hoists, chain and wire rope,...

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MIL–H-2813A

MILITARY

HOISTS, CHAIN AND

Za ruARfx3 19%

SUPQWEDLNCMIL-5za131 OC1’OBER1951

SPECIFICATION

WIRE ROPE, PNEUMATIC

Thii apcm”fcotion has been approved bv the Department o{ Defmw mid vmandatorrf Jor we bu the Dapartment# of the ArmII, the NUIIV, end the Air force.

L SCOPE

1.1 Scope.-This specificationcevergpneu.matic hoiste for effective operation on com-pre99ed air line9at allprerkwree between80 and 100 pounds per equare inch, inclusive.The hoiste shrill be cnpable of lifting ondInwering any load within their rated capacity.

1.2 CtnaaMeation.-Pneumatic hoiste shrillbe of the following typee and clnaeee ee speci-fied (ace 6.2) :

Clam l-steel, conventiorml weight.

Clam 2-Steel, aluminum tdloy, Hght-weighL

Type A—Hook suspension.

Type B—Plain-trolley suspension.

Type C-Geared-trulley (hand oper-ated).

Type D-Geamd-truIley (air-motor op-ereted).

2. APPLICABLE DOCUMENTS

2.1 The following specifkntions tind stnnd-ards, of the kwe in effect on date of invit.n.tion for hiti form a pm-t of this epecitkation:

SPECIFICATIONS

FUERAL

FF-B-171

FF-B-185

NN-B-621

QQ-I-G52

QQ-I-666

QQ - P - I I G

..

QQ-Z-225

I’PP-B-601

— Beering, Ball, Annu-lar (GeneralPurpoee).

—Bearinga, Roller,Cylindrical;and Bearingn,Roller, Self-Aligning.

— Boxee; Wood, Nailedand Lock-Comer.

— Iron Castings, Gmy.

— IronCastings, Mall&able.

—Plating: Cad-mium (Elec -tredeposited).

— Zinc” Plat~ng-(Elec-tredepesited).

— Boxes; Wood CIented-Plywwd.

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Downloaded from http://www.everyspec.com

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MIL-H-2813A

MILITARY

JAN-P-1OO — Packaging and Pack-ing for OverseasShipment —GeneralSpecification.

JAN–P-1OG — Patkagkrgand Pack-ing for OverseasShipment — Boxes:Wood Nailed.

MIL-P-116 —Preservation;Methods,of.

JAN-P-123 —Packagingand Pack-ing for OverseasShipment— Bar-rier-Materials,Waterproof,F1exible.

MIL-SJ390 —Steel: Forgings andBars for Hulls, En-ginm and Ordnance(HeatTreated).

MIL-C-3769 —Crates,Intermediate,Sheathed,Wood, Nailed(forMaximum NetLoada of 3000Pounds).

MHA-10547 —Liners,Case,Water-proof.

MIL-S-15083—Steel:Castings.MIJ_l-171GIi—Iron Castings:Nodu-

lar Graphitic (Duc-tile Iron) (for Ship-board Applications).

MH,-Z-17871 —Zinc Coating (Hot-Dip Galvanizing).

MIf.-S-2O14O —Steel: Forgincs forWelding.

STANDARDSMILITARYMIL-STD-105 -Sampling Procedures

and Tables for In-spection by Attri-butes.

MlL-STD–129 — Marking for Shipmentand Storage.

MIL-STD-130- Identificn tionMarking of U. S.Military Properly.

(tipiesofspecifications,standards,drawings,andpublicationsrsquirsd by mntractom in connectionwith specific pmcur-ament functions should be ob-@ined from the procuring agencyorasdirectedbythecontractingolllcer.)

2:2Other publications.-Tllcfollowing duc-umente form a part of this specification.Unless otherwise indicated the issue ineffec$ on date of invitation for bids shallapply.

AMERICAN GEAS MANUFACTURES’S Asso-cmT1oN PUBLICATIONStd–231.01-Gear Tolerances and In-spection.

(Application for copies should be addrassed to theAmerican Gear Manufacturer’s Association, EmpireBuilding, Pittsburgh 22, Pa.)

CONSOLIDATED CLASSIFICATION COMMITTEEConsolidatedFreight ClassificationRules.

(Application for copies should be addressed to theConsolidated Classification Committee, 202 ChicagoUnion ?Anti.n, Chicago 6, Ill.)

