E4000-0336-IFF1 Form RIA-JMTC 735-2A (Material Request)..pdf

X

RIA-JMTC FORM 735-2A, OCT 2014

RIA PE v1.00

RC

SLC

EIC

22. Justification:

Signature Block: Signature:

21. Type of Funds:

TDA Paragraph No.: Hand Receipt No.:20. UIC No.:

17. Point of Contact for this Request:

19. End User if Known:

16. Location:Condition Code:

Fund Code:

ADPE: Phone (digital/cell): N/A: School Donation:

Fund Code: VS

Fund Code: RM

18. Check box if HASMAT: 18a. Check box to verify certification is affixed to the applicable item:

Job Order:

Accounting Class:

SIFS:14

13. Catalog/Brochure and suggested source/sole source enclosed:

12. Description:

11a. MODEL/PN:11. MFG:

10a. Total Cost:10. Unit Cost:

9. Required Delivery Date:8. Issue Priority Designator:

7. Project Code:6. Distribution Code:

5. Demand Code:4. Quantity Requested:

3a. PBO Document3. Document No.:

2. Unit of Issue:1. Stock No.:

(The following entries are to be completed for expendable and nonexpendable items.)

SUBJECT: Request for

MEMORANDUM FOR:

(Office Symbol)

DATE RECEIVED:

W52H1B

QTY DUE IN

QTY REC'D

CATG

E/C

ACC

CIIC

SIG

CIS/SUB

ICC

F/C

SOS

DML

AACMC

TARA-IFF

E4000-0336-IFF1

PV2

EA

$350,000$175,000

Hooklift Truck IAW attached RIPD E4000-21-9-16 for large ISO container movement.

FY21 EOR 31 EA

B299

Bradley Wheeler x0084

WOK8AA 045 1860

AWCF (IOB)

The PLS vehicles used for moving large ISO containers are past their expected life.

Brad Niles x1990

DATE: 2021/01/20

MWMSS Personnel

RECEIVED BY:

(signature required)

Darrin Frye Division Chief Mat

TARA-SCA-A (ISSUE)

Issue

N

RIA-JMTC 735-2A, OCT 2014

RIA PE v1.00

INFORMATION/ INSTRUCTIONS FOR PREPARATION OF RIA FORM LETTER (FL) 735-2 REQUEST FOR

ISSUE/TURN-IN OF NONEXPENDABLE, EXPENDABLE AND DURABLE PROPERTY BOOK EQUIPMENT.

INSTRUCTIONS FOR ISSUE/TURN IN

This is available in Forms and Publications underform RIA-JMTC 735-2A

Enter Stock Number, if known.

2. Unit of Issue: Enter unit of issue. ( Example: EA, BX, PR, etc.) If issued in the form of a container, box, or package, etc. the unit of measure or issue must be annotated.

RIA customers: A + office work center + yr/julian date + doc# of the day

Capability to perform mission is impaired without supplies/equipment. (Division Chief)

Supplies/equipment standard schedule request. (HRH) or Authorized Requestor)

Unable to perform mission without supplies/equipment. (Director/Equivalent)

C

B

A

DEFINITIONIPDUND

8. Issue Priority Designator: Enter appropriate issue priority designator. Priority assignment is a combination of Force Activity Designator (FAD) and Urgency of Need Designator (UND).

Leave blank

Enter the appropriate delivery point code for your organization.

R= Reoccurring, N= Non-occurring

Enter the quantity being requested.

Assigned by the property book office in sequence (e.g. 0001, 0002)

4. Quantity Requested:

5. Demand Code:

6. Distribution Code:

7. Project Code:

3a. PBO Document No.:

3. Document No consists of 14 digits (example: A 96000 4317 0001)

1. Stock No.:

Condition Code:

Subject:

Memorandum for:"

Note: The sections listed below are drop down windows.

9. Required Delivery Date:

10. Unit Cost:

10a. Total Coast:

11. MFG:

11a. MODEL/PN:

12. Description:

13. Catalog/brochure:

Enter date that equipment is required.

Enter unit cost of equipment being requested.

Enter total cost of equipment being requested.

Enter manufacturer's name.

Enter Model Number or Part Number.

Enter complete item description of equipment being requested.

