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DAVAA-P
ment number, perform stock record accounting, mail
(3) Army activities returning components for war-
the failed LRU to the contractor's plant. AVIM will
ranty repair are to complete the following blocks only of
prepare DD Form 173/2 (OCR), Joint Message Form
the DA Form 2407, Maintenance Request (see fig. 3).
and assure that it is properly transmitted by the message
(a) Heading-Enter a "X" in Warranty space.
center to the contractor with information copies as re-
(b) Blocks 1 through 15complete as prescribed
quired. Upon receipt of a LRU from the contractor's
in TM 38-750, paragraph 3-8 c.
plant, AVIM will inspect and test the LRU, store the
(c) Block 16--State in clear terms the following
LRU in the shipping packaging, and perform stock
facts concerning the item identified in block 3:
record accounting.
1. Date the item became inoperable.
e. Accountability. Accountability for equipment
2. Indicate aircraft type and tail number in
returned  for  repair/replacement  f o r t h e
which failure occurred/or other.
AN/ARN-123(V),
Receiving
Set,
Radio
and
3. An opinion as to the cause of the failure.
R-1963/ARN, Receiver, Radio components will be the
4. Identification of the performance test
responsibility of the user (returnee) until receipt at the
which the item failed; i.e., the test which confirmed the
contractor's repair facility at which time accountability
item to be unserviceable and the basis for which the item
will be assumed by the Defense Contracting Administra-
is being returned to the manufacturer for repair.
tion Services Management Area (DCASMA) Ad-
5. T h e s t a t e m e n t t h a t t h e " I n s t a l l a -
ministrative Contracting Officer (ACO) for Contract
tion/Removal Data label has been filled out. "
DAAB07-75-C-0853.
(d) Block 30-Enter the complete in-the-clear
j Documentation. All activities that return any
address of where the item is to be shipped after repair.
AN/ARN-123(V) or R-1963/ARN component for war-
(e) DA Form 2407 distribution shall be as
ranty repair are required to prepare a message, elec-
follows:
trical, which must contain the following minimal infor-
1. Receipt Copy #l-Place with the failed com-
mation to assure expedited replacement/return of the
ponent being returned to the contractor for warranty
unserviceable component. See figure 2 for typical exam-
repair.
ple.
2. NMP Copy #2-Mail to the following ad-
1. POINT-OF-CONTACT AND TELEPHONE
NUMBER (Specify Autovon or Commerical.
dress:
Commander
2. COMPONENT, SERIAL NUMBER, NA-
US Army CERCOM
TIONAL STOCK NUMBER.
3. AIRCRAFT TYPE AND TAIL NUMBER.
ATTN: DRSEL-ME-EW
4. FAILURE INDICATION.
Fort Monmouth, NJ 07703
5. DATE INSTALLED.
j Another copies (#3 through #5) will be dispos-
6. DATE REMOVED.
ed of as prescribed by the local command.
7. USPS MAIL RETURN RECEIPT NUMBER.
(4) SF 368, Quality Deficiency Report is used when
8. MILSTRIP DOCUMENT NUMBER.
a failure occurs at an Army depot or prime contractor
9. DA FORM 2407 CONTROL NUMBER.
supplied with Government Furnished Avionics Equip-
10. REPAIRED EQUIPMENT SHIP TO AD-
ment (GFAE) that is under the RIW concept. SF 368
DRESS (WITH ATTENTION LINE).
Form  is  used  in  lieu  of  the  DA  Form  2407.
NOTE
(a) Complete the SF 368 Form in accordance
with DSA REG. NO. 4155.24(AR 702-7), Reporting of
Failure to provide complete data in the
message will cause delay in forwarding a
Quality Deficiency Data.
replacement component. Omitted data will
(b) Mandatory entries required:
have to be obtained from the returning activity
1. Item 13--Equipment Operating Hours.
before replacement.
2. Item 16--Fill in acft type and tail no.
(1) Message will be sent to:
3. Item 19--YES Block.
Bendix Corp.
4. Item 21--Released for Investigation.
Avionics Division
5. Item 22--In addition to details describing
2100 NW 62nd St.
the problem, the following statements must be included
Ft. Lauderdale, Florida 33310
in block 22 "Installation/Removal Data Label has been
ATTN: CONUS Repair Service Administrator
f i l l e d in, and  " F O R INFORMATION ONLY-
Reliability Improvement Warranty
RELIABILITY IMPROVEMENT WARRANTY".
(2) Information Copies to:
(c) Attach copy to the equipment being returned
(a) DCASMA, Bendix Avionics, Ft. Lauder-
to the manufacturer.
dale, Fla.
(d) Failed items should be returned immediately
(b) C D R C E R C O M , F t . M o n m o u t h , N J .
t o the manufacturer.  Normal conditions call for
ATTN: DRSEL-MME-AN
withholding disposition, pending receipt of disposition
(c) CDRAVRADA, Ft. Monmouth, NJ. ATTN:
instructions from the Product Assurance Directorate
5


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