C9 - PWS Technical Exhibit 07 - Certificate of Deformation Sample.docx

DOCX document 15 KB Posted

Attached to
JBLM Recycling Services Federal contract opportunity
Solicitation number
W911S822R0027
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Joint Base Lewis-McChord

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C1 - Primary Performance Work Statement (PWS) 12 Aug 2022.docx DOCX document
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Technical Exhibit 07 - Certificate of Deformation Example

Certificate of Deformation

Origination Location:JBLM ASP
Address:1116th Squadron Rd. Bldg. M0001
Joint Base Lewis McChord, WA 98433

Shipments: Seal Number and Dispatch Numbers or Shipping Memo for all loads included in the deformation batch.

Description of Items: Inert Uncrushed Brass Casings

Method of Deformation:

Date of Deformation: DD MMM YYYY

Company XXX certifies that the described items above were deformed, rendering them useless for any other purpose than to recover scrap metal.

Signature of Company Representative:

Date: DD MMM YYYY

21 July 2022

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