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# DLA Official Forms

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Form Information
| 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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