For nonstandard/ commercial items, provide a catalog or brochure and a suggested source supply.

14. SIFS: Place an "X" in the appropriate block; SIFS or Accounting Classification. All Rock Island Arsenal customers use SIFS. All other property book customers use an accounting classification. Enter the correct six-digit job order for requesting the equipment.

Issues, a signature block is required for all requests (reference block # 8 for Authorized Signatures.)Note:

Enter complete justification for the requisition of equipment of solo source justification as to why a certain type of material or vendor should be used.

22. Justification:

Operating and Maintenance, Army (OMA); Procurement Appropriation (PA); Army Working Capital Fund (AWCF); etc. (If identified to be a Production Support and Equipment Replacement (PSR), Manufacturing, Methods, and Technology (MMT), or Research, Development, testing and Evaluation (RDTE) project, annotate project number).

21. Type of Funds:

Enter applicable information pertaining to your organization.20. UIC No./TDA Paragraph No./Hand Receipt No.:

Enter the point of contact and telephone extension of personnel knowledgeable of request.17. Point of Contact for this Request:

18. Check box if HASMAT:

18a. Check box to verify certification is affixed to the applicable item:

19. End user(s) if known:

Enter office symbol, building, floor, wing, etc., where equipment is to be delivered.16. Location:

Leave blank

Ensure the appropriate certificate is attached to the item for turn-in and check the box that applies.

15. Condition Code:

(INSTRUCTIONS FOR ISSUE/TURN IN CONTINUED)

A. For items such as refrigerators or RIA Machines, ensure the item has been properly cleaned.

B. For ADP Equipment (computers,monitors, printers, blackberries, notebooks, batteries, etc.) ensure that items with memory capabilities or hard drives have been cleared through the DOIM and the certificate is attached.

i. See Appendix 1 for specific instructions and an example of the certificates that must accompany the paperwork and item for all ADP Equipment (attached on the next page).

C. For phone (digital/cell) ensure the batteries are removed.

D. For school donations - hard drive cannot be removed. All cables, cards, mouse, etc. are to be placed with the

Special Instructions for Preparing Computer Equipment for Turn-in (CPU, Laptop, Notebook, Blackberry, Palm Pilot, Docking Station, Organizer, etc.)

One copy gets securely attached to the item identified on RIA Form 735-2. Make sure the certification form is clearly visible; i.e., if hard drive is removed and sanitized, DO NOT attach form to hard drive if it is going back into the CPU.

BAR CODE #

This certifies hard drive, Serial #

Make and Model

Was IAW DOD Memorandum

Printed Name and Rank/Grade

METHOD OF DESTRUCTION:

"Disposition of Unclassified DOD Computer Hard Drives" on

Must give the following information here (name of manufacturer, product version, issue date of software or degausser used).

CERTIFICATION OF HARD DRIVE/BATTERY DISPOSITION

desktops, laptops, and docking stations.

3. The following computer medias and cards must be removed:

Secure Data Cards Compact Flash Cards CD-ROM Media Smart Card Media Multi-media Card Memory Sticks Micro-drives PCMCI Cards Back-Up Tapes Floppy Diskettes Zip Media

4. Ensure memory sticks are removed from other forms of computer equipment; i.e., handheld computer (e.g., palm pilot, organizer, Blackberry, etc.).

5. Internal drives; i.e., graphic, sound, networks, or controller cards, may stay in the CPU.

6. Once equipment has been sanitized, etc, please ensure person/persons who actually sanitized the equipment complete (in duplicate) the Certification document (samples below) to accompany all computer equipment. The two copies will be:

One copy gets attached to the RIA Form 735-2, Request for Turn-in, and sent to TARA-SCI-I.

are degaussed, overwritten or removed from all forms of computer equipment; i.e., notebooks,hard drives and batteries2. Ensure

1. When turning in a CPU with a hard drive, ensure the hard drives have been degaussed or overwritten IAW the DOD Memo "Disposition of Unclassified Computer Hard Drives", June 4, 2001.

Signature Date

BAR CODE #

This certifies hard drive, Serial #

Make and Model

Was IAW DOD Memorandum

Printed Name and Rank/Grade

METHOD OF DESTRUCTION:

"Disposition of Unclassified DOD Computer Hard Drives" on

Must give the following information here (name of manufacturer, product version, issue date of software or degausser used).

