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TB 1152023720211
pliance with this TB to include an estimate of the cost reimbursable funding required to move serviceable
items on hand listed in paragraph 6 to a work area, unpack the materiel, repack the materiel after inspection
by AMCOM inspectors, and return the materiel to storage, as appropriate. Report, by original serviceable
condition code, the quantity of materiel placed in condition code "J". Report by email or datafax and local
point contact. In the report include the serial number of each suspect support assembly and the total inser-
vice time accumulated. A negative report is required.
(2) Materiel In Retail Storage. Report compliance with this TB to the logistical POC in paragraph
16b NLT 9 July 1999. Report the quantity inspected by condition code and the resulting condition code. In
the report include the serial number of each suspect support assembly and the total inservice time accumu-
lated. Report by email or datafax and provide local POC.
e. The following forms are applicable and are to be completed in accordance with DA Pam 738751,
15 March 1999.
NOTE
ULLSA Users will use the applicable "E" Forms.
(1) DA Form 240851, Equipment Modification Record (Bellcrank Support Assembly).
(2) DA Form 240813, Aircraft Status Information Record.
(3) DA Form 2408131, Aircraft Inspection and Maintenance Record.
(4) DA Form 240815, Historical Record for Aircraft.
(5) DA Form 240816, Aircraft Component Historical Record.
(6) DA Form 2410, Component Removal and Repair Overhaul Record (Only if the
7040008162042 Bellcrank Support Assembly is removed and/or replaced).
(7) DD Form 1574/DD Form 15741, Serviceable Tag/Label Materiel (Color Yellow). Annotate
remarks block with "Inspected serviceable IAW UH6099ASAM08."
(8) DD Form 1575/DD Form 15751, Suspended Tag/LAbel Materiel (Color Brown). Annotate
remarks block with "Suspended IAW UH6099ASAM08."
15. Weight and Balance. N/A.
16. Points of Contact.
a. Technical point of contact for this TB is Mr. Jay Merkel, AMSAMDSAUTT, DSN 8974914 or
commercial (256) 3134914, EMail is AMSAMAREICU@redstone.army.mil. Datafax is DSN 8974923
or (256) 3134923. Alternate phone number is DSN 6450750 or (256) 9550750.
b. Logistical point of contact for this TB is Mr. Joe Hoover, AMSAMDSAUHL, DSN 6457898 or
commercial (256) 9557898, Datafax is DSN 6456590. Email is hooverjl@redstone.army.mil or j.ho-
over@uh.redstone.army.mil.
c.  Wholesale materiel POC (Spares) is Mr. Dan Delao, AMSAMMMCVSUB, DSN 8971303 or
(256) 3131303, Datafax is DSN 8971572. Email is delaodt@exchange1.redstone.army.mil.
d. Forms and records point of contact for this TB is Ms. Ann Waldelk, AMSAMMMCREFF, DSN
7465564 or (256) 8765564, Datafax is DSN 7464904. Email is waldeckab@redstone.army.mil.
e. Safety point of contact for this TB is Mr. Ron Price, AMSAMSFA, DSN 7888636 or commercial
(256) 8428636, Datafax is (256) 3132111. Email is ron.price@redstone.army.mil.
5

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