21 X 12 (2 EACH) AROUND BLOCK “F” (2 EACH) AND SECURE WITH TAPE ASTM D5486 AS SHOWN IN SKETCH ON PAGE 9. PLACE WRAP SIZE 25 X 12 (2 EACH) AROUND BLOCK “G” (2 EACH) AND SECURE WITH TAPE ASTM D5486 AS SHOWN IN SKETCH ON

PAGE 10.

C. FABRICATE CUSHIONING WRAP “AA” AND “BB” AS SHOWN IN SKETCHES ON PAGE 5 AND PAGE 6.

CUSHIONING WRAPS SHALL BE PLACED UNDER AND AROUND ITEM IN ACCORDANCE WITH

INSTRUCTIONS IN NOTE H.

D. SEE PAGE 4 FOR BARRIER MATERIAL LAYOUT, GASKET PLACEMENT AND DIMENSIONING. PLACEMENT

OF BARRIER MATERIAL SHALL BE IN ACCORDANCE WITH INSTRUCTIONS IN NOTE H.

USE MIL-PRF-131, CL 3 MATERIAL IN LIEU OF MIL-PRF- 131, CL 1 MATERIAL.

E. FABRICATE BLOCKS “A” THROUGH “G” IN ACCORDANCE WITH THE CHART ON PAGE 3 AND SKETCHES

ON PAGE 7, PAGE 9 AND PAGE 10.

FABRICATE BLOCK ASSEMBLY “1” (1 EACH) BY SECURING BLOCK “B” (2 EACH) TO BLOCK “A” (1 EACH) USING A SUITABLE WATERPROOF GLUE AND NAILS OR STAPLES CONFORMING TO ASTM F1667 AS SHOWN IN SKETCH ON PAGE 8. FABRICATE BLOCK ASSEMBLY “2” (1 EACH) BY SECURING BLOCKS ”C” (6 EACH), “D” (1 EACH) AND “E” (2 EACH) TO BLOCK ASSY “1” USING NAILS CONFORMING ASTM F1667 AS SHOWN IN SKETCH ON PAGE 10. FABRICATE BLOCK ASSEMBLY “3” (1 EACH) BY DRILLING 1/2 INCH

HOLES (4 EACH) IN BLOCK ASSEMBLY “2” AS SHOWN IN SKETCH ON PAGE 11.

DD FORM 2169, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 15 Pages

2540-01-699-9301 A

AK16999301

SPECIAL PACKAGING INSTRUCTION (Continuation Sheet)

-BM

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT

TABLE TREATMENT TABLE

19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

17.

F. CONTAINER IS CONSTRUCTED OF 1 INCH THICK NOMINAL LUMBER AND IS MODIFIED TO INCLUDE

BEVELED SKIDS. SIZE AND APPLICTION OF SKIDS ARE IN ACCORDANCE WITH ASTM D6880.

NOTE: SIDES, ENDS AND TOP SHALL NOT BE INSTALLED UNTIL AFTER THE MEDICAL TABLE HAS

BEEN SECURED ON THE FLOOR OF THE CONTAINER AND THE FLOATING BAG HAS BEEN HEAT

SEALED.

DRILL 1/2 INCH HOLES (4 EACH) IN THE CONTAINER FLOOR AS SHOWN IN SKETCH ON PAGE 15.

G. SEE SHEETS 2 THROUGH 18 FOR DETAILS OF BLOCKING, BRACING AND PLACEMENT OF ITEM

WITHIN CONTAINER.

H. SECURE THE TABLE TOP HANDLES (4 EACH) USING NYLON TIE WRAP “8” (4 EACH) TO THE UNDER

SIDE OF THE MEDICAL TABLE AS SHOWN IN SKETCH ON PAGE 12.

INSERT CARRIAGE BOLTS “1” (4 EACH) ALONG WITH WASHERS “6” (4 EACH) THROUGH BLOCK

ASSEMBLY “3” AS SHOWN IN THE SKETCH ON PAGE 14. CENTER THE TABLE BY ALIGNING THE

ARROWS ON THE SIDE OF TABLE AS SHOWN IN SKETCH ON PAGE 11.

USING THE CRANK HANDLE ADJUST THE HEIGHT OF THE MEDICAL TABLE TO IT’S LOWEST

POSITION. NOTE: DO NOT FORCE THE HANDLE.

SECURE THE CRANK HANDLE USING A NYLON TIE WRAP “7” (1 EACH) AS SHOWN IN THE SKETCH

ON PAGE 12.

PLACE THE MEDICAL ASSEMBLY ON BLOCK ASSEMBLY “3” AND SECURE USING BLOCKS “F”

(2 EACH) AND FLATWASHERS “2” (4 EACH), LOCKWASHERS ”3” (4 EACH), AND NUTS “4” (4 EACH) AS

SHOWN IN SKETCH ON PAGE 14. PLACE BLOCKS “G” ON THE TOP OF THE MEDICAL TABLE AND

SECURE USING CARRIAGE BOLTS “1” (4 EACH), WASHERS “6” (4 EACH), FLATWASHERS “2”

(4 EACH), LOCKWASHERS ”3” (4 EACH), AND NUTS “4” (4 EACH) AS SHOWN IN SKETCH ON PAGE 14.

