Preparation

TB 750-25

NOTE

The use of this tag does not eliminate the need for the

owner/user to complete and attach a DA Form 7372 to

instruments turned in for calibration or repair. TSAs may

use DA Form 7372 in lieu of DA Form 2417.

b. Preparation. The calibration and repair technician who determines that an

instrument is unserviceable and must await repair, or must be evacuated for repair, will

complete DA Form 2417 (fig C-4) as follows:

(1) Block 1 - Date rejected.

Enter the calendar date the instrument was

determined to be unserviceable.

(2) Block 2 - Rejected by. When determined to be unserviceable during the

calibration process, enter the the calibration activity UIC. A rubber stamp may be used

for this purpose.

(3) Block 3 - Owner. Enter the UIC of the owner/user.

(4) Block 4 - Name. Enter technician name.

(5) Block 5 - Mfr/Model (manufacturer and model). Enter the instrument

manufacturer's identification code (or name) and model number or, when the JETDS

designator is identified on the instrument, enter the JETDS designator.

(6) Block 6 - Identification No. Enter the serial number assigned to the

instrument by the manufacturer or the JETDS number listed in TB 43-180. Use the

JETDS serial number when both are provided. If a serial number has not been assigned

by the manufacturer enter a locally assigned number (owner/user generated through the

property book officer) in block 6. Enter the serial number exactly as shown on the

instrument data plate or stamping, to include leading zeros, slashes, dashes, etc. Use

the last 10 characters of the serial number.

(7) Block 7 - Remarks. Enter the symptom(s), malfunction, or condition that

caused the instrument to be designated as unserviceable. When the instrument is

evacuated for repair, sufficient details should be provided in order to assist the repair

technician in diagnosing and correcting the trouble.

Change 1

C-7