1240BE26Q0064 Attachment 11 Equipment Cleaning Form.pdf

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

The form captures essential information including the inspection date, contract number, contract name, contractor representative name, and USFS Contracting Officer's Representative (COR) or Inspector identification. It documents the type of equipment being inspected, the cleaning method employed, and the location where cleaning occurred. The form also requires identification of the equipment's last operational location, specifying the state and whether operations occurred at federal locations, non-federal locations, or both. The contractor must certify 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. This certification attests to the accuracy of the information provided. The form serves as official documentation of compliance with equipment cleaning requirements, with both the contractor signature and date required for validation.