3. REQUIREMENTS

3.1 Materials.-The materials shall be ashereinafter specified. Materials not definitelyspecified shall he of the quality best suitedfor the purpose intended.

3.L1 Use of malleable or nodular ironor high strength gray iron caatinga will beacceptable, but such use shall be restrictedto non-load sustaining parts. If used, maRc-ahle iron shall conform to Specification QQ-1-666, nodular iron to Specification MIL-I-17166, and gray imn castinaa to Specifica-tion QQ–I-652.

3.1.2 Steel caatinga shall be in accordancewith Specification MIL-S-15083.

3.1.3 SteeI forginga shall be in accordancewith Specification MIL-S-20140 or Spec-ification MIL-S-390.

““I[(--)

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“lMll#-H-24313A

3.1.4 All hall or roller bearings ueed shallbe in accordance with Specitlcntion FF-B-171and FF-B-185ae applicable.’

3.2 Destgn.

3.?.1 Genera/.-The pneumatic hoi.sta shallbe simple and compact in construction, re-liable in operation, and shall be deeigned inaccordance with the best modern practice.They shall operate satisfactorily under lowtemperature conditions. The hoists shall becapable of Iif ting and Ioweri ng any loadwithin their rated capacity without jerks,jars, or vibration. The hoists ahall be prop.erly adjusted, balanced and free from ex-ceesive noise in operation. All working partsof the hoists shall be properly housed nndenclosed m m not to bc nffected by dust,dirt or expoeure to the weather. The hoistsshall be composed primnrily of n frame orhousing, an air motor, gear train from motorto hoisting drum, brake, throttle control,cable drum, load black, cable, bottom hook,and a top hook or trolley. All wearing partsshall be readily accessible for replacement.All pmte of the same type, class and makeof hoist shall be interchangeable.

3.2.2 F a c t o r c , [email protected] hoist porteshall be decigned su that etreeeec under nor-mal full-load condition shall not exceed 35percent of the minimum yield point of thematerial used and, in pnrte subject to shockloading, streeees shall not exceed 25 percentof the minimum yield point of the material.

3.2.3 Frame or hoecding.-The frame orhousing shall be made of. steel or aluminumalloy, designed for maximum strength andrigidity. It shall contain the hoisting drumwith gears compactly mounted, and the airmotor held securely in poeition. The maxi-mum ovarall d imermions shall not exceed thedimensions specified (see 6.2).

3.2.4 Rfotor.-’f%e motor shall be of therotary vane, or counterbalanced piston type,reversible, of ndequate power mrd high start.ing torque. It shall operate without percepti.

ble vibration at any load or epeed withinthe rated rapacity of the hoieL

3.2.5 Control.-The hoist motor shall b:controlled by a eelf-eeating valve corrnectidto an operating tever which may be activatedby remote control devicee or by hand chain..of suitable length which shall be properlyattached b the hoists. The speed of themotor shall be regulated by the valve opening. The vnlve shall be Wed with n selfcentering device which ahall automaticallyrestore the valve to the closed peeition wher.the hand chains are rekaeed.

3.2.6 Gears.—All geare used shrill be o]spur, helical or worm tfie. Gears shall bcmanufactured and accurately cut in a=ofi.mrce with American Gear ManufacturersAsscmiation practice.

3.2.7 Eearinga.-The load eheft shall t.-supported in high gmde anti-friction ba;or roller bearirrge ae applicable. Other bear.ings shall be of the bronze bushed, turd IMi:or mIler bearing type.

3.2.fI Hoist brake.-The brake shall beso designed that it will be applied automati-CBIIYwhen the motor stope, and shall holdthe load positively at any position, shouldthe air supply to the motor be cut off. Inaddition to .vtoppjng and eafely holding 150percent of rated load of the hoist, the brakeehall be capable of hulding a etatic laadequal to 2110 percent of rating of the hoist.

3.2.9 L.ubr+cotion.-Meane shall be pro-vided for lubrication of all moving partsof the hoist and trolley. Arrangement forlubrication shall be euch se to require in.frequent attention.

3.2.1O A rctomatic 8t0p8.—Ari automaticstop shall be provided which shall preventover-run in the hoisting dir@ion of theload block. A lower limit atop ehall also beprovided which ehall automatically stop thehoist when the bottom hook has been loweredto its lowest permiecible position.