CERTIFICATION OF HARD DRIVE/BATTERY DISPOSITION

Signature Date

V:\FORMS - TARA-BII\735\735-2\735-2.xfdl larry.tysma 9.0.0.2.20120627.2.874785

RIA-JMTC FORM 735-2A, OCT 2014

RIA PE v1.00

RC

SLC

EIC

22. Justification:

Signature Block:

Signature:

21. Type of Funds:

TDA Paragraph No.:

Hand Receipt No.:

20. UIC No.:

17. Point of Contact for this Request:

19. End User if Known:

16. Location:

Condition Code:

Fund Code:

ADPE:

Phone (digital/cell):

N/A:

School Donation:

Fund Code: VS Fund Code: RM

18. Check box if HASMAT:

18a. Check box to verify certification is affixed to the applicable item:

Job Order:

A ccounting Class:

SIFS:

13. Catalog/Brochure and suggested source/sole source enclosed:

12. Description:

11a. MODEL/PN:

11. MFG:

10a. Total Cost:

10. Unit Cost:

9. Required Delivery Date:

8. Issue Priority Designator:

7. Project Code:

6. Distribution Code:

5. Demand Code:

4. Quantity Requested:

3a. PBO Document

3. Document No.:

2. Unit of Issue:

1. Stock No.:

(The following entries are to be completed for expendable and nonexpendable items.)

SUBJECT: Request for

MEMORANDUM FOR:

(Office Symbol)

DATE RECEIVED:

W52H1B

QTY DUE IN

QTY REC'D

CATG

E/C

ACC

CIIC

SIG

CIS/SUB

ICC

F/C

SOS

DML

AAC

MC

DATE:

RECEIVED BY:

(signature required)

RIA-JMTC 735-2A, OCT 2014

RIA PE v1.00 INFORMATION/ INSTRUCTIONS FOR PREPARATION OF RIA FORM LETTER (FL) 735-2 REQUEST FOR

ISSUE/TURN-IN OF NONEXPENDABLE, EXPENDABLE AND DURABLE PROPERTY BOOK EQUIPMENT.

INSTRUCTIONS FOR ISSUE/TURN IN

This is available in Forms and Publications under form

RIA-JMTC 735-2A

Enter Stock Number, if known.

2. Unit of Issue:

Enter unit of issue.

Example:

EA, BX, PR, etc.) If issued in the form of a container, box, or package, etc. the unit of measure or issue must be annotated.

RIA customers: A + office work center + yr/julian date + doc# of the day Capability to perform mission is impaired without supplies/equipment. (Division Chief) Supplies/equipment standard schedule request. (HRH) or Authorized Requestor) Unable to perform mission without supplies/equipment. (Director/Equivalent) C B A

DEFINITION

IPD

UND

8. Issue Priority Designator: Enter appropriate issue priority designator. Priority assignment is a combination of Force Activity Designator (FAD) and Urgency of Need Designator (UND).

Leave blank Enter the appropriate delivery point code for your organization.

R= Reoccurring, N= Non-occurring Enter the quantity being requested.

A ssigned by the property book office in sequence (e.g. 0001, 0002)

4. Quantity Requested:

5. Demand Code:

6. Distribution Code:

7. Project Code:

3a. PBO Document No.:

3. Document No consists of 14 digits (example: A 96000 4317 0001)

1. Stock No.:

Condition Code:

Subject:

Memorandum for:

Note: The sections listed below are drop down windows.

RIA-JMTC 735-2A, OCT 2014

RIA PE v1.00

9. Required Delivery Date:

10. Unit Cost:

10a. Total Coast:

11. MFG:

11a. MODEL/PN:

12. Description:

13. Catalog/brochure:

Enter date that equipment is required.

Enter unit cost of equipment being requested.

Enter total cost of equipment being requested.

Enter manufacturer's name.

Enter Model Number or Part Number.

Enter complete item description of equipment being requested.

For nonstandard/ commercial items, provide a catalog or brochure and a suggested source supply.

14. SIFS:

Place an "X" in the appropriate block; SIFS or Accounting Classification. All Rock Island Arsenal customers use SIFS. All other property book customers use an accounting classification. Enter the correct six-digit job order for requesting the equipment.

