1240BE26Q0033 Attachment 6 Equipment Cleaning Form.pdf
PDF 112 KB Posted
- Solicitation number
- 1240BE26Q0033
- Issued by
-
Department of Agriculture Forest Service
About this file
This is an equipment cleaning inspection and verification form used by the U.S. Forest Service (USFS) to document and certify that equipment has been properly cleaned in accordance with contract requirements. The form serves as a template for contractors to complete and submit to the USFS Contracting Officer's Representative (COR) or Inspector.
The form requires contractors to provide essential documentation including the contract number, contract name, date of inspection, equipment type, and details about the cleaning process such as the cleaning method employed and the location where cleaning occurred. Contractors must also identify the location of last equipment operations by state, federal location, and non-federal location. The contractor representative and USFS COR/Inspector are both identified on the form. The contractor certifies that all requirements outlined in the equipment cleaning contract provisions have been met and that all equipment has been thoroughly cleaned of soil, seeds, and vegetative material. The form concludes with signature and date lines for the contractor, serving as formal attestation that the above information is accurate to the best of the contractor's knowledge.
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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
ATTACHMENT 6
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