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MIL-H-2813A

3.2.11 CCZMCrfrrmt.-The cable drum shallhave machine-cut grooves and rounded cor-ners. The drum shall be fitted on each endwith flanges to prevent cable jamming, andshall have protected top and sides. The drumdiameter shall be not leas than 20 times thediameter of the cable used except that forextra flexible cable, the diameter of the drdmmay be 15 times the diameter of the cable.

3.z.12 ca~[e /o(,~~/oc~,_The cable loadblock shall have housing and load sheavemade of steel, with bottom hook made offorged steel, and mounted on ball or rollerthrust bearings at its lower end. The hous-ing shall shroud the load sheave as a protec-tion to the operator. The shexve shall bemounted on a steel axle of subeta.:tial designand means shall be provided for ampk lubri-cation between the sheave and the axle at alltime8.

3.2.13 Cable.—The cable, where used, shallbe of the &st quality flexible crucible oropen-hearth eteel hoisting cable of sufficientsize to provide a factor of safety of 5 basedon ultimate strength of the material ueed.

3.2.14 Bottom b/O~k~.—B0ttom b]ocks ~hallhe of the enclosed safety type, constructedof steel, with rounded corners, and protect-ing the bottom sheeve or sheaves.

~:~$1~ c~~~n.q.-Both load and hand chains,where used, shall be free from scale orburrs at the welds.Each linkshallbe ofuniformsizeand shape so as to fit the seatsof the sheave pockets.

3.2.15.1 Load chain.-Wben specified (see6.2), lJad chain shall be furnished in lieuof cable. The hoist load chain shun be manu-factured from a steel alloy suit~ble in allrespects for the purpose intended and shallbe of a size selected by the contractor. Thechain shall provide a safety factor of atleast 4 based on the elastic limit of the ma-terial. The chain shall he free from anytendency to snarl. Elongation of load chain

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before failure shall be a minimum of 5 per-cent. Each load chain shall withstand a loadof twice tbe designed capacity without fail-ure or permanent distortion. The chain shal]be made corrosion-resistant by plating withzinc, cadmium, or a hot dip galvanizing proc-ess conforming to Specification QQ–ZA25,QQ - P - 4M o r MIL-Z-17871, respectively.

3.2.16 Loud chain wheete.-The load chainwheels shall be made of steel, with deeppockets accurately shaped to fit the linksof the load chain, which shall operate freelyand smoothly over the load wheel withoutexcessive wear. Guides shall be provided tnassure that chain enters the chain wheelin proper position.

3.2.17 Hand chain.$’.-Unless otherwisespecified in the contract or order, handchains shall he manufactured from steel.They shall be of the endless long or closelink coil type and shall have a drop whichis approximately two feet less than thestandard lift of the hoist.

%2.18 Hand chain ruheels.-Hand chainwheels shall be made of steel, malleable iron,or aluminum alloy, and shall be providedwith deep, accurately shaped pnckete forthe reception of the hand chain. The wheeleshall be equipped with a chain guide that willpermit operation of the hand chain frnman angle 10 degrees out from either side ofthe chain wheel without clipping or jumping.

3.2.19 hfanrtal operation.—Means shall beprovided for operating the hoista by handchain, or other equally suitable mearre, incase of power failure.

~;~.~o H~o~ atld ~~i~eLq._A]l hOOk~a“dswivels shall be drop-forged steel, properlymtichined at the bearing surfacee so as topermit easy turning or rocking action of theload without twisting the chain. When ma-chining the ehank of the hook, other meansthan the use nf a centering hole at the bnt-tom of the hook shall be employed.

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,., 3.2.21 Twe8 B, C and D.

3.2.21.1 TroUcv8.-Unleee otherwise spoci-ficd herein, all load-sustaining ports of the

+<~. trolley shall be made of steel, deaigrred formaximum strength. Axleeshallbemadefrom

} the beet quality of steel. Tmck wheel bear-irrge ehall be of either the ball or roller bear.ing type, properly heat-treated, hardenedand ground. Gmnee chambers shall be p-vialed, so designed as to prevent dust fmmreaching the bearings. Trolleys shall be ofthe plain or geared type; geared tmlleya shallbe of the hand or air motor powered type,as specified in the contract or order. Thetrolley shall be suitable for operating on“I” beams ar girders of the eize specified(S206.2).

MIL-H-2813A

3.2.212TrottaU bmke.-Unleeeotherwise%cjfledinthecmrtmctor order,trd]eyashall be aquipped with a trolley broke. D*sign of the brake ehall be such as to insurethat the trolley, when stopped, will hold iteposition on the trolley track under anycondition.

