Dd Form 365-1 - Chart A - Basic Weight Checklist Record
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1Form Approved. OMB No. 0704-0188
FOR USE WITH T.O. 1-1B-40, NAVAIR
RECORD OF CHECKING (Enter Date) (YYYYMMDD)
01-1B-40, AND TM-55-1500-342-23
CHART A - BASIC WEIGHT CHECKLIST RECORD
The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense,
Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to
any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION.
MODEL/DESIGN/SERIES
SERIAL NUMBER
PAGE
OF
PAGES
1
2
3
4
5
6
7
8
9
I
C
I
C
I
C
I
C
I
C
I
C
I
C
I
C
I
C
N
H
N
H
N
H
N
H
N
H
N
H
N
H
N
H
N
H
C
I
A
A
A
A
A
A
A
A
A
O
T
A
R
A
R
A
R
A
R
A
R
A
R
A
R
A
R
A
R
M
E
WEIGHT
ARM
MOMENT
I
T
I
T
I
T
I
T
I
T
I
T
I
T
I
T
I
T
P
A
M
ITEMS AND LOCATION
R
R
R
R
R
R
R
R
R
A
N
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
R
D
N
(Grouped by compartment)
R
R
R
R
R
R
R
R
R
T
U
A
E
A
E
A
E
A
E
A
E
A
E
A
E
A
E
A
E
M
M
(Enter constant
F
N
F
N
F
N
F
N
F
N
F
N
F
N
F
N
F
N
E
B
used below
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
T
N
E
R
R
R
R
R
R
R
R
R
T
R
line)
Y
Y
Y
Y
Y
Y
Y
Y
Y
DD FORM 365-1, AUG 96
PREVIOUS EDITION MAY BE USED.
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