DLA TROOP SUPPORT SUBSISTENCE INSPECTION

MANUAL 4155.6

DLA TROOP SUPPORT 4155.6

SUBSECTION 213.5

DLA TROOP SUPPORT-FTRE *

SEPTEMBER 2011 *

 REPORTS

DD Forms 250 and 250c, Material Inspection and Receiving

 Reports (MIRRs)

I. REFERENCES.

A. Appendix F of DFARS Supplement, dated May 2007 .

B. DLA Troop Support Form 3556, Marking Instructions for Shipping Cases, Sacks, and 

Palletized/Containerized Loads of Semiperishable and Perishable Subsistence,

dated Oct. 2010. *

II. PURPOSE AND SCOPE. This Subsection details the information required by the 

Quality Assurance Representative (QAR) to verify the accuracy of the information 

reported on DD Form 250, Material Inspection and Receiving Report (MIRR) and DD 

Form 250c, Continuation Sheet, prior to the QAR's completion and signature. It is 

applicable to Government inspection personnel who are responsible for the signing of the 

form. While most of the information contained in this Subsection is incorporated from 

Appendix I of DoD-FAR Supplement, duplication of that information is considered 

necessary for access by QARs for performance of their duties.

III. DEFINITION.

Procurement Quality Assurance (PQA). The Government function by which the 

Government determines whether a contractor has fulfilled contract obligations pertaining 

to quality and quantity.

IV. RESPONSIBILITIES.

A. The Administrative Contracting Officer (ACO) is responsible for providing the 

contractor with instructions for preparation and distribution of the MIRR in accordance 

with Appendix I of DODFAR Supplement.

B. When MIRRs are required by the contract, the contractor shall be responsible for 

their preparation and distribution. For operational rations, certain blocks are completed 

by DLA Troop Support, prior to distribution to contractor.

C. The QAR/Government Inspector is responsible for signing the MIRR at origin 

and/or destination, if, to the best of his/her knowledge, PQA requirements have been met.

This Subsection supersedes Subsection 213.5, July 2010 * Denotes Changes
SUBSECTION 213.5

DLA Troop Support 4155.6

V. DD FORMS 250 and 250c.

A. Examples are attached as Encl l thru 3.

B. The following information is furnished for guidance. Detailed information is 

provided in Appendix I of DODFAR Supplement.

1. Coded information shall be entered on the MIRR to the extent that it is known or 

provided in the contract.

2. BLOCK 1 - Proc Instrument Iden (Contract) (Order) No. Enter the 13 position 

alphanumeric basic Procurement Instrument Identification (PII) number of the contract. 

When applicable, enter the four alphanumeric call/order serial number which is

supplementary to the PII, i.e., delivery orders under indefinite delivery type contracts,

orders under basic ordering agreements and calls under blanket purchase agreements.

3. BLOCK 2 - Shipment No. Assigned by Contractor. The shipment number is 

composed of a three alpha character prefix and a four numeric or alphanumeric serial 

number.

4. BLOCK 3 - Date shipped. Self-explanatory.

5. BLOCK 4 - B/L TCR. When applicable, enter commercial or Government bill 

of lading number and the Transportation Control Number (TCN).

6. BLOCK 5 - Discount terms. Self-explanatory.

7. BLOCK 6 - Invoice No./Date. Self-explanatory.

8. BLOCK 7 - Page/Of. Consecutively number the pages of the MIRR/the total 

number of pages of the MIRR.

9. BLOCK 8 - Acceptance Point. Enter an "S" for origin or "D" for destination.

10. BLOCK 9 - Prime Contractor/Code. Self-explanatory.

11. BLOCK 10 - Administered By/Code. Code and address of Contract

Administration Office (CAO) cited in the contract.

12. BLOCK 11- Shipped From/Code/POR. Self-explanatory.

13. BLOCK 12 - Payment Will Be Made By/Code. Enter the code and address of the 

payment office cited in the contract.

14. BLOCK 13 - Shipped To/Code. Self-explanatory.

15. BLOCK 14 - Marked For/Code. Enter the "Marked For" code and address 

contained in the contract or shipping instructions.

16. BLOCK 15 - Item No. Enter the contract line item number.

17. BLOCK 16 - Stock Description.

a. Enter the National Stock Number (NSN). or National Item Identification

Number (NIIN)

b. Enter item nomenclature for each line item.

c. Include other identification, such as lot number, batch codes and quantity of each. 

d. The MIRR shall be used to record and report the waivers and deviations from the

contract technical specifications, including the source and authority for the waiver or 

deviation. For example, the contracting installation authorizing the waiver or deviation 

and the identification of the authorizing document shall be reported.

