Attachment 5 - Work Certificate Inventory.pdf
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- Solicitation number
- W912PB24R3055
About this file
This document is an Attachment 5 - Work Certificate Inventory Record for the preventive maintenance and repair of a specific type of equipment. The record provides detailed information about the equipment, including the inventory number, manufacturer and model, year of installation, refrigerant details, and the required maintenance frequencies for various CLIN (Contract Line Item Number) tasks. The record also includes sections for documenting maintenance performed, equipment condition, and technician acceptance.
The related federal contract opportunity is for the Maintenance and Repair Work for Crane Systems at USAG Bavaria, Grafenwoehr, with a Solicitation Number of W912PB24R3055. The opportunity is being issued by the Department of the Army Materiel Command Army Contracting Command.
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Text version
ATTACHMENT 5 - Work Certificate Inventory Record (Name Contractor)
INVENTORY RECORD
PREVENTIVE MAINTENANCE AND REPAIR OF: "TYPE OF EQUIPMENT"
INVENTORY NUMBER: COMMUNITY:
CLIN'S
CLIN No. Quantity Maintenance Frequency
CLIN No. Quantity Maintenance Frequency
A = Annual S = Semiannual Q = Quarterly M = Monthly
J = Bi-Monthly W = Weekly B = Bi-Weekly D = Daily
EQUIPMENT TYPE: MANUFACTURER & MODEL #:
MANUFACTURER SERIAL #: YEAR OF INSTALLATION:
YEAR OF MANUFACTURE: OTHER EQUIPMENT SPECIFICATION:
TYPE OF REFRIGERANT: WEIGHT OF REFRIGERANT CONTENT IN KG:
GLOBAL WARMING POTENTIAL (GWP): TONS GWP ÄQUIVALENT:
LEAKAGE DETECTION SYSTEM EXISTING: O YES O NO LOCATION, BUILDING #:
Frequency of Cooling Agent Leaking Test (According EU-VO 517/2014)
O LEAKING TEST OF REFRIGERATION SYSTEM IS NOT REQUI O IF NECCESARY, IS A SYSTEM LOGBOOK EXISTING
O ANNUAL LEAKING TEST OF REFRIGERATION SYSTEM O ESTABLISH SYSTEM LOGBOOK IF NOT PRESENT
O SEMIANNUAL LEAKING TEST OF REFRIGERATION SYSTEM O ALL ENTRIES IN SYSTEM LOGBOOK ARE UP TO DATE
O QUARTERLY LEAKING TEST OF REFRIGERATION SYSTEM
(List numbers of maintenance steps performed as descripted in SOW CLIN
MAINTENANCE PERFORMED : and/or information on maintenance performed IAW manufacturer's manual)
REMARKS : (EQUIPMENT CONDITION REPORT)
Inventory Label attached: Yes No
DATE TECHNICIAN INVENTORY ACCEPTED
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