Technical Exhibit S - USATA TIMMS TMDE Correction Form.pdf

PDF 105 KB Posted

Attached to
Facilities Infrastructure and Logistics Operations Support Services (FI&LOSS)
Solicitation number
W91ZLK-25-R-0002
Issued by

About this file

This is a TMDE (Test, Measurement, and Diagnostic Equipment) Support Center modification request form used at Aberdeen Proving Ground for making changes to the TIMMS/IMRF system. The form allows users to request modifications or deletions for equipment, requiring details such as ID barcode, serial number, model nomenclature, and description of changes.

The form includes fields for customer information (name, OUIC), TSC-APG use information (SUIC, PUIC), and up to 17 line items for modification requests. It requires signatures from both the requesting organization (DEVCOM CBC) and the completing organization (TSC-APG). The form appears to be a template that would be used to document and track equipment modifications, with built-in verification steps to confirm if modifications are accepted and completed, and whether they align with standard 43-180 requirements.

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Text version

TMDE Support Center – Aberdeen Proving Ground TIMMS/IMRF Modification Request

Customer Name OUIC Date TSC-APG Use Only

SUIC

Requested Modification(s) PUIC

It.

D elete

Change

ID Barcode Enter “All” if a model wide change.

S/N Enter “All” if a model wide change.

Model Nomenclature Description of Change (“NA” if a Deletion)37804623 Reason/Justification

In 43-180? Mod Accepted & Completed?

Yes/No Yes/No If “No”, Why Not?

Requested by (Sign):

Print

(“NA” if Digital Signature)

Organization DEVCOM CBC Date

Completed by (Sign):

Print

(“NA” if Digital Signature)

Organization TSC – APG Date

AMSAM-TMD-AA-TMR1 (Rev. A)

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