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TB 1-1520-240-20-122
mander, AMCOM, ATTN: AMSAM--SF--A (SOF Compliance Officer), Redstone Arsenal, AL 35898-5000, in
accordance with AR 95-1. Datafax number is DSN 897--2111 or commercial (256) 313--2111. E-Mail address
is safeadm@redstone.army.mil. The report will cite this Technical Bulletin number, date of entry in
DA Form 2408-13-1, the aircraft mission design series and serial numbers of aircraft in numerical order.
b.  Task/Inspection Reporting Suspense Date (Aircraft). No special report of the results of this inspec-
tion is required.
c.
Reporting Message Receipt (SPARES). N/A.
d.
Task/Inspection Reporting Suspense Date (SPARES).
(1) Materiel in Wholesale Depot Storage -- Report compliance with this Technical Bulletin to the
Wholesale Materiel point of contact (SPARES) listed in paragraph 16C within 7 days of the date of this Techni-
cal Bulletin on DD Form 1225. Provide the cost of compliance with this Technical Bulletin to include an esti-
mate of the cost reimbursable funding required to move serviceable items on hand listed in paragraphs 6 and
7 to a work area, unpack the materiel, repack the materiel after inspection by inspectors and to return the
materiel to storage, as appropriate. Report by original serviceable condition code, the quantity of materiel
placed in condition code //J//. Report by e--mail or datafax and provide local point of contact.
(2) Materiel in Retail Storage -- Report compliance with this Technical Bulletin to the logistical
point of contact in paragraph 16B within 14 days of the date of this Technical Bulletin. Report the quantity
inspected by condition code and the resulting condition code. Report by e--mail or datafax and provide local
point of contact.
e.  The following Forms are applicable and are to be completed in accordance with DA Pam 738--751,
15 Mar 99.
NOTE
ULLS--A users will use applicable "E" Forms.
(1) DA Form 2408-5-1, Equipment Modification Record (Horizontal Hinge Pin).
(2) DA Form 2408-13, Aircraft Status Information Record.
(3) DA Form 2408-13-1, Aircraft Inspection and Maintenance Record.
(4) DA Form 2408-15, Historical Record For Aircraft.
(5) DA Form 2408-16, Aircraft Component Historical Record (Rotar Heads).
(6) DA Form 2410, Component Removal and Repair/Overhaul Record. (Only if hinge pin is re-
moved/replaced)
(7) DD Form 1574/DD Form 1574-1, Serviceable Tag/Label -- Materiel (color yellow). Annotate
remarks  block  with  "Inspected  serviceable  in  accordance  with  CH-47-00-ASAM-04  (TB
1-1520-240-20-122)."
(8) DD Form 1575/DD Form 1575-1, Suspended Tag/Label -- Materiel (color brown). Annotate
remarks block with "Suspended in accordance with CH-47-00-ASAM-04 (TB 1-1520-240-20-122)."
(9) DD Form 1577/DD Form 1577-1, Unserviceable (Condemned) Tag/Label -- Materiel (color
red). Annotate remarks block with "Condemned in accordance with CH-47-00-ASAM-04 (TB
1-1520-240-20-120) and mutilated in accordance with TM 1-1500-328-23."
(10) DD Form 1577-2/DD Form 1577-3, Unserviceable (repairable)Tag/Label -- Materiel (color
green). Annotate remarks block with "Unserviceable in accordance with CH-47-00-ASAM-04 (TB
1-1520-240-20-122)."
15. Weight and Balance. N/A.
16. Points of Contact.
a.  Technical point of contact for this TB is Mr. Larry Wieschhaus, AMSAM-RD-AE-I-P-C, DSN
897-3341 or commercial (256) 313-3341, datafax is DSN 897-4348 or commercial (256) 313-4348. e--mail
is "larry.wieschhaus@redstone.army.mil".
5

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