Attachment 6 - Contract Discrepancy Report.docx

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Hazardous Waste Removal Albany, CA RFQ: 12905B22Q0022
Solicitation number
12905B22Q0022
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Attachment II Contract Discrepancy Report (CDR)

Location of Service:

1. Contract No. 2. FY: 3. Report #

4. TO: (Contractor):

5. FROM: (COR):

6. DATES:

•Prepared:
•Oral Notification:
•Returned by Contractor:
•Action Complete:

7. Discrepancy or Problem (Describe in detail; include references to PWS section or other contract clause or provision; attach continuation sheet if necessary; COR shall cite applicable QC program procedure(s))

Signature: __________________________________________ Signature of COR

8. TO:Contracting Officer:
9. FROM:Contractor:

10. Contractor’s response as to cause corrective action and actions to prevent reoccurrence; attach continuation sheet if necessary;

11. Signature of Contractor’s Representative:

___________________________________________ Date:

12. Government Evaluation: acceptance, partial acceptance; rejection’ attached continuation sheet if necessary

13. Government Action: payment deductions; performance evaluation meetings; other actions)

14. Closeout Actions: (contractor notified; by whom/ date; follow-up action pending).

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