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# DLA Official Forms

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| Form Number:  DLA7004                                                                                                                                                                                               |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  HQC Quarterly Safety Inspection                                                                                                                                                                        |
| Form Version:  Canceled                                                                                                                                                                                             |
| Status:  Canceled                                                                                                                                                                                                   |
| Functional Area:  Chief of Staff                                                                                                                                                                                    |
| Opr:  CoS                                                                                                                                                                                                           |
| Safeguards:  none                                                                                                                                                                                                   |
| Electronic:  Yes                                                                                                                                                                                                    |
| Form Link:  |options=W                                                                                                                                                                                              |
| Type:  Primary                                                                                                                                                                                                      |
| Prescribed:  DTM, 26SEP13                                                                                                                                                                                           |
| Description:  THIS FORM IS CANCELED AS A RESULT OF THE 2020 FORMS SURVEY ON DLA-LEVEL FORMS.  Form was used to perform quarterly safety inspections of respective work areas (e.g. J-Code, D-Code, etc.) within HQC |
| Records Retention:  160.60 Survey and Inspection files. Destroy when 3 years old, or upon discontinuance of facility, whichever is sooner.) (GRS 18, Item 9)                                                        |
| Form Audience:                                                                                                                                                                                                      |

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