f.Equipment_Inspection-Cleaning_form.doc

DOC document 31 KB Posted

Attached to
Crescent Ranger District Roadside Brushing Federal contract opportunity
Solicitation number
1204GG18Q0019
Issued by
Department of Agriculture Forest Service R6-Pacific Northwest Region

About this file

Equipment Inspection Form

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b.Vicinity_Map.pdf PDF
g.Past_Performance_Data_Sheet.docx DOCX document
c.02A_Clearning_Limits.pdf PDF
Attachment_04_Road_Brushing_Map.pdf PDF

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Text version

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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