f.Equipment_Inspection-Cleaning_form.doc
DOC document 31 KB Posted
- Attached to
- Crescent Roads Closure
- Solicitation number
- 1204GG18Q0017
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Equipment Inspection Cleaning Form
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EQUIPMENT CLEANING INSPECTION/VERIFICATION FORM
| Date: |
| Contract #: |
Contract Name:
Contractor Representative:
USFS COR/Inspector:
Type of Equipment:
How was the Equipment Cleaned?
Where was the Equipment Cleaned?
LOCATION OF LAST OPERATIONS:
State:
Federal Location:
Non-Federal Location:
I certify that all requirements as outlined in the equipment cleaning contract provisions have been met, and that all equipment has been thoroughly cleaned of soil, seeds and vegetative material. I also certify that the above information is true to the best of my knowledge.
Contractor Signature
Date
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