1240BE26Q0045 - Attachment 10 Equipment Cleaning Form.pdf

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Willamette NF, Detroit RD 2026 Tree Planting
Solicitation number
1240BE26Q0045
Issued by

About this file

This is an Equipment Cleaning Inspection/Verification Form used by the United States Forest Service (USFS) to document and certify that equipment has been properly cleaned in accordance with contract requirements.

The form captures essential administrative and operational details including the contract number and name, contractor representative identification, and USFS Contracting Officer's Representative (COR) or Inspector information. It requires documentation of the equipment type, the cleaning method employed, and the location where cleaning was performed. The form also requires identification of the location of last operations, specifying the state and distinguishing between federal and non-federal locations where the equipment was previously used. The contractor certifies under this form that all equipment cleaning contract provisions have been satisfied and that all equipment has been thoroughly cleaned of soil, seeds, and vegetative material. The form concludes with signature and date blocks for the contractor, establishing a documented record of compliance with equipment sanitation requirements.

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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 10

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