LINE 1 -- DATE AND TIME______________________________(DTG)
LINE 2 -- UNIT________________________________________(Unit Making Report)
LINE 3 -- SUPPORT UNIT_______________________________(Designation of the Supporting Unit)
LINE 4 -- FROM_______________________________________(DTG for Beginning of Period Applying to Operational Information)
LINE 5 -- TO__________________________________________(DTG for End of Period Applying to Operational Information)
LINE 6 -- POTABLE LOCATION _________________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Potable Water Supply Point)
LINE 7 -- POTABLE STATUS ____________________________(OPERATIONAL, NOT OPERATIONAL, or LIMITED)
LINE 8 -- POTABLE AVAILABLE _________________________(Gallons of Potable Water Available at Water Supply Point)
LINE 9 -- POINT CAPACITY_ ___________________________(Daily Production Capacity in Gallons)
LINE 10 -- WATER UNIT ________________________________(Name or Designator of Unit Providing Support Shown in Line 11)
LINE 11 -- NONPOTABLE LOCATION____________________(UTM or Six-Digit Grid Coordinate With MGRS Grid Zone Designator of Nonpotable Water Supply Point)
LINE 12 -- NONPOTABLE AVAILABLE____________________(Gallons of Nonpotable Water Available at Water Supply Point)
**Repeat lines 4 through 13 if necessary. Assign sequential line numbers to succeeding iterations; for example, first iteration 4 through 13; second iteration 4a through 13a; third iteration 4b through 13b; and so on.
LINE 13 -- NONPOTABLE CAPACITY ____________________(Daily Production Capacity in Gallons)
LINE 14 -- NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 15 -- AUTHENTICATION___________________________(Report Authentication)