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Summary. The information contained in NTTP 4-01.4, Underway Replenishment, is directed toward preparing both the replenishment and customer ship for a replenishment evolution. Detailed rig make-up, requisite equipment, and standardized procedures are established to serve as specific guidelines for all aspects of replenishment at sea. Each ship shall ensure wide dissemination to all personnel involved in the planning of, supervision of, and participation in underway replenishment evolutions.

The purpose of this field manual (FM) is to provide doctrine and tactics, techniques, and procedures for health service support (HSS) units and personnel operating in a nuclear, biological, and chemical (NBC), radiological dispersal device (RDD), and toxic industrial material (TIM) environment. The manual provides information for use by commanders, planners, leaders, and individuals in providing HSS under these adverse conditions.