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SUBSECTION 213.5

DPSCM 4155.6

18. BLOCK 17- QUANITITY SHIPPED/RECEIVED.

a. Enter the quantity shipped, using the unit of measure indicated in the contract for 

payment. When a second unit of measure is used for purposes other than payment, enter 

the appropriate quantity directly below in parentheses.

b. At receiving point, if the quantity received is the same quantity annotated as 

shipped and all items are in apparent good condition, indicate by a check mark. If 

different, enter actual quantity received in apparent good condition below quantity 

shipped and encircle. The receiving activity shall annotate the DD Form 250 stating the 

reason for the difference.

19. BLOCK 18 - UNIT. Enter the abbreviation of the unit measure as indicated in the

contract for payment. When a second unit of measure is indicated in the contract for 

purposes other than payment or used for shipping purposes, enter the second unit of 

measure directly below in parentheses.

20. BLOCK 19 - UNIT PRICE. Self-explanatory.

21. BLOCK 20 - AMOUNT. Enter the extended amount of the unit price entered in

Block 19.

22. BLOCK 21 - PROCUREMENT QUALITY ASSURANCE (PQA).

a. The words "conform to contract" contained in the printed statements in Blocks A 

and B relate to contract obligations pertaining to quality and to the quantity of the items 

on the report. These statements shall not be modified. Notes explaining exception shall 

be entered in Block l6, or supporting documents with appropriate block cross reference 

shall be attached. The quantity determination at destination is not to be confused with 

tally-in of the total amount being delivered, which is the responsibility of receiving 

personnel.

b. "A. ORIGIN."

(l) The authorized Government representative shall, on all copies:

(a) Place an "X" when applicable in the appropriate PQA and/or Acceptance 

box(es) to evidence origin PQA and/or acceptance. When the contract requires PQA 

at destination in addition to origin PQA, an asterisk shall be entered at the end of the 

statement and an explanatory note entered in Block l6;

(b) Enter the date of signature. 

(c) Sign.

(d) Enter the typed, stamped, or printed name and office, Department of Defense 

Activity Address Directory (DoDAAD) code or typed name and title of regulatory 

agency representative (USDA, USDC, or military veterinarian) as applicable.

(2) When Fast Pay procedures apply, the contractor or subcontractor shall enter in 

capital letters "FAST PAY" on the next line following the printed PQA/Acceptance 

statement. When PQA is required, the authorized Government representative shall 

execute the block as required by V.B.22.b.(l).

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DLA Troop Support 4155.6

c. "B. DESTINATION."

(1) When acceptance at origin is indicated in Block 21.A., no entries shall be made 

in Block 21.B.

(2) When PQA and Acceptance or Acceptance is at destination, the authorized

Government representative shall, on all copies:

(a) Place an "X" in the appropriate box(es), both PQA and Acceptance at

Destination or only Acceptance at Destination. 

(b) Enter the date of signature.

(c) Sign.

(d) Enter typed, stamped, or printed name and title.

(3) When "ALTERNATIVE RELEASE PROCEDURE" (approved for release by 

the contractor with subsequent release by the QAR) is entered in Block 21.A. and 

acceptance is at destination, the authorized Government representative shall complete 

the entries required by V.B.22.c.(2).

(4) The executed payment copy shall be forwarded to the payment office cited in

Block l2 within four work days after delivery and acceptance of the shipment by the 

receiving activity.

(5) When "Fast Pay" is entered in Block 21.A. no entries shall be made in this block.

23. BLOCK 22 - RECEIVER’S USE. This block shall be used by the receiving activity 

(Government or contractor) to denote receipt, quantity, and condition. The receiving 

activity shall enter in this block the date the supplies arrived. For example, when offloading or in-checking occurs subsequent to the date of arrival of the carrier at the 

installation, the date of the carrier's arrival is the date received for purposes of this block.

24. BLOCK 23 - CONTRACTOR USE ONLY. This block is provided and reserved 

for contractor use.

25. CORRECTION. The contractor is responsible to prepare a corrected MIRR when, 

because of errors or omissions, it is necessary to correct the MIRR after distribution has 

been made. A revised or new MIRR shall be effected by correcting the original master or 

preparing a new MIRR containing the identical data of the origin MIRR and distributing 

the corrected form. MIRRs shall not be corrected for Block l9 and 20 entries. The

corrections shall be made as follows:

a. Circle the error and place the corrected information in the same block; if space is 

limited, enter the corrected information in Block l6 referencing the error page and block. 

Enter omissions in Block l6 referencing omission page and block.

b. The words, "CORRECTIONS HAVE BEEN VERIFIED," shall be entered on 

Page l. The authorized Government representative shall date and sign immediately below 

the statement.

26. MIRR AS RECEIVING DOCUMENT. When the MIRR is used for receiving 

purposes, procedures shall be as prescribed by local directives. In addition, if PQA and 

Acceptance or Acceptance of supplies is required upon arrival at destination, see 

V.B.22.c.(2) for instructions.

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