. .3.3 Type A, hook euapenaion hoiata.—

Hoists of this type shall be fitted with farged-stoel top and bottam hooks, having ball orroller thrust bearings to facilitate turningthe hoist or the load under service canditiorra.

3.3.1 (X88 1, hook suepenuwn hoiat8.—Claas 1hoistsshallcomplg,unlessotherwiseepeci fled (see 6.2), with the requi rementeof table I.

TAEX.C 1. CLUS I hook mupenaion hoists.

C . P . AY I Wd r b : ,I

&&d( m . m . l mm l l Ua

P am&

MOOr x l e e4 , e e e( we e

1O , r mm2 0 , e e e

P am&

me ’S7 6610MeSee1400

16161612181%

Um l u *H ( m i d . . . )

I

mow bm.mO h c a b .“ I d U . l WDOJ d l Ad Vd t i am

. [ ,!!-.,. (m l . x l mm l nI

v a tw. d“.t. I 1. Ch l

s o 3220 9015 4114 4 51 0 5 0

4 W

, T d r n . . .d = $ WrccOt .m b . t Nn l l l u d .

3.3.2 Clam .9 hook euspenuion hei8t8.— weeified (see G.2), with tnble 11.Class 2 hoists shall comply, unlese otherwise

Tml.a 11. Ckua ~ hook #u#pmuien Aou@.

W.lrht* 8tudmd Umw .* (mIIalm.mSlDht9.”bl.?l.-bk..c.puaj (E.-lln.ml Un .ti 104 lm $OOm& “A PEla9n

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PC.x14J PaII* rd F’alDwIr,I1l.t. I.cbe$m O@’ “8 17 2 0

l m 7 5 8 1 0 2 0

, r d l nGn r = amu e . t . u i bmlud..— — .-

3.4 Type B, cfaeaea 1 nnd 2, pbh trolley of the hoisL The hoista ehall comply, unlcse,s~naion hoiaL%-TypaB,plain trolley aue- otherwiea apecitled (see 6.2), with the re-pension hoists shall be of the built-in trolley quiramente oftnbleIII.style,thetrolleyformingan lntegmlpert

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MIL-E-2813A

C.uuuy I WCI*W[ -km!!)

Pmm dl I Po..&

1 0 0 0 8002 0 0 0 4 6 04 0 0 0 6 4 06 0 0 0 7 0 0

TASLE111.Tc/p.z.YB Cd C ,

St,.&IdUn

Fe et

‘.6161612

L{fUnn .DR.C (ml.immm)rati bnd. 100 POU.&

.!, pram,,

Feet Per mllmte

3 02 01614

Dhtm c., tatl,)m dm..., t. hcak1“

,bdD.nlu.nl(U.u[m.m)

Inch-

3 0. 9 68 84 0

, Tolcr.m e of & 6 mrc c nt -Ill b e wmnltld.

3.5 Type C, classes 1 and 2, geared-trulley,(hand operated) .-Type C, geared-trolley(hand operated) shall be fitted with a chainsheave and hmrd operated chain (see 3.2.15.1and 3.2.16). The chain sheave shall be con-nected with pinions having machine cut teethmeshing with cut gears on the track wheelsas a medium for moving the trolley backand forth on the track as required. The mech.anism shall be such that the trolley is easilymovable in either direction. Trolley e.uspen-

T.4eLsIV.

eion hoists shall also comply, unless other.wise epecified(see6.2),with tableIII.

3.6Type D, classes1 and 2,geared-trolley,(air-motorpowered).-If air-motorpoweredgearedtrolleyisspecified,itshallbe equippedwith an air motor and controlespeciallydesignedfor the purpose intended.

3.6.1.Trolleysuspensionhoistswith air-motor powered geared trolleysshallalso

TuveD .

I Wd.ht. I Smlld mrd

I

Urn”. p e e d (In!nim..”)C .r.uu,

[ Z4m aiu.m-.] Un r.t..l lo.d. 100 g ourd.1. .r-.lc

PO.d.& 7Po”tdl Felt

6000 660 121 0 0 0 0 1100 1220000 2000 12

re d Per Inhlt.

141 0

4

1Tokr.r.caof = 5 ,,,..”,-M k ,emmiltcd.

comply, unless otherwise specified (see 6.2),with the requirements of table IV.

