QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOE MEDICAL ASSEMBLAGES
For use of this form, see AR 40-61; the proponent agency is OTSG
CONTRACT NO.
LOT/BATCH
EXP/MFR DATE
QTY ON
DATE LAST
DATE NEXT
NO
LOCATION
MANUFACTURER
(If available)
NUMBER
(If available)
HAND
INSPECTION
INSPECTION
NSN
DESCRIPTION
UNIT OF ISSUE
NOTES
INSPECTION
SHELF LIFE/
FREQUENCY
ESTIMATED
SHELF LIFE
DA FORM 4998-R, APR 1994
REPLACES DA FORM 4998-R, AUG 1981, WHICH IS OBSOLETE
APD LC v1.00
QUALITY CONTROL AND SURVEILLANCE RECORD FOR TOE MEDICAL ASSEMBLAGES
For use of this form, see AR 40-61; the proponent agency is OTSG
CONTRACT NO.
LOT/BATCH
EXP/MFR DATE
QTY ON
DATE LAST
DATE NEXT
NO
LOCATION
MANUFACTURER
(If available)
NUMBER
(If available)
HAND
INSPECTION
INSPECTION
NSN
DESCRIPTION
UNIT OF ISSUE
NOTES
INSPECTION
SHELF LIFE/
FREQUENCY
ESTIMATED
SHELF LIFE
DA FORM 4998-R, APR 1994
REPLACES DA FORM 4998-R, AUG 1981, WHICH IS OBSOLETE
APD LC v1.00