4.SFS Form 12 (Tour-Contractor EAL).xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- W50S9F25Q0004
- Issued by
-
Department of the Army National Guard
About this file
The document is a 115th Security Forces Squadron (SFS) Form 12, specifically a Tour-Contractor Entry Authorization List (EAL) template for Truax Field, associated with a federal contract opportunity for PFAS/PFOA soil removal. The form provides a structured template for listing contractor personnel details for site access, requiring comprehensive personal information including full name, date of birth, driver's license details, nationality, and visa/passport information.
The related federal contract opportunity, solicitation number W50S9F25Q0004, is issued by the Department of the Army National Guard and focuses on the removal and disposal of PFAS (Per- and Polyfluoroalkyl Substances) compromised soil. The project location is specified as 3110 Mitchell St, Madison, WI 54304, with Scott Homner listed as the Project POC and contactable at 608-245-4757. The form includes space for tracking up to 50 individual contractor personnel entries, suggesting a potentially extensive project requiring multiple personnel with specific site access authorization requirements.
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Text version
Sheet1
| Required Public Tour Entry Authorization List (EAL) Information/Truax Field Pre-Authorization Request Form | |||
| PA Sponsored Tour: | No | Tour Date: | NA |
| 115 FW Org Sponsored: | NA | Tour Start Time: | NA |
| Group Name: | NA | Tour Lead POC: | NA |
| Group POC: | NA | Tour POC Email: | NA |
| Group POC Phone: | NA | ||
| Group POC Email: | NA |
| Company Name: | Project Location: | 3110 Mitchell St, Madison WI 53704 |
| Company POC: | Project Prime: | N/A |
| Company Address: | Start Date: | |
| Copmany POC Phone #: | End Date: | |
| Company POC Email: | Project POC: | Scott Homner |
| Project POC Phone #: | 608-245-4757 |
| NAME MUST MATCH DRIVER'S LICENSE | ||||||||
| NAME: LAST | FIRST | MI | DOB | M/F | DRIVER'S LICENSE #/STATE | PREVIOUS STATE | Nationalitiy Visa/Passport # | |
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| NAME MUST MATCH DRIVER'S LICENSE | ||||||||
| Validated by: | Authenticated by: | |||||||
| Date: | Date: | |||||||
| 115 SFS Form 12 (10 Jun 2025) |
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