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# DLA Official Forms

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| Form Number:  DLA2054                                                                                                                                                                                   |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  Periodic Self-Inspection Checklist                                                                                                                                                         |
| Form Version:  May 2023                                                                                                                                                                                 |
| Status:  Active                                                                                                                                                                                         |
| Functional Area:  Energy                                                                                                                                                                                |
| Opr:  FENAB                                                                                                                                                                                             |
| Safeguards:  None                                                                                                                                                                                       |
| Electronic:  Yes                                                                                                                                                                                        |
| Form Link:  Documents/FormsSite/forms/DL2054.pdf                                                                                                                                                        |
| Type:  New                                                                                                                                                                                              |
| Prescribed:  DoDM 4140.25 and DLA Energy P-7                                                                                                                                                            |
| Description:  There is no GSA, DoD, or DLA form for this use case.  The purpose of this form is to document Defense Fuel Support Point self-inspections as required by DoDM 4140.25 and DLA Energy P-7. |
| Records Retention:  5300.12-Office Administrative Records and Routine Correspondence.  Temporary. Cutoff at end of CY. Destroy when 2 years old, or when no longer needed, whichever is sooner.         |
| Form Audience:  Military Services                                                                                                                                                                       |

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