(3) Complete block 5a "Printed name" by typing or legibly printing your full
name and grade/rank as the assembler of the diagnostic X-ray system.
(4) Complete item 5b "Signature" by signing the block in blue or black ink
with your payroll signature.
(5) Complete block 5c "Date" by entering the date numerically, i.e., the
month/day/year the certification is signed.
(6) Complete item 6 "Comments" by recording any explanatory information
related to earlier entries.
Section II. PROCESSING
a. Complete and forward two copies of Form FDA 2579 through command
channels to the Commander, US Army Medical Material Agency (USAMMA), ATTN:
SGMMA-MP, Frederick, MD 21701 within 15 days from the date of installation.
b. Consider the installation of a certified component complete after USAMMA
has reviewed the Form FDA 2579 and determined the assembly/installation is in
compliance with the Standard. The USAMMA will then have 15 days to forward the Form
c. One copy of the form is retained at the USAMMA for each form originated by
or for DA activities. Retain the copy until each specified component identified on the
form has been salvaged, transferred to float, reported in a new installation, or for five
years, whichever comes last.
d. The Chief of Biomedical Equipment Maintenance retains the purchaser's
(pink) copy of every Form FDA 2579 for his medical activity. He retains the purchaser's
copy until each specified component identified on the form has been salvaged,
transferred to float, or installed on another X-ray system.
e. Note in writing the disposition of each of the specified components on the
Form FDA 2579. The Chief of Biomedical Equipment Maintenance advises the
USAMMA within 15 days after salvaging, transferring, or relocating any certified X-ray
component or X-ray system. This action is taken in order to maintain consistency with