13)EQUIPMENT_CLEANING_form.doc

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Building Decommissioning
Solicitation number
1204N018R0001
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Equipment 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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