Attachment IV - Contract_Discrepancy_Form.docx
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- N0018920Q0086 CONFINED SPACE SAFETY TRAINING
- Solicitation number
- N0018920Q0086
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CONTRACTOR DISCREPANCY REPORT
CONTRACT NO.: TBD
TASK ORDER NO: N/A
DATE:
TO: (Contractor’s name and address)
FROM: (Facility Name and address, including COR)
DISCREPANCY (INCLUDE REFERENCE):
SIGNATURE OF COR: DATE:
TO: (Facility name and address, including COR)
FROM : (Contractor’s name and address)
CONTRACTOR RESPONSE AS TO CAUSE AND CORRECTIVE ACTION TAKEN:
SIGNATURE OF CONTRACTOR’S REP: DATE:
GOVERNMENT COMMENT ON RESPONSE:
SIGNATURE OF COR: DATE:
SIGNATURE OF CONTRACTING OFFICER: DATE:
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