DU204SA-15-R-0002_Attachment_3.pdf

PDF 68 KB Posted

Attached to
LEAD BASED PAINT EVALUATION SERVICES Federal contract opportunity
Solicitation number
DU204SA-15-R-0002
Issued by
Department of Housing and Urban Development CPO Atlanta Operations Branch

About this file

DU204SA-15-R-0002 Attachment 3

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Other files for this federal contract opportunity

Other files attached to LEAD BASED PAINT EVALUATION SERVICES, newest first.
File Type Posted
AMENDMENT_000003.pdf PDF
DU204SA-15-R-0002_solicitation_FINAL.pdf PDF
DU204SA-15-R-0002_SF-33.pdf PDF
DU204SA-15-R-0002-AMEND_000002.pdf PDF
DU204SA-15-R-0002-AMEND_000001.pdf PDF
DU204SA-15-R-0002_Attachment_5.pdf PDF
DU204SA-15-R-0002_Attachment_4.pdf PDF
DU204SA-15-R-0002_Attachment_1.pdf PDF
DU204SA-15-R-0002.pdf PDF
DU204SA-15-R-0002_Attachment_2.pdf PDF

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Text version

Attachment 3 to Section J

PAINT / DUST / DEBRIS DATA FORM (Use additional sheets as necessary PRINT all entries) Page of

Sampling Site Address: Clearance Examiner Name:

Certification

Title/No:______________________________

Clearance Examiner Firm:

Date:

Location Description (Location where dust, painted debris, or paint chips were seen; or where sample of settled dust was collected)

Comments (For example: dust.

deteriorated paint, painted debris, paint chips, floor sample, interior window sill sample, window trough sample)

Sample ID Number

Dust Sampling Dimensions

(if applicable) [in] x [in] to +/- 1/8 in

Check here if NO deteriorated paint, visible dust, painted debris, or paint chips were observed in the clearance area. Note: Dust samples must be taken even if no deteriorated paint, visible dust, painted debris, or paint chips were observed.

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