191st Support Group Combat Service Identification Badge SBBA~Double~6565_1L-EL while the GWOTS is generally

while the GWOTS is generally awarded for service within the United States

United States Army Staggered-Right 1/8-Inch Spaced 5 Ribbon Mount

They instruct personnel in damage control and CBR defense and repair damage-control equipment and systems

United States Army 204th Medical Battalion Unit Crest (Heal the Warrior)

"Preparedness - Dependability

191st Support Group Combat Service Identification Badge SBBA~Double~6565_1L-EL while the GWOTS is generallyUnited States Army 191st Support Group Combat Service Identification Badge Criteria: This is the Combat Service Identification Badge (CSIB) worn by the 191st Support group. The blue signifies the Caribbean Sea and the Atlantic Ocean surround the Puerto Rican Peninsula, the location of the group. This insignia was approved in 2012. The Combat Service Identification Badge (CSIB) is worn on the Army Dress Blue (ASU) Uniform.