DRAFT_B2_09.9_Final_Inspection_Report.docx
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- 329772
- Issued by
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Department of Energy Office of Science
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SUPPLY CHAIN MANAGEMENT
SUPPLY CHAIN MANAGEMENT
SUPPLY CHAIN MANAGEMENT
| Date: MM/DD/YYYY |
| 2575 Sand Hill Road, MS: 01 |
Menlo Park, CA 94025
PH: (650) 926-XXXX
Contract Administrator: NAME
Email: ______@slac.stanford.edu
FINAL INSPECTION REPORT
(Required by Procurement to release Final Payment)
Subcontractor Name
Project Name
Subcontract No
SLAC Project Manager
SLAC Field Construction Manager
SLAC Subcontract Administrator
The work was found to meet the requirements of the Subcontract as indicated below:
1. The Final Inspection was held on (Date): ; and attended by:
a. Attendees for SLAC:_____________________________________________________________
b. Attendees for Subcontractor:_______________________________________________________
2. Red-Line As-Built Drawings:
| a. Received on: | ; by: |
| b. Accepted on: | ; by: |
3. Operation & Maintenance Manuals:
| a. Received on: | ; by: |
| b. Accepted on: | ; by: |
4. All ID Badges & Dosimeter Badges received on: ($500/dosimeter not returned to SLAC)
5. Keys (if applicable) received on:
6. Certified Payrolls are complete and finalized via LCP Tracker on:
7. Punch List approved:
| a. A/E: | By: | Signature | |||
| b. Facilities & Operations By: | Signature | ||||
| c. Subcontractor | By: | Signature |
8. SLAC Building Inspection Office Final Certificate of Occupancy or Permit Card issued on:
ACKNOWLEDGEMENT AND ACCEPTANCE OF THIS FINAL INSPECTION REPORT:
| Title |
| Name |
| Signature |
| Date |
SLAC PM
SLAC FCM
Subcontractor PM
2575 Sand Hill Road Mail Stop 18 Menlo Park, CA 94025-7015 650-926-2241 Fax 650-926-8785 SLAC is operated by Stanford University for the U.S. Department of Energy image1.jpeg
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