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7540-00-142-8759

Printed Form

7540001428759 001428759 OPTIONAL FORM 58

A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified). View more Printed Form

7540-00-142-8759 FORM,PRINTED 7540001428759 001428759

Managed by United States
NSN Created on 5 Jun 1968
Data Last Changed
November 2023
NATO Update Count
6
NATO Data Quality
7540-00-142-8759 FORM,PRINTED 7540001428759 001428759 1/1
NSN 7540-00-142-8759 (Generic Image) 1/1

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7540-00-142-8759 Demil Restrictions 7540-00-142-8759

DEMIL: A | DEMILI: 1 | CRITICALITY: X | HMIC: N | PMIC: A | EDC: | ADPEC:

7540-00-142-8759 is a Printed Form that does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application. Demilitarization of this item has been confirmed and is not currently subject to changes. This item is considered a low risk when released from the control of the Department of Defense. The item may still be subject to the requirements of the Export Administration Regulations (EAR) and the Code of Federal Regulations (CFR). This item is not suspected to be hazardous. This item does not contain a precious metal.

7540-00-142-8759 End Users End Users 7540-00-142-8759

NASA (G720)
Effective Date:
1 Apr 1991

7540-00-142-8759 Manufacturers Approved Sources 7540-00-142-8759

7540-00-142-8759 Technical Data Datasheet 7540-00-142-8759

Characteristic
Specifications
Document Title [ALYQ]
Report Of Medical History
Identification Designator [AJKH]
Optional Form 58
Interleaved W/Carbon Paper Feature [CHRG]
Not Included
Sheet Width [CHRJ]
8.000 Inches Nominal
Sheet Length [CHRK]
10.500 Inches Nominal
Fsc Application Data [ZZZV]
Govt Wide Use

7540-00-142-8759 Related Items NATO Stock Numbers Related to 7540-00-142-8759

7540-00-142-8759 Freight Data Freight Information 7540-00-142-8759

7540-00-142-8759 has freight characteristics.. 7540-00-142-8759 has a variance between NMFC and UFC when transported by rail and the description should be consulted.