Product Details | PRINTED FORM

6515-01-226-9926 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).20275300027Stationery and Record Forms75400014Standard Forms

Part Alternates: NA057, 6515-01-226-9926, 01-226-9926, 6515012269926, 012269926

Medical, Dental, and Veterinary Equipment and Supplies | Medical and Surgical Instruments, Equipment, and Supplies

Supply Group (FSG) NSN Assign. NIIN
65 26 FEB 1986 01-226-9926

Cross Reference | NSN 6515-01-226-9926

Part Number Cage Code Manufacturer
NA057 02964 AMERICAN STERILIZER COMPANY DBA AMSCO STERILITY ASSURANCE
NA057 0NWN1 STERIS CORPORATION

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Technical Data | NSN 6515-01-226-9926

Characteristic Specifications
DOCUMENT TITLE DAILY STERILIZATION RECORD FORM
IDENTIFICATION DESIGNATOR P-764271-361
INTERLEAVED W/CARBON PAPER FEATURE NOT INCLUDED
SHEET WIDTH 8.250 INCHES NOMINAL
SHEET LENGTH 11.000 INCHES NOMINAL
COLOR WHITE
UNIT PACKAGE QUANTITY 400
UNIT PACKAGE TYPE PACKAGE
III PART NAME ASSIGNED BY CONTROLLING AGENCY FORM PRINTED DAILY STERILIZATION RECORD WHITE 8.25"WX11"L 400S

Restrictions/Controls & Freight Information | NSN 6515-01-226-9926

Category Code Description
Shelf-Life Code:0Nondeteriorative
Hazardous Material Indicator CodeNThere is no data in the HMIS and the NSN is in an FSC not generally suspected of containing hazardous materials
Demilitarization Code:ANon-Munitions List Item/ Non-Strategic List Item - Demilitarization not required.
Controlled Inventory Item Code:UUNCLASSIFIED
Precious Metals Indicator Code:AItem does not contain precious metal
Criticality Code:X The item does not have a nuclear hardened feature or any other critical feature such as tolerance, fit restriction or application.
Category Code Description
NMF Description 153250 PAPER FORMS/CARDS/TICKETS/CHECKS
Less than car load rating
Less than truck load rating R 65.0
Water commodity Code 737 unknown
Originating Activity Code KX Defense Supply Center Philadelphia
Philiadelphia, PA 19101
Air Dimension Code A Shipment is not a consolidation and does not exceed 72 inches in any dimension.
Air Commodity G Printed forms, publications, drawings, training guides, etc.
Air Special Handling Z No special handling required.
Special Handling Code 9 unknonwn
HAZMAT
Type of Cargo Z No special type of cargo code applicable

Management | NSN 6515-01-226-9926

Category Code Description
Materiel Category and Inventory ManagerC Medical/Dental Materiel
Appropriation and Budget Activity2 Stock Fund Secondary Items
Management Inventory Segment2 NONREPARABLE ITEMS (Exclusive of Insurance and Provisioning Items). This code will be used to identify items which are not reparable.
Specific Group/Generic Code0 Medical Materiel
Weapons Systems/End Item or Homogeneous Group03Not-Potency-Dated
Accounting Requirements CodeX Expendable item. An item of Army property coded with an ARC of ?X? in the AMDF. Expendable items require no formal accountability after issue from a stock record account. Commercial and fabricated items similar to items coded ?X? in the AMDF are considered expendable items.
Source of SupplySMSDefense Logistics Agency
Enterprise Business Systems
AgencyDADepartment of the Army
Service OrganizationAU.S. Army
Acquisition Advice CodesLLOCAL PURCHASE # (NON-STOCKED ITEMS) Defense Logistics Agency (DLA)/GSA/Service/Agency-managed items authorized for local purchase as normal means of support at base, post, camp or station level. Item not stocked in wholesale distribution system of IMM/Service/Agency ICP.
Controlled Item CodeUUNCLASSIFIED
Shelf Life Code0Nondeteriorative
Purchasing QTY
UOM
1
PG : Package
Category Code Description
Cognizance Codes9BNavy-owned stocks of DLA material
Naval Inventory Control Point, Mechanicsburg
Source of SupplySMSDefense Logistics Agency
Enterprise Business Systems
AgencyDNDepartment of the Navy
Service OrganizationNU.S. Navy
Acquisition Advice CodesLLOCAL PURCHASE # (NON-STOCKED ITEMS) Defense Logistics Agency (DLA)/GSA/Service/Agency-managed items authorized for local purchase as normal means of support at base, post, camp or station level. Item not stocked in wholesale distribution system of IMM/Service/Agency ICP.
Controlled Item CodeUUNCLASSIFIED
Shelf Life Code0Nondeteriorative
Purchasing QTY
UOM
1
PG : Package