05 Base Access Request Form.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
Tyndall AFB Oil Water Separator
Solicitation number
FA481923R0001
Issued by

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This document contains a base access request form and details of a federal contract opportunity. The base access request form provides information for contractor site visit access to Tyndall Air Force Base in Florida for contract FA481922R0014. Details include the requester's name, date of birth, social security number, driver's license information, vehicle information, dates and times of requested access, and escort requirements.

The related federal contract opportunity is solicitation FA481923R0001 for oil water separator cleaning services at Tyndall Air Force Base. The contractor shall provide all management, tools, equipment, and labor necessary to skim, empty, clean and test oil water separators, sediment traps, grease traps, and containments. Work shall be performed in accordance with applicable laws, regulations, Air Force standards and commercial practices. The agency is the Department of the Air Force Air Combat Command.

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Text version

BACKGROUND CHECK

325 CES 2022

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

Date2-Nov-22
Security ManagerName/Contact InfoLt Jessica Cleaver; jessica.cleaver.1@us.af.milContractorSite Visit for BOS FA481922R0014
CompanyLast, First MIDOB (YYYYMMDD)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX:19991215 SSN (###-##-###)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Full social with dashes xxx-xx-xxxx UNIT (325 CES) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY DL / State ID Number State / Place of Issuance Sex (M/F) Place of Birth (City / State or Country) US Citizen (Y/N) *Passport/USCIS#

DBIDS PERMISSIONS

PERMISSIONS
LAST, FIRST MISIDE(S) OF BASE (TAFB ALL or SOUTHSIDE)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

TAFB ALL or SOUTHSIDE DAYS SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Ex: Mon-Fri HOURS LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS: LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS:

Ex: 0600-1800 ESCORT (Y/N) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Will they need to escort others onto the installation? EXPIRATION (MM/DD/YY) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX: 01-DEC-2021 UNIT (325 CES)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

TAFB ALL N 325 CES

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