1240BE26Q0042 Attachment 10 Equipment Cleaning Form.pdf

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Attached to
Willamette NF, McKenzie River RD 2026 Spring Tree Planting
Solicitation number
1240BE26Q0042
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About this file

This is an Equipment Cleaning Inspection/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 captures essential contract and operational details including the contract number, contract name, contractor representative name, and assigned USFS Contracting Officer Representative (COR) or Inspector. It requires documentation of the equipment type being cleaned, the cleaning method employed, and the location where cleaning was performed. The form also documents the location of the equipment's last operations, including the state, federal location(s), and non-federal location(s) where the equipment was previously used. The contractor certifies under signature that all equipment cleaning contract provisions have been satisfied and that all equipment has been thoroughly cleaned of soil, seeds, and vegetative material. The contractor must sign and date the form, affirming that all provided information is accurate to the best of their knowledge. This form serves as a verification document for compliance with equipment sanitation requirements, likely intended to prevent the spread of invasive species or contamination across federal and non-federal lands.

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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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