3.7 Identification marking.—Each hoistshall bc plainly marked in accordance withStandard MIL-STD-130 with the name ofthe manufacturer, the rated capacity of tbehoist, and any other markings that will fa-cilitate’ the ordering of repai u parts,

3.8 Technkd publications. — Manufa-turer’s printed or typewritten technical pub-li=tion together with repair parts books orlists shall be furnished as specified (see G.2).

6

Dl,b.c c, tatlo m ofrun-., tnb at 1.

rd.d Dmluon (mui.um)

Imk

434966

3.8.1 Technical publications shall be placedin a waterproof envelopemarked “Instruc-tionData”. Envelope shallbe attachedse-curelyto machine. For Level C shipments,waterproof envelopes will not be required.

3.9 Workmanship.-,Workmanship shall befiret class in every regpect and free fromall defects which” may affect serviceabilityof the hoists.

4. QUALITY ASSURANCE PROVISIONS

4.1 Ssmpfing.


MIL-H-2S13A

4.1.1 LoL-A lot shall consist of all hositaof the anme type and claw ofrered for de-livery at one time.

4.1.2 .%mpliug for irwpcction and tc8t8.—A aample of hoists shall be selected fromeach lot offered for Government inspectionand tests in accordance with Standard MIL-STD-1G5 at Inspection Level III. If any

anmple hna one or more defects or fnils anyteat, the lot shrdl be rejected.

4.2 Inspection nnd tests.

4.2.1 Each anmple hoist shall be inspectedfor adjustment, balance, workmanship, ex.ceesive noise, vibration and other require.menta of this specitlcatinn.

4.2.2 No-bad (hoistin~).-PneumnticnRy,operate the hoist nt no-load in the hoistingdirection. The load block shall stop when itengnges the automatic stop.

4.2.3 No-bad (lorcering).-Pneumnticnlly,opemtc the hoist nt no-lend in the loweringdirection. The hoist shall stop when thebottom hook hns been lowered to ite lowestpermiaaible position.

4.2.4 The teats specified in 4.2.2 and 4.2.9shall nkw be accomplished manually.

4.2.5 ffoiating 8pced.—With rated load onthe hook, the hoist shall be operated toverify conformance with the requirement oftnblee I, 11, III or fV, ne applicable.

4.2.6 Ouerfoad.-The hoist shall hoist andlower a Iond equal to one and ono-hrdf timeeits rated capacity. This operntion shrill becontinued for 20 minutm.

4.2.7 Eztrernc hmrf.-Thehoist shrill mca-tnin n load equnl to twice its rated capacitywithout permanent distortion of rmy of itapark?+.

4.~.g T],c tests specified in 4.2.6 and 4.2.7shrill also be accomplished mnnunlly.

4.3 Rejection.-Rejected hoists may be re-submitted for Government inspection, prn-vided the contractor, after having beeninformed of the reason for rejection, hasmade Al ncccaanry chmrgea to eliminnte thecauses for rejection.

~. PREPARATION FOR DEWERY

5.1 Prescrvntion nnd packnging.

5.1.1 Level A. Cleaning, praaarvation Mdpackaging of 011 compnnenta ehnIl be inaccordrmce with Specification MILP-llG,ae applicable. All unpainted external metalsu rfncee turd components parts shall be pre-served by method I using type P-1orP-2preservativecompound.Type P-1 shatlbeappliedtosurfaceswhereitsremovalisnotrequiredtoputtheequipmentinserviceorwhere ramovnlby solventcan be accom.plished without damage to the surface orndjacent surfaces. Internal metal surfacesehall be coated with type P-10preservativeAnti-frictionbenrkgeshallbeserviceIubri.cnted. No cleaning solution, lubricant orpmservntive shall be applied to self-lubricabing bearinga.

5.1.2 Levc[ C.-Cleaning and preservationahnll be in accordance with the manofsc-turer’s standard practice.

fi.2 Packing.

%2.1 La v c / A.—Unleag otherwise specifiedin the contract or order, hoists and trolleysshall be packed in wood-cleated plywood,nailed wood boxes or crntea conforming toSpeciticntion PPP-B-601 (overseas type),JAN-P-106, or MIL-C-3769, respectively.Crntes shall be used for groaa weighta ex-ceeding 500 po~nds. Boxes shall be mndifwdby the addition of 2 by 4 inch (nominal)skids for gmas weighta exceeding 200 pmmda.Boxes shall be lined with sealed case linereconforming to Specification hfIL-L.-lO547or the equipment within the container ahnllbe shrouded with barrier mnterial conform-ing to Spcciticntion JAN-P–125.

