(d) Block 4. Enter national stock number, or manufacturer's part number when an NSN has not been assigned
to the defective part or assembly with the priority designator (PD) assigned by unit or organization listed in block 3. Unit
commander, or acting unit commander, will place his signature in the upper right margin of the form when PD 01 through
n8 is used.
(e) Blocks 12, 16 and 20. Enter national stock number of the defective part or assembly.
(f) Blocks 5, 19 and Item. Noun nomenclature sections 1, 2, 3 and 4; e.g., carburetor generator, starter, etc.
(g) Block 6. Enter a "W" in the "EIR Exhibit" space.
(h) Blocks 8, 13, 17 and 21. Enter the nomenclature, and manufacturer (if applicable) of the end item from
which the item was removed.
(i) Block 9. Model of the equipment from which the item was removed; e.g., M151A1, UHID, AN/GRC-46, if
applicable.
(j) Blocks 10, 14, 18 and 22. Enter the end item serial number from which the item was removed.
(k) Date submitted (calendar) block on sections 2, 3 and 4. Enter date item is received for exchange.
(l) Block 23. Date of manufacture or last overhaul.
(m) Block 24. Name of manufacturer or overhaul activity.
(n) Block 25. Place "X" in the space which best identifies when failure was detected.
(o) Block 26. Place "X" in the space which best identifies first indication of trouble.
(p) Block 27. Utilizing the information on DA Form 24n4, describe briefly and clearly the failure; e.g., carburetor
will not adjust for idle.
(2) If immediate exchange is not possible, the bottom portion of the tag is detached by the support unit and furnished
to the customer as a receipt. Upon availability of a serviceable like item, the receipt tag is exchanged for the serviceable
item.
NOTE
In those cases in which the support agency cannot provide a serviceable item to the supported organization within a time
frame compatible with the priority designator (PD), the support agency will place a requirement on the supply
system in accordance with local procedures.
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