Figure 1-3. Sample of a completed DA Form 4379-R (back)

Figure 1-2. Sample of a completed DA Form 4379-R

Figure 1-5. Examples of identification data

Conventional Ammunition Malfunction Investigation
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Figure 1-3. Sample of a completed DA Form 4379-R (back)

Figure 1-4. Head stamp

MM0159

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Western Governors University

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