D.3 ATTACHMENT 3 - EXHIBIT C VASF CORRECTED ACTION FORM.pdf
PDF 91 KB Posted
- Attached to
- J063--Fire Suppression System Inspection, Testing Maintenance, and Repair Services Federal contract opportunity
- Solicitation number
- 36C26125Q0538
About this file
This document is a California Code of Regulations Title 19 Corrective Action and Repairs Performed form (Form AES 10) used for documenting fire protection equipment inspections and maintenance. The blank template provides fields for recording property information, contractor details, and specific deficiencies or repairs performed on fire protection systems. The form requires signatures from both a building representative and a technician, certifying that fire protection equipment has been corrected in accordance with California Code of Regulations Title 19 and is fully operational. The form is dated September 3, 2013, and is specifically designed to track maintenance and repair actions for fire suppression and protection equipment.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C26125Q0538 0002 - Updated Price Schedule and Q-As.pdf | ||
| 36C26125Q0538 0002.docx | DOCX document | |
| 36C26125Q0538_2.docx | DOCX document | |
| D.5 ATTACHMENT 5 - STANDARD EP LIST AND FREQUENCY.pdf | ||
| 36C26125Q0538_1.docx | DOCX document | |
| D.9 ATTACHMENT 9 - PAST PERFORMANCE SURVEY.docx | DOCX document | |
| D.8 ATTACHMENT 8 - VASF TEST AND DEVICE COUNT.pdf | ||
| D.7 ATTACHMENT 7 - DOL WAGE DETERMININATION 2015-5637 REV.29, DATED 05-21-2025 - SAN FRANCISCO-SAN MATEO.pdf | ||
| D.6 ATTACHMENT 6 - 2024 SFVA STANDPIPE 5-YEAR BUILDING INSPECTIONS.pdf | ||
| D.4 ATTACHMENT 4 - EXHIBIT D - DAMPER REPORT [2018].pdf | ||
| D.2 ATTACHMENT 2 - EXHIBIT B VASF FA TEST AND DEVICE COUNT.pdf | ||
| D.1 ATTACHMENT 1 - EXHIBIT A TJC LIFE SAFETY EC DOCUMENT LIST REVIEW TOOL.pdf | ||
| RFQ 36C26125Q0538 - Fire Suppression.pdf |
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Text version
Corrective Action and Repairs Performed
California Code of Regulations - Title 19 Inspection, Testing, and Maintenance 1 of 1
Property Information Contractor or Licensed Owner Information
Building Name Name Address Address
City St. Zip City License # Phone Contact Person SFM Job # Phone CSLB Misc.
Item AES Form #
Date Found
Date Corrected
Deficiencies and Comments Indicate all equipment, devices and parts that were repaired or replaced
I hereby certify that the fire protection equipment listed above has been corrected in accordance with CCR Title 19 and that the equipment is fully operable.
Building Representative Technician
Signature Signature
Form AES 10 Sept. 3, 2013
File details come from the government source that posted it. Updated .