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I .-H-2813A

5.2.2Level B.—The hoists and trolleysshall be packed in wood-cleated plywoodnailed wood boxes, or crates conforming toSpecification PPP-B401 (domeetictype),NN–B-621 and MIL-C+769, respectively.Crates shall be used for gross weights ex-ceeding 500 pounds. Boxes shall be modifiedby the addition of 2 by 4 inch skids forgrossweighta exceeding 200 pounds.

5.2.3 L&el A and B dciprnents.-B1ockingand bracing shall be in accordance withSpecification JAN-P–1OO.

5.2.4LevelC.—The hoist and trolleys shallbe packed in a manner to insure carrieracceptance and safe delivery at destination.Containers shall be in accordance with Con-solidated Freight Classification Rules orother carrier regulations as applicable tothe mode of transportation.

5.3 Marking.—L:nless otkerwise specifiedin the contract or order, interior packagesand exterior shipping containers shall bemarked in accordance with StandardMIL-STD-129.

6. NOTES

6.1 Intended use.-The hoists covered bythis specification are intended for handlingmaterial at all Military activities.

6.2 Ordering data.-Procurement docu-ments should specify the following:

(a)

(b)

(c)

(d)

I (e)

8“

Title, number, and date of this sw’c-itieation.

Type, claw, and capacity of hoistrequired (see 1.2, 3.3, 3.4, 3.5and 3.6).

Maximum overall dimensions ofhoist housing if thk feature isimportant to pravide clearanceon tbe runway (see 3.2.8).

Whether cable or chain hoist isrequired (ace 3.2.15.1).

Size of I beam for trolley hoists,to include nominal width of

flange and amount of slope on [ ‘]face of runway of flange (see3.2.21.1). (NOTE&Slope usually0.90 inch per inch of width).

(f) Height of lift if other than re.quired herein (see tables I, 11, 111and IV).

(g) Speed of lift if other than required .herein (see tables I, H, III andIv) .

(h) Additional cable required, if sny(extra dead turns on drum orcable required “for reaving).

‘ (i) Maximum distance between hooksor between under side of trackand load hook, if less than re-quired herein (see’’ tables I, 11,111 and IV).

(j) Requirements for technical publi-cations (see 3.8).

(k) Whether preservation and packag-ing shall bc by LevelA or C andwhether packing shall be byLevel A, B, or C (see 5.1 and5.2) . ‘.

6.3 Bidders shall submit with bids a tech-nical description including weighta, andsketches of the equipment being offered toaid in bid evaluation.

Patent not ice.—when Government drawings, .Tpeci-flcntions, m other data are used for any purposeother than in connection with a detlnitaly rdatedGovernment procurement operation, ths UnitedShItes Government thereby incurn no reapomibilitynor tmy obligation whatsoever; and the fact that theGovernment may have formulated, furnished, or inany way supplied the said drawfngs, c.peciflcationn, orother data is not to be regarded by implication orotherwise as in any nmnner licensing the bolder orany other person or corporation, or conveying anyrights or permiwi.m to mmrufactmn, “ss, or sell anypatented invention that may i“ any way be relatedthereto.

Cnnadialu ,kr~ .f EnckmersNavy-S-cI of .%IPAtr Form

O!her lnremct ,~T-WNwy-AOrY.

* “. s. aovcR”*E”l P“,m,,o oF,,oE: ”,mb,,*,P.uO,.

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~ANDARDIZATION ~CUMEJTIMPROVEMENT PROP@lL,,, ,., ,. ..,, .,(See Instructions - Rfvcrie Side) ,, . . . . .

>OCUhEENT.N3MBER Z DOCUMENVCTITLE,..

NAME OFSUBM1~lNQ OROANIZATlON 4.TVPEOF OFIQAN1UTIONfmarbOWI❑ .,.00.

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hD0fw3SX91m,f,CIIY.8titi.ZIPCC-M❑ MAN”FACT”RER

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PROBLEMAREASL P&aamI#INUmbU d W.ardlIIW

b.Floe.mml$SdwWdinu:

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REMARKS

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NAME OFSU8.MITTERb t,Ftit.Ml)- ODtlolld b.WORK TELEPMONENUM8ER (ltIclu&A-Codo)- Optl.n.l

UAtLINQ.AD0RES3(Stlwf.al%Skti.ZIPcoda)- Olluo”ti 8.OATE OF8UBMIS910N(VYMMDD)

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