A.03.09 Daily LE Log - CELRH Form 2712.pdf
PDF 56 KB Posted
- Attached to
- Beech Fork Lake Law Enforcement Services Federal contract opportunity
- Solicitation number
- W9123722Q0043
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| File | Type | Posted |
|---|---|---|
| B.08.02 W9123722Q0043.pdf |
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Text version
DAILY LAW ENFORCEMENT BLOTTER LOG
For use of this form, see AR 190-45, the proponent agency is CELRH-SM.
ARIMS FN 190-45a, T5 Destroy when Record is 5 years old.
1. CONTRACTING AGENCY
a.
TIME OF PATROL (Note Exact Time 0001 - 2400
Hours)
17. SIGNATURE (Resource Manager)
3. START DATE (YYYYMMDD)
CELRH FORM 2712, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of
VERSION 1.1
4. CONTRACTOR 5. CONTRACT NUMBER
2. PROJECT
6. TIME IN
(0001 - 2400 hours)
7. TIME OUT
(0001 - 2400 hours)
8. OTHER CONTRACTOR DUTIES
15. DATE
(YYYYMMDD)
16. TIME (0001 -
2400 hours)
14. SIGNATURE (Officer 2 if applicable)13. SIGNATURE (Officer)
(1)
START TIME
(2)
END TIME
ENTRY
NUMBER
1.
c.
ACTIVITY AREA, SUMMARY OF INCIDENT AND ACTION TAKEN
b.
DESIGNATED AREA
2.
3.
4.
5.
6.
7.
8.
9.
10.
9. EVENT LOG (Continued on Page 2 if needed)
11. TOTAL HOURS
12. FOR GOVERNMENT USE ONLY
10. ADDITIONAL NOTES, COMMENTS,
CONCERNS OR REMARKS (Note Entry Number if applicable)
W C A TOTAL
9. EVENT LOG (Continued)
CELRH FORM 2712, MAY 2010 Page 2 of 2
11.
(2)
END TIME
(1)
START TIME
a.
TIME OF PATROL (Note Exact Time 0001 - 2400
Hours)
ENTRY
NUMBER
12.
13.
14.
15.
16.
17.
18.
19.
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DAILY LAW ENFORCEMENT BLOTTER LOG
For use of this form, see AR 190-45, the proponent agency is CELRH-SM.
ARIMS FN 190-45a, T5 Destroy when Record is 5 years old.
a.
TIME OF PATROL (Note Exact Time 0001 - 2400 Hours) CELRH FORM 2712, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of
VERSION 1.1
(1)
START TIME
(2)
END TIME
ENTRY NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
9. EVENT LOG (Continued on Page 2 if needed)
12. FOR GOVERNMENT USE ONLY
W C A
TOTAL
9. EVENT LOG (Continued) CELRH FORM 2712, MAY 2010 Page 2 of 2 11.
(2)
END TIME
(1)
START TIME
a.
TIME OF PATROL (Note Exact Time 0001 - 2400 Hours)
ENTRY NUMBER
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
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35.
1.1 mark.a.cooper@usace.army.mil 20110420 Forms Design Team CEIT-PMO-I CELRH FORM 2712 Daily Law Enforcement Blotter Log MAY 2010 Mark Cooper CELRH FORM 2712 Daily Law Enforcement Blotter Log MAY 2010 20110420
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