AA550400 - Attachment 6 - Base Elizabeth City Visitor Request Form.xlsx
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- Inspection, Testing, and Maintenance Fire Preventive Systems at USCG Base Elizabeth City
- Solicitation number
- 70Z08423QAA550400
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Sheet1
| Attachment 6 |
| Base Elizabeth City Visitor Request |
| For questions, contact your Command Security Officer or Base Coast Guard Police Dept. at (252) 335-6588. |
***All requests shall be submitted no later than 3 working days prior to visit.*** Reference BASEECITYINST 5512.1B for additional information and requirements.
LAST NAME FIRST NAME MIDDLE INITIAL SUFFIX DATE OF BIRTH DL STATE DL# CITIZENSHIP (US/FOREIGN)
| VISITOR ORGANIZATION: | |||
| PURPOSE OF VISIT: | Site Visit for Fire Alarm Maintenance Contract | ||
| PLACE OF VISIT: | All Buildings that have fire alarm & sprinkler systems | ||
| ARRIVAL: | 10:00 | 6/26/23 | |
| DEPARTURE: | 12:00 | 6/26/23 | |
| SPONSOR'S NAME: | Jason Peck , Matthew Goldstein , David Aydlett | ||
| SPONSOR'S COMMAND/AFFILIATION: | FED/Fire Department | ||
| SPONSOR'S CONTACT INFORMATION | PHONE #: (252) 339-4015 or (252) 267-6012 | EMAIL ADDRESS: david.p.aydlett@uscg.mil , matthew.r.goldstein@uscg.mil | |
| COMMENTS BELOW: |
| ***FOREIGN VISITORS MUST BE SUBMITTED NO LESS THAN THIRTY DAYS PRIOR TO AN OFFICIAL VISIT*** | ||
| For more information and/or guidance, contact your Tenant Command Security Officer | ||
| Base Elizabeth City and Tenant Command CSO's: | ||
| Base Elizabeth City: | MEC Kealiinohomoku, Brandonn | (252)335-6855 |
| Aviation Technical Training Center (ATTC): | ASTC Linehan, Michael | (252)335-6917 |
| Aviation Logistics Center (ALC): | Mr. Smith, Stephen | (252)384-7173 |
| Air Station Elizabeth City: | OSC Brancaleone, Paul | (252)335-6761 |
| Boat Station Elizabeth City: | BM1 Jordan, William | (252)335-6086 |
| USCG Aviation Projects Acquisition Center (APAC): | LT Cortez, Miguel | (252)355-6279 |
| ***ALL VISITOR REQUESTS SHALL BE SENT TO THE FOLLOWING EMAIL:*** | ||
| d05-smb-baseecityvisitors@uscg.mil | ||
| Instructions: Left click on the email address and an email will auto-populate. Once all fields are filled out in this visitor request, save to a safe place as this contains PII and attach this form to the email. Once you send off a visitor request you do not need to follow up, all visitor requests are monitored on a daily basis. If a member does not meet Base entry criteria as defined in BASEECITYINST 5512.1B and DCMS denial criteria, you will be contacted and the visitor request will be denied pending a follow up request. If you have any further questions please feel free to contact the CGPD. |
mailto:d05-smb-baseecityvisitors@uscg.mil image1.emf image2.emf image3.emf image4.emf image5.emf
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