Issues, a signature block is required for all requests (reference block # 8 for Authorized Signatures.)

Note:

Enter complete justification for the requisition of equipment of solo source justification as to why a certain type of material or vendor should be used.

22. Justification:

Operating and Maintenance, Army (OMA); Procurement Appropriation (PA); Army Working Capital Fund (AWCF); etc. (If identified to be a Production Support and Equipment Replacement (PSR), Manufacturing, Methods, and Technology (MMT), or Research, Development, testing and Evaluation (RDTE) project, annotate project number).

21. Type of Funds:

Enter applicable information pertaining to your organization.

20. UIC No./TDA Paragraph No./Hand Receipt No.:

Enter the point of contact and telephone extension of personnel knowledgeable of request.

17. Point of Contact for this Request:

18. Check box if HASMAT:

18a. Check box to verify certification is affixed to the applicable item:

19. End user(s) if known:

Enter office symbol, building, floor, wing, etc., where equipment is to be delivered.

16. Location:

Leave blank Ensure the appropriate certificate is attached to the item for turn-in and check the box that applies.

15. Condition Code:

(INSTRUCTIONS FOR ISSUE/TURN IN CONTINUED)

A . For items such as refrigerators or RIA Machines, ensure the item has been properly cleaned.

B. For ADP Equipment (computers,monitors, printers, blackberries, notebooks, batteries, etc.) ensure that items with memory capabilities or hard drives have been cleared through the DOIM and the certificate is attached.

i. See Appendix 1 for specific instructions and an example of the certificates that must accompany the paperwork and item for all ADP Equipment (attached on the next page).

C. For phone (digital/cell) ensure the batteries are removed.

D. For school donations - hard drive cannot be removed. All cables, cards, mouse, etc. are to be placed with the

RIA-JMTC 735-2A, OCT 2014

RIA PE v1.00 Special Instructions for Preparing Computer Equipment for Turn-in (CPU, Laptop, Notebook, Blackberry, Palm Pilot, Docking Station, Organizer, etc.)

One copy gets securely attached to the item identified on RIA Form 735-2.

Make sure the certification form is clearly visible; i.e., if hard drive is removed and sanitized, DO NOT attach form to hard drive if it is going back into the CPU.

BAR CODE #

This certifies hard drive, Serial # Make and Model Was IAW DOD Memorandum Printed Name and Rank/Grade

METHOD OF DESTRUCTION:

"Disposition of Unclassified DOD Computer Hard Drives" on Must give the following information here (name of manufacturer, product version, issue date of software or degausser used).

CERTIFICATION OF HARD DRIVE/BATTERY DISPOSITION

desktops, laptops, and docking stations.

3. The following computer medias and cards must be removed:

Secure Data Cards Compact Flash Cards CD-ROM Media Smart Card Media Multi-media Card Memory Sticks Micro-drives PCMCI Cards Back-Up Tapes Floppy Diskettes Zip Media

4. Ensure memory sticks are removed from other forms of computer equipment; i.e., handheld computer (e.g., palm pilot, organizer, Blackberry, etc.).

5. Internal drives; i.e., graphic, sound, networks, or controller cards, may stay in the CPU.

6. Once equipment has been sanitized, etc, please ensure person/persons who actually sanitized the equipment complete (in duplicate) the Certification document (samples below) to accompany all computer equipment. The two copies will be:

One copy gets attached to the RIA Form 735-2, Request for Turn-in, and sent to TARA-SCI-I.

are degaussed, overwritten or removed from all forms of computer equipment; i.e., notebooks, hard drives and batteries

2. Ensure

1. When turning in a CPU with a hard drive, ensure the hard drives have been degaussed or overwritten IAW the DOD Memo "Disposition of Unclassified Computer Hard Drives", June 4, 2001.

Signature Date

BAR CODE #

This certifies hard drive, Serial # Make and Model Was IAW DOD Memorandum Printed Name and Rank/Grade

METHOD OF DESTRUCTION:

"Disposition of Unclassified DOD Computer Hard Drives" on Must give the following information here (name of manufacturer, product version, issue date of software or degausser used).

CERTIFICATION OF HARD DRIVE/BATTERY DISPOSITION

Signature Date