B.08.02 PWS Attachment D- Sample SO Request Form.docx
DOCX document 18 KB Posted
- Attached to
- RMMR Services for USAF Fuel Facilities Supported by DLA-Energy at Incirlik Air Base, Turkey
- Solicitation number
- W912GB21R0004
- Issued by
-
Department of the Army European Command
About this file
This document contains a sample service order request form and emergency service order request form for recurring maintenance and minor repair services at fuel facilities in Turkey supported by the Defense Logistics Agency - Energy. The forms are to be used under contract W912GB-XX-X-XXXX administered by the U.S. Army Corps of Engineers Europe District. They require specifics about the repair or emergency situation, including the date and time reported, building number, type of fuel system, and alarm details. Requestors must provide a point of contact for the contractor to check in with upon arrival. One form is for routine service orders while the other is for emergencies threatening health or the environment.
The related federal contract opportunity is a solicitation for recurring maintenance and minor repair services at U.S. Air Force fuel facilities supported by DLA-Energy at Incirlik Air Base in Turkey. Solicitation number is W912GB21R0004. The Department of the Army is the contracting agency. No further details are provided on required services, pricing, or award information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B.08.03 W912GB21R0004 Amend 0001.pdf | ||
| B.08.02 RFP W912GB21R0004_Conformed thru Amend 0001.pdf | ||
| B.08.02 PWS Attachment F - SO SSJ Form.pdf | ||
| B.08.02 RFP W912GB21R0004.pdf | ||
| B.08.02 PWS Attachment E - Sample SO Submission Form.xlsx | XLSX spreadsheet | |
| B.08.02 PWS Attachment B - Bulk Fuel Facilities.xlsx | XLSX spreadsheet | |
| B.08.02 Appendix D - PPQ.pdf | ||
| B.08.02 PWS Attachment A - Operational Fuel Facilities.xlsx | XLSX spreadsheet | |
| B.08.02 Appendix C - Past Performance Information Sheet.pdf | ||
| B.08.02 Appendix B - Letter of Commitment Sample.docx | DOCX document | |
| B.08.02 Appendix A - Schedule of Items and Prices 7 JAN 2021.xlsx | XLSX spreadsheet | |
| B.08.02 PWS Attachment C - Incirlik AB EBS List 07-MAY-2020.xlsx | XLSX spreadsheet |
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Text version
ATTACHMENT D
DLA-E CAPITALIZED FACILITIES
ROUTINE SERVICE ORDER REQUEST FORM
CONTRACT W912GB-XX-X-XXXX
ADMINISTED BY THE U.S. ARMY CORPS OF ENGINEERS, EUROPE DISTRICT
Please note: If an emergency exists that threatens health and/or the environment, you must respond in the manner addressed under your local Emergency Response Plan.
Today’s Date: Your Name:
Installation Requiring Routine Work Request:
Your Commercial Phone Number: Your DSN Phone Number:
Your Handy Phone Number:
Minor Repair Located at Building #: Date & Time of Discovery:
Name and Phone Number of Person who Discovered the Repair:
Date and Time Call Was Placed to USACE: Who Did You Notify (Name):
Please provide SPECIFIC details about the repair situation (e.g. provide a description of the problem encountered, building #, type of fuel system (MOGAS, JP, Dispenser #, Tank #, Oil/Water Separator, etc):
Provide a copy of the alarm print out and/or write in the space below the EXACT wording shown on the display screen:
(Please note: All Fuel Master and ATG problems or issues are under the DES-DE funded program and the U.S. Navy Space and Naval Warfare (SPAWAR) is the contract manager. Please contact Mr. Joe Carnes at DSN 588-3167.)
Please Provide the Name and Number of the POC that the Contractor Shall Contact Upon Arrival on Site (POC must ensure access for the contractor to all facilities that require repair service):
DLA-E CAPITALIZED FACILITIES
EMERGENCY SERVICE ORDER (ESO) REQUEST FORM
CONTRACT W912XX-XX-X-XXXX
ADMINISTED BY THE U.S. ARMY CORPS OF ENGINEERS, EUROPE DISTRICT
Please note: If an emergency exists that threatens health and/or the environment, you must respond in the manner addressed under your local Emergency Response Plan.
Today’s Date: Your Name:
Installation Requiring Emergency Service:
Your Commercial Phone Number: Your DSN Phone Number:
Your Handy Phone Number:
Emergency Located at Building #: Date & Time of Discovery:
Name and Phone Number of Person Discovering the Emergency:
Date and Time Call Was Placed to USACE: Who Did You Notify (Name):
Please provide SPECIFIC details about the emergency situation (e.g. provide a description of the problem encountered, building #, type of fuel system (MOGAS, JP, Dispenser #, Tank #, Oil/Water Separator, etc):
Provide a copy of the alarm print out and/or write in the space below the EXACT wording shown on the display screen:
(Please note:
All Fuel Master and ATG problems or issues are under the DES-DE funded program and the U.S. Navy Space and Naval Warfare (SPAWAR) is the contract manager. Please contact Mr. Joe Carnes at DSN 588-3167.)
Please Provide the Name and Number of the POC that the Contractor Shall Contact Upon Arrival on Site (POC must ensure access for the contractor to all facilities that require emergency service):
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