1240BE26Q0065 Attachment 6 Equipment Cleaning Form.pdf

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Attached to
Willamette NF, MF 26-1 Willamette Complex North Suppression Repair Road Maintenance
Solicitation number
1240BE26Q0065
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About this file

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

The form captures essential documentation for equipment cleaning compliance, requiring contractors to provide the date, contract number, contract name, contractor representative name, and USFS Contracting Officer's Representative (COR) or Inspector identification. Contractors must specify the type of equipment cleaned, document the cleaning method employed, and identify the location where cleaning occurred. The form requires documentation of the equipment's location of last operations, including the state, federal location (if applicable), and non-federal location (if applicable). Through a signed certification statement, the contractor attests that all equipment cleaning contract requirements have been satisfied and that equipment has been thoroughly cleaned of soil, seeds, and vegetative material. The contractor's signature and date of certification complete the verification process, establishing an official record of compliance with equipment cleaning standards.

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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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