INSERT CARRIAGE BOLTS “5” (4 EACH) ALONG WITH WASHERS “6” (4 EACH) THROUGH THE

CONTAINER BASE AS SHOWN IN SKETCH ON PAGE 15.

PLACE CUSHIONING “AA” (1 EACH), BAG MATERIAL AND CUSHIONING “BB” (1 EACH) ON THE BASE

AS SHOWN IN SKETCH ON PAGE 16. BAG MATERIAL SHALL BE APPLIED IN ACCORDANCE WITH

MIL-DTL-6060.

PLACE THE MEDICAL TABLE ON THE BASE AND SECURE USING FLATWASHERS “2” (4 EACH),

LOCKWASHERS “3” (4 EACH), AND NUTS “4” (4 EACH) AS SHOWN IN SKETCH ON PAGE 17.

DOUBLE WRAP THE TOP PORTION OF THE TABLE WITH CUSHIONING “CC” (2 EACH) AND SECURE

WITH TAPE ASTM D5486 AS SHOWN IN THE SKETCH ON PAGE 17.

FOLD THE CUSHIONING “BB” AROUND THE MEDICAL TABLE AND SECURE WITH TAPE ASTM D5486.

AS SHOWN IN SKETCH ON PAGE 18. HEAT SEAL THE BAG CLOSED IN ACCORDANCE WITH

MIL-DTL-6060.

I. SECURE THE CONTAINER SIDES AND ENDS TO THE BASE IN ACCORDANCE WITH ASTM D6880 AS

SHOWN IN SKETCH ON PAGE 18.

CONTAINER CLOSURE SHALL BE IN ACCORDANCE WITH ASTM D6880.

J. THE UNIT CONTAINER IS THE SHIPPING CONTAINER.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 2 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

18. MATERIALS CHART

PLYWOOD SPECIFICATION: A-A-55057, TYPE A, EXPOSURE 1

LUMBER SPECIFICATION: ASTM D6199, GROUP I OR II

HARDWARE CHART FOR BLOCKING

NOTE: ALL HARDWARE IS COMMERCIAL AND SHALL BE COMMERCIALY ZINC PLATED.

CUSHIONING CHART

ITEM DESCRIPTION DIMENSIONS ACTUAL NOMINAL QTY COMMENTS

A PLYWOOD 60 X 33-1/2 X 3/4 X 1 FABRICATE IN ACCORDANCE

WITH SKETCH ON PAGE 7

B PLYWOOD 60 X 33-1/2 X 3/4 X 2

C LUMBER 2 X 4 X 26-1/4 X 6

D LUMBER 2 X 4 X 26-1/4 X 1 FABRICATE IN ACCORDANCE

WITH SKETCH ON PAGE 9

E LUMBER 2 X 4 X 25-1/4 X 2 FABRICATE IN ACCORDANCE

WITH SKETCH ON PAGE 9

F LUMBER 2 X 4 X 33 X 2 FABRICATE IN ACCORDANCE

WITH SKETCH ON PAGE 9

G LUMBER 2 X 4 X 33 X 2 FABRICATE IN ACCORDANCE

WITH SKETCH ON PAGE 10

ITEM DESCRIPTION SIZE QTY COMMENTS

1 CARRIAGE BOLT 1/2-13 X 16 8

2 FLAT WASHER 1/2 12

3 LOCK WASHER 1/2 12

4 NUT 1/2-13 12

5 CARRIAGE BOLT 1/2-13 X 5 4

6 SQUARE NECK BOLT

LOCK WASHER

1/2 12

7 NYLON TIE WRAP 3/8 X 30 1 COMMERCIAL NYLON TIE/CABLE WRAP

8 NYLON TIE WRAP 1/4 X 18 4 COMMERCIAL NYLON TIE/CABLE WRAP

ITEM DESCRIPTION SIZE QTY COMMENTS

AA CUSHIONING: A-A-59135, CL 2, GR A, 68 X 39 X 1/4 1 FABRICATE IN ACCORDANCE WITH

THE SKETCH ON PAGE 5

BB CUSHIONING: A-A-59135, CL 2, GR A, 140 X 100 X 1/4 1 FABRICATE IN ACCORDANCE WITH

THE SKETCH ON PAGE 6

CC CUSHIONING: A-A-59135, CL 2, GR A, 196 X 24 X 1/4 2

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

19.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 4 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

20.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 5 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

21.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 6 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

22.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 7 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

23.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 8 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

24.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 9 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

25.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 10 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

26.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 11 of 19 Pages

ADJUST THE TABLE TOP TO CENTER BY

LINING UP THE ARROWS AS SHOWN IN

THE SKETCH TO THE RIGHT.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

27.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 12 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

28.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 13 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

29.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 14 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

30.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 15 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

31.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 16 of 19 Pages

AK16999301

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

32.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 17 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

33.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 18 of 19 Pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 30 days per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. PART OR DRAWING NO. (CAGE CODE) NOMENCLATURE 2. CAGE 3. SPI NO.

12596776 (19207) MEDICAL TREATMENT TABLE 19207

4. NATIONAL STOCK NO. 5. DATE 6. REVISION

21 MAR 2022

17. NOTES/DRAWING (CONTINUED)

34.

DD FORM 2169C, JUN 1997 PREVIOUS EDITIONS ARE OBSOLETE. Page 19 of 19 Pages

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