Get DD 1222 1962-2024

LAB REPORT NUMBER SAMPLE RESULT REQUIREMENTS SIGNATURE REPLACES DD FORM 1222 1 JUL 58 WHICH IS OBSOLETE. Reset. DATE SAMPLE RECEIVED DATE TEST PERFORMED 2. DATE RESULTS REPORTED RESULTS OF TEST TYPED NAME AND TITLE OF PERSON CONDUCTING TEST DD FORM 1222 FEB 62 EF 3. PAGE NO. REQUEST FOR AND RESULTS OF TESTS NO. OF PAGES SECTION A - REQUEST FOR TEST 1. TO Include ZIP Code 2. FROM Include ZIP Code 3. PRIME CONTRACTOR AND ADDRESS Include ZIP Code 4. MANUFACTURING PLANT NAME AND ADDRESS Include ZIP Code CONTRACT NUMBER P. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. PURCHASED FROM OR SOURCE 7. LOT NO. 8. REASON FOR SUBMITTAL 9. DATE SUBMITTED 11. QUANTITY REPRESENTED 12. SPEC. AMEND AND/OR DRAWING NO. REV. FOR SAMPLE DATE 14. SHIPMENT METHOD 15. DATE SAMPLED AND SUBMITTED BY 16. REMARKS AND/OR SPECIAL INSTRUCTIONS AND/OR WAIVERS* 17. SEND REPORT OF TEST TO SECTION B - RESULTS OF TEST Continue on plain white paper if more space is required 1. PAGE NO. REQUEST FOR AND RESULTS OF TESTS NO. OF PAGES SECTION A - REQUEST FOR TEST 1. TO Include ZIP Code 2. FROM Include ZIP Code 3. PRIME CONTRACTOR AND ADDRESS Include ZIP Code 4. MANUFACTURING PLANT NAME AND ADDRESS Include ZIP Code CONTRACT NUMBER P. FROM Include ZIP Code 3. PRIME CONTRACTOR AND ADDRESS Include ZIP Code 4. MANUFACTURING PLANT NAME AND ADDRESS Include ZIP Code CONTRACT NUMBER P. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. PURCHASED FROM OR SOURCE 7. LOT NO. 8. REASON FOR SUBMITTAL 9. DATE SUBMITTED 11. QUANTITY REPRESENTED 12. PURCHASED FROM OR SOURCE 7. LOT NO. 8. REASON FOR SUBMITTAL 9. DATE SUBMITTED 11. QUANTITY REPRESENTED 12. SPEC. AMEND AND/OR DRAWING NO. REV. FOR SAMPLE DATE 14. SHIPMENT METHOD 15. DATE SAMPLED AND SUBMITTED BY 16. SPEC. AMEND AND/OR DRAWING NO. REV. FOR SAMPLE DATE 14. SHIPMENT METHOD 15. DATE SAMPLED AND SUBMITTED BY 16. REMARKS AND/OR SPECIAL INSTRUCTIONS AND/OR WAIVERS* 17. SEND REPORT OF TEST TO SECTION B - RESULTS OF TEST Continue on plain white paper if more space is required 1. PAGE NO. REQUEST FOR AND RESULTS OF TESTS NO. OF PAGES SECTION A - REQUEST FOR TEST 1. TO Include ZIP Code 2. FROM Include ZIP Code 3. PRIME CONTRACTOR AND ADDRESS Include ZIP Code 4. MANUFACTURING PLANT NAME AND ADDRESS Include ZIP Code CONTRACT NUMBER P. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. FROM Include ZIP Code 3. PRIME CONTRACTOR AND ADDRESS Include ZIP Code 4. MANUFACTURING PLANT NAME AND ADDRESS Include ZIP Code CONTRACT NUMBER P. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. PURCHASED FROM OR SOURCE 7. LOT NO. 8. REASON FOR SUBMITTAL 9. DATE SUBMITTED 11. QUANTITY REPRESENTED 12. O. NUMBER 5. END ITEM AND/OR PROJECT 10 MATERIAL TO BE TESTED 6. SAMPLE NUMBER 10a* QUANTITY SUBMITTED 13. PURCHASED FROM OR SOURCE 7. LOT NO. 8. REASON FOR SUBMITTAL 9. DATE SUBMITTED 11. QUANTITY REPRESENTED 12. SPEC. AMEND AND/OR DRAWING NO. REV. FOR SAMPLE DATE 14. SHIPMENT METHOD 15. DATE SAMPLED AND SUBMITTED BY 16. .