A06 - ATT- 7EQUIPMENT CLEANING FORM.doc

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Attached to
72 - Malheur National Forest Picnic Tables
Solicitation number
1240BEQ230051A0001
Issued by

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A06 - ATT- 5Concrete picnic table (1).pdf PDF

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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

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