9a.DRAFT_Equipment Inspection Form.pdf
PDF 667 KB Posted
- Attached to
- Hut DxP NPL Stewardship IRSC -R6 Deschutes National Forest, Bend/Fort Rock Ranger District, OREGON
- Solicitation number
- 12363N25R4004
- Issued by
-
Department of Agriculture Forest Service
About this file
The document is an Equipment Cleaning Inspection/Verification Form designed to document the cleaning process for equipment used in federal contract work. The form requires detailed documentation including contract number, contract name, contractor and USFS inspector information, type of equipment, cleaning method and location, and the specific location of previous equipment operations. The form includes a certification statement where the contractor attests that all equipment cleaning requirements outlined in the contract provisions have been met, specifically that equipment has been thoroughly cleaned of soil, seeds, and vegetative material. The form is marked as a "DRAFT" and provides space for the contractor's signature and date of verification.
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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
DRAFT
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