DD 2973 Blocks Flashcards

1
Q

DD Form 2973

Blocks 1-3

A

Facility Name, Address, & Location

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2
Q

DD Form 2973

Block 4

A

Date

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3
Q

DD Form 2973

Block 5

A

Inspection type

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4
Q

DD Form 2973

Block 6

A

Inspector

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5
Q

DD Form 2973

Block 7

A

Time

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6
Q

DD Form 2973

Block 7

A

Start Time

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7
Q

DD Form 2973

Block 8

A

End Time

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8
Q

DD Form 2973

Block 9

A

Person In Charge

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9
Q

DD Form 2973

Block 10

A

(Number and Type of Deficiency

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10
Q

DD Form 2973

Block 11

A

Inspection Rating

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11
Q

DD Form 2973

Block 12

A

Compliance Status

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12
Q

DD Form 2973

Block 15

A

Inspection Type

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13
Q

DD Form 2973

Block 17

A

Remarks

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14
Q

DD Form 2973

Block 18

A

Signature

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