Form 1354 JULY_2003 R1.pdf

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RECOVERY - XHEA052006 - Repair Munitions Shop, Building 27
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W912L2-09-R-5001
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TRANSFER AND ACCEPTANCE OF MILITARY REAL PROPERTY

Public reporting burden for this collection of information is estimated to average 60 minutes 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 information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to OMB, Paperwork Reduction Project (0704-0188), Washington, DC 20503.

1. FROM (Installation/Activity/District & Zip Code) 2. DATE FORM

PREPARED

(DD-MMM-YYYY)

3. PROJECT/JOB

NUMBER

4. SERIAL NUMBER

6. SITE/INSNO/NAME

9. TRANSACTION DETAILS

A. B. New Const.

Existing Fac.

Capital Impr.

Other (Specify)

BENF/O

Phys Com/Avail.

Partial BOD

Other (Specify) 5. TO (Installation/Activity/Service, Zip Code & INSNO)

10.

ITEM

NO

11. FACILITY

NUMBER

14.

TYPE

15. UNIT

OF

MEAS 1

16. TOTAL

QUANTITY

UM 1

18. TOTAL

QUANTITY

UM 2

23. ITEM REMARKS

DATE SIGNED 25. ACCEPTED BY (Signature)

TITLE (DPW/RPAO)

DATE SIGNED TRANSFERRED BY (Signature)

TITLE (Area Engr./Base Engr./DPW)

24. STATEMENT OF COMPLETION: The facilities listed hereon are in accordance with maps, drawings, and specifications and change orders approved by the authorized representative of the using agency except for the deficiencies listed on the reverse side.

26. PROPERTY

VOUCHER NUMBER

PAGE OF PAGES

DD Form 1354, JULY 2003 Previous editions are obsolete.

C. Draft Interim Final

D. EFFECTIVE DATE (DD-MMM-YYYY)

12.

CATEGORY

CODE

13. CATCODE

DESCRIPTION

17. UNIT

OF

MEAS 2

19. COST

20.

FUND

SOURCE

AREA OTHER

Financial Com

7. CONTRACT

NUMBERS

8. DRAWING NUMBERS

21.

FUNDING

ORG

22. INTEREST

CODE

27. CONSTRUCTION DEFICIENCIES (attach blank sheet for continuations)

28. PROJECT REMARKS (attach blank sheet for continuations)

INSTRUCTIONS

This form has been designed and issued for use in connection with the transfer of military real property between the military departments and to or from other government agencies. It supersedes ENG Forms 290 and 290B (formerly used by the Army and Air Force) and NAVDOCKS Form 2317 (formerly used by the Navy).

Existing instructions issued by the military departments relative to the preparation of DD Forms 1354 are applicable to this revised form to the extent that the various items on the superseded forms have been retained. The military departments may promulgate additional instructions, as appropriate.

DATA DEFINITIONS

BLOCK

NO. BLOCK NAME DESCRIPTION

1 From Name & address of the transferring agency 2 Date Form Prepared Date of actual preparation 3 Project/Job Number Project number on a DD Form 1391 or Individual Job Order number 4 Serial Number Sequential serial number assigned by the preparing organization (e.g., 2004-0001)

5 To Name & address of the receiving installation, activity, and service of the Real Property Accountable Officer (RPAO)

6 Site/INSNO and Name Site or installation number and site name where the constructed facility is located 7 Contract Number Contract number(s) for this project 8 Drawing Numbers Drawing number(s) or CAD identifier(s) for project components 9 Transaction Details Has four subparts explained below

A Type Of Transaction Type Of transaction, check only one box B When/Event When or event causing preparation of 1354, check only one box C Version Draft, interim, or final DD Form 1354, check only one box D Effective Date Effective date for transaction; start date for depreciation

10 Item Number (Item NO) Use a separate Item Number for each facility, no Item Number for additional usages 11 Facility Number Unique facility number identified in Real Property Inventory 12 Category Code The category code describes the facility usage 13 Catcode Description The category code name which describes the facility usage 14 Type The type of construction: “P” for permanent, “S” for semi permanent, or “T” for temporary 15 Unit Of Meas-1; Area Area unit of measure; use SF, SY, AC only 16 Total Quantity-Um1 The total area for the measure identified in Item 15; use negative numbers for demolition 17 Unit Of Meas-2; Other Unit of Measure 2 is the capacity or other measurement unit (e.g., LF, MB, EA, etc.)

