ATTACHMENT C Contractor VA System Outage Request.docx

DOCX document 26 KB Posted

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H259--ELECTRICAL DISTRIBUTION SYSTEM TESTING BASE + 1 OY
Solicitation number
36C25222Q0624
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VA Outage Request Contract Number: Click here to enter text.

Project Number: Click here to enter text.

Project Name: Click here to enter text.

Contractors Contractor: Click here to enter text.

Sub-Contractor: Click here to enter text.

Location of Work Building: Click here to enter text.

Floor: Click here to enter text.

Wing: Click here to enter text.

Describe Area: Click here to enter text.

Outage Request Date Disabled: Click here to enter a date.

Time Disabled: Click here to enter text.

Date Restored: Click here to enter a date.

Time Restored: Click here to enter text.

Primary Outage Type: Choose an item.

Secondary Outage Type: Choose an item.

Tertiary Outage Type: Choose an item.

Service: Choose an item.

Descriptions LO/TO Device ID: Click here to enter text.

Reason: Click here to enter text.

Impact: Click here to enter text.

Remarks: Click here to enter text.

4/27/2022

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