Attachment C-28 FTC-ADM-51.pdf

PDF 693 KB Posted

Attached to
Student Support/Facilities Operation Maintenance Services Federal contract opportunity
Solicitation number
70LCHS25RPFB00001
Issued by
Department of Homeland Security Federal Law Enforcement Training Center

About this file

This is a Basic Gym Issue Form (Form FTC-ADM-51) used by the Federal Law Enforcement Training Centers' Physical Techniques Division in Charleston, SC. The form is an inventory tracking document for both physical training equipment and law enforcement gear issued to trainees.

The form tracks two categories of items: personal training gear (including shirts, shorts, socks, brassiere/supporter, sweatshirts, sweatpants, swimsuit, towel, and shower shoes) and law enforcement equipment (including gun belt set, training gun, handcuffs, handcuff case, handcuff key, magazine case, baton ring, boxing wraps, and mouthpiece). The form includes fields for recording item sizes, issue dates, and return status, along with the trainee's personal information, class number, and agency affiliation. It also contains locker assignment information with combination instructions and includes a liability statement requiring the trainee's signature acknowledging financial responsibility for returning all items. This document appears as Attachment C-28 to contract opportunity 70LCHS25RPFB00001.

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Text version

FfC-ADM-51 (10197)

BASIC GYM ISSUE FORM

PHYSICAL TECHNIQUES DIVISION

G:l> U.S. GPO: 2006-623-532

ISSUE DATE:

LAST PT DATE:

LAST NAME _______________ FIRST NAME: ___________ MIDDLE INITIAL: __ _

CLASS NO: AGENCY: _____________________ _

ITEM SIZE ISSUED RETURNED ITEM TYPE ISSUED

SHIRT GUN BELTSeT

SHORTS TRAINING GUN

SocKS (PR) HANDCU•"F

BRASSIERE(WOMEN) HANDCUFF CASE

SUPPORTER {MEN) HANDCUFF KEY

SWE!ATSIIIRTS MAGAZINE CASE

SWEATPANTS BATON RING

SWIMSUIT BoXING WRAPS

TOWEL MOUTHPIECE

SHOWER Snor;:s

LoCKER: __________ SERIAL NO: ________ COMBINATION: ________ _ COMBINATION INSTRUCTIONS: Tum knob twice to RIGHT stop at first number.

Tum knob to LEFT one whole tum past first number stop at second number.

Tum knob to RIGHT stop at third number

CAUTION: LOCK YOUR LOCKER AND DO NOT LEAVE VALUABLES IN LOCKER

RETURNED

I have received the above listed Items and am financially responsible for their return.

x _________________________ _

ISSUE CLERK SIGN HERE

Attachment C-28

Federal Law Enforcement Training Centers Charleston SC Contract Number: 70LCHS25RPFB00001

File details come from the government source that posted it. Updated .