18 Total Quantity-Um2 The total capacity/other for the measure identified in Item 17

19 Cost Cost for each facility; for capital improvements to existing facilities, show amount of increase only

20 Fund Source Fund source for this Item Number (e.g., MILCON, BRAC, O&M, WCF, NAF, etc.)

21 Funding Organization Organization responsible for replacing facility at end of useful life (e.g., Army, Air Force, Navy, Marine Corps (specify component for each service), DLA, DeCA, TMA, etc.)

22 Interest Code Reflects government interest or ownership in facility (e.g., DoD owned, leased, State owned, privately owned, etc.)

23 Item Remarks Remarks pertaining only to the item number identified in column 10; show cost sharing 24 Statement Of Completion Signature, title and date of signature by the responsible transferring individual or agent 25 Accepted By Signature, title and date of signature by the RPAO or accepting official 26 Property Voucher Number Next sequential number assigned by the RPAO in voucher register 27 Construction Deficiencies List construction deficiencies in project during contractor turnover inspection

28 Project Remarks Project level remarks, continuations of blocks, & used to explain “other” entries in item #9

DD Form 1354 Reverse, July 2003

DD Form 1354 Backside 3July2003.pdf
INSTRUCTIONS
DATA DEFINITIONS
item1:
item2:
item3:
item4:
item5:
item6:
item7:
item8:
item9:
item10:
item11:
item12:
item13:
Fac_1:
Fac_2:
Fac_3:
Fac_4:
Fac_5:
Fac_6:
Fac_7:
Fac_8:
Fac_9:
Fac_10:
Fac_11:
Fac_12:
Fac_13:
Cat_1:
Cat_2:
Cat_3:
Cat_4:
Cat_5:
Cat_6:
Cat_7:
Cat_8:
Cat_9:
Cat_10:
Cat_11:
Cat_12:
Cat_13:
CatN_1:
CatN_2:
CatN_3:
CatN_4:
CatN_5:
CatN_6:
CatN_7:
CatN_8:
CatN_9:
CatN_10:
CatN_11:
CatN_12:
CatN_13:
Type_1:
Type_2:
Type_3:
Type_4:
Type_5:
Type_6:
Type_7:
Type_8:
Type_9:
Type_10:
Type_11:
Type_12:
Type_13:
UM_1:
UM_2:
UM_3:
UM_4:
UM_5:
UM_6:
UM_7:
UM_8:
UM_9:
UM_10:
UM_11:
UM_12:
UM_13:
Tot_Qty1:
Tot_Qty2:
Tot_Qty3:
Tot_Qty4:
Tot_Qty5:
Tot_Qty6:
Tot_Qty7:
Tot_Qty8:
Tot_Qty9:
Tot_Qty10:
Tot_Qty11:
Tot_Qty12:
Tot_Qty13:
OUM_1:
OUM_2:
OUM_3:
OUM_4:
OUM_5:
OUM_6:
OUM_7:
OUM_8:
OUM_9:
OUM_10:
OUM_11:
OUM_12:
OUM_13:
OTot_Qty1:
OTot_Qty2:
OTot_Qty3:
OTot_Qty4:
OTot_Qty5:
OTot_Qty6:
OTot_Qty7:
OTot_Qty8:
OTot_Qty9:
OTot_Qty10:
OTot_Qty11:
OTot_Qty12:
OTot_Qty13:
FC_1:
FC_2:
FC_3:
FC_4:
FC_5:
FC_6:
FC_7:
FC_8:
FC_9:
FC_10:
FC_11:
FC_12:
FC_13:
Remarks:
From:
TO:
Date:
Project:
Serial Number:
Site:
Contract:
Drawing:
EFF_Date:
A_NC: Off
A_EF: Off
A_CI: Off
A_Other: Off
B_PC: Off
B_BENF: Off
B_PBEN: Off
B_FINFIN: Off
B_Other: Off
Other:
C_Drfat: Off
C_Interm: Off
C_Final: Off
Page:
Page_Page:
FillText11:
31_REMARKS:
Trans_By:
Date_Sig1:
Accept_By:
Date_Sig2:
Reset:
Cost_13:
Cost_12:
Cost_11:
Cost_10:
Cost_9:
Cost_8:
Cost_7:
Cost_6:
Cost_5:
Cost_4:
Cost_3:
Cost)2:
Cost_1:
FO_1:
FO_2:
FO_3:
FO_4:
FO_5:
FO_6:
FO_7:
FO_8:
FO_9:
FO_10:
FO_11:
FO_12:
FO_13:
IC_5:
IC_6:
IC_7:
IC_8:
IC_1:
IC_2:
IC_3:
IC_4:
IC_13:
IC_12:
IC_11:
IC_10:
IC_9:

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