6 Temporary Services Equipment Transfer.doc

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Submarine Support Equipment Maintenance
Solicitation number
N0060420Q4035
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1 Receipt and Acknowledgement of Training Form.doc DOC document
Performance Work Statement (PWS).docx DOCX document
4 Weekly Status Report.xlsx XLSX spreadsheet
3 Delivery Checklists.doc DOC document
2 DD Form 1149.doc DOC document
5 Weekly Progress Report.xlsx XLSX spreadsheet

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Temporary Services Equipment Transfer Ship: _____________________________________________________________ Date: ________________________

Pier Location: ______________________________________________________ Sheet ________ of __________ **Note** All items transferred, including hoses, cables and fittings shall be documented in chart below to allow for full accountability and reimbursement as required.

Equipment Transferred:

NOMENCLATURE
SERIAL NUMBER
PRICE

ISSUED

RETURNED

SHIP
SAT
UNSAT
CONT
SAT
UNSAT

SHIP REPRESENTATIVE: ___________________________________________ SHIP 3MC: __________________

PRINT / SIGN / DATE INI

SHOP 25D REPRESENTATIVE: ______________________________

PRINT / SIGN / DATE

CONTRACTOR: ___________________________________________ COR ACK: __________________

PRINT / SIGN / DATE INI

Attachment (2) – PWS 1814

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