Page
of
1. MODEL
2. ENG S/N
3. NOMENCLATURE
4. P/N
5. S/N
6.
7. HISTORY RECORDER S/N
HISTORICAL COUNTS ON COMPONENT/MODULE
LCF - 1
LCF - 2
TIME/TEMP INDEX
OPERATING HOURS
LINE
a
b
c
d
READING AT REMOVAL OF
MODULE/RECORDER
3
READING AT INSTALLATION OF
MODULE/RECORDER
2-
LINE 3 MINUS 2
4=
PREVIOUS COUNTS OF
COMPONENT/MODULE
1+
TOTAL COMPONENT COUNTS
5=
7. HISTORY RECORDER S/N
READING AT REMOVAL OF
MODULE/RECORDER
3
READING AT INSTALLATION OF
MODULE/RECORDER
2-
LINE 3 MINUS 2
4=
PREVIOUS COUNTS OF
COMPONENT/MODULE
1+
TOTAL COMPONENT COUNTS
5=
HISTORY RECORDER, COMPONENT, MODULE RECORD
DA FORM 2408-16-1, OCT 1991
For use of this form, see DA PAM 738-751; the proponent agency is DCS, G-4.
APD LC v2.01
Page
of
1. MODEL
2. ENG S/N
3. NOMENCLATURE
4. P/N
5. S/N
6.
7. HISTORY RECORDER S/N
HISTORICAL COUNTS ON COMPONENT/MODULE
LCF - 1
LCF - 2
TIME/TEMP INDEX
OPERATING HOURS
LINE
a
b
c
d
READING AT REMOVAL OF
MODULE/RECORDER
3
READING AT INSTALLATION OF
MODULE/RECORDER
2-
LINE 3 MINUS 2
4=
PREVIOUS COUNTS OF
COMPONENT/MODULE
1+
TOTAL COMPONENT COUNTS
5=
7. HISTORY RECORDER S/N
READING AT REMOVAL OF
MODULE/RECORDER
3
READING AT INSTALLATION OF
MODULE/RECORDER
2-
LINE 3 MINUS 2
4=
PREVIOUS COUNTS OF
COMPONENT/MODULE
1+
TOTAL COMPONENT COUNTS
5=
HISTORY RECORDER, COMPONENT, MODULE RECORD
DA FORM 2408-16-1, OCT 1991
For use of this form, see DA PAM 738-751; the proponent agency is DCS, G-4.
APD LC v2.01
8.
9.
10.
11.
12.
13.
HISTORY COUNTS AT LAST DEPOT REPL
O/H OR
REPLACE-
MENT DUE
REPLACE-
NOMENCLATURE
PART NUMBER
SERIAL NUMBER
(Hist rcdr
LCF-1
LCF-2
T/T I
OP HRS
MENT LIFE
hr)
a
b
c
d
14.
SIGNIFICANT HISTORICAL DATA
APD LC v2.01
REVERSE OF DA FORM 2408-16-1, OCT 1991
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