COMUSFLTFORCOMINST 4790.3 REV D CHG 3
07 Nov 2023
V-I-11-165
14, A CORRESPONDING SIGNATURE, PRINTED NAME AND DATE MUST
BE ENTERED IN THE REMARKS BLOCK.
TABLE 1- DOCUMENTATION REQUIREMENTS
Material Control Level Required Information
Level I Material Other Than
Fasteners
MIC Number and any other traceability number, including any local traceability number
(e.g., PNSY MLN – examples Z142, AB12).
Level I Fasteners NOTE: THE INFORMATION ENTERED FOR FASTENERS MAY NEED TO
INCLUDE INFORMATION FROM BLOCKS 3 AND 8 FROM QA FORM 1.
DO NOT ENTER THE PNSY TRACE NUMBER FROM BLOCK 3 OF THE
QA FORM 1.
Document the markings from the fastener to include either:
(1) The color code and the heat or lot number, material type, and
manufacturer’s symbol (for nuts containing a self-locking insert, the
color of the insert is the manufacturer’s symbol).
(2) The MIC number (when MIC number is on the fastener or on the
individual tag for some fasteners).
Controlled Structural Material And
SOC Control Division “A” Material
Traceability Number
SOC Control Division “B” Material Markings providing identification to material type or specification
AERP And Other Rotatable Pool
Material (688 Class, TRIPER, Etc.)
Enter the appropriate rotatable pool serial number (e.g. RP-148A, 4810-013-5812-A3-
0113, TIN -292-11893, etc.)
Transferred And Cannibalized
Material
Enter the Equipment Removal List No. or other material History or Traceability number
(ERL# XXXX, SSBN-600 EHF #24, etc.)
Other Material Within The LEVEL
I/SUBSAFE Boundary And SOC
Control Division “C” Material
1. Enter at least one of the following documentation attributes:
a. Stock Number (from package or container)
b. Part Number (from package or piece)
c. Part Number and associated Manufacturing Work Procedure (for manufactured
items)
d. Local Traceability Number (from piece or tag)
e. Drawing and Piece Number (from piece or tag)
f. Generic, MIL-SPEC, or Material Specification Marking (from piece)
g. NDT record numbers or test results for items verified by generic material testing.
2. For SOC components only: Enter the stock number of the “O-ring lubricant or any
sealant used during assembly.
BLOCK 8 - BLUE/CHALK CHECK AND/OR VALVE BALL COMPRESSION
DATA
NOTE: A QA-34 FORM IS NOT REQUIRED TO BE GENERATED SOLELY FOR
CAPTURING BLOCK 8 DATA IF THE REMAINDER OF THE COMPONENT
IS TO BE ASSEMBLED USING A QA-34A FORM. USE A QA-17 OR OTHER
APPROPRIATE METHOD.
(PLANNING) A documented blue or chalk check or valve ball compression check is required
for all controlled assemblies and is allowed by the DDGOS in lieu of a seat tightness test for
welded in-line valves and components where a seat tightness test is not practical. Enter an X
in the applicable NA box when Blue or Chalk Check or Valve Ball Compression is not
applicable. When a Valve Ball Compression check is required, enter the required stack height
and ball cavity dimensions. These dimensions should include maximum and minimum
requirements.
(CRAFTSMAN) Record actual ball or seat stack heights and cavity dimensions when
Planning has provided the required dimensions. If more than one blue check is required, enter
additional checks in Remarks. For hull and back up valves where more than one ball or seat
stack height dimension is required, enter in the following manner:
(3.213 or 3.567) where the first dimension is for one ball or seat combination and the second
dimension is for the other one. Identify each dimension to its associated valve. Sign, date and