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18 Cards in this Set
- Front
- Back
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Preparation and Submission of Dental Equipment and Facilities Report, NAVMED 6750/4
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BUMEDINST 6750.5
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Date format?
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D Month YYYY: i.e: 1 January 2007
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UIC
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Unit Identification Code
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Facility
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Name of ship, or Hull number, or Station and building number, and mailing address
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I: First Column
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Space description
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I: Second Column
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Quantity, enter total number of spaces
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I: Third Column
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Approx size, length and width in feet, rounded to nearest foot
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I: Fourth Column
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Remarks, enter significant information continue to part IV if insufficient space
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Dental Treatment Rooms contain
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Dental light, chair, unit, and/or surgical table
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Part I, II, III, and IV
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I) Dental Facility Spaces
II) Dental Equipment III) Utilities IV) Remarks and Recommendations |
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II: First Column
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Item Description
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II: Second Column
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Manufacturer and Model (enter manufacturer name and model number)
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II: Third Column
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Quantity of items on hand, include installed and in storage
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II: Fourth Column
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Condition code, enter number of items by cat. and condition code
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Part II section A
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Dental Operating Equipment
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Part II section B
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Prosthetic Lab Equipment
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Part II section C
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Dental X-Ray Equipment
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III:
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1) Type of current: AC/DC
a) voltage - 120/240 b) cycle - 60 2) Gas: Natural, Commercial, Bottle, Acetylene |
