ESBD_396277_1739554129070_ATTACHMENT G.J.1 - Ellington AFB (EF) Maintenance Summary Form.pdf

PDF 88 KB Posted

Attached to
Hush House Transformer Replacement
Solicitation number
TMD25-ANG-WJ-24150007
Issued by
Harris County, Texas

About this file

This is a maintenance summary form template for Ellington Air Force Base (AFB) in Houston, TX, dated May 21, 2024. The form is designed to capture detailed equipment maintenance information including facility number, location number, project details, and contract number. The template includes sections for recording equipment specifications such as manufacturer information, equipment/tag numbers, part/serial numbers, component weights over 100 pounds, and nameplate data.

The form includes structured sections for documenting maintenance requirements with specific operations, frequencies, and lubricant requirements. It also contains a comprehensive lubricant list section for cross-referencing equivalent lubricants from different manufacturers (Shell, Standard Oil, Gulf, Arco, or equal alternatives) and a section for recommended spare parts inventory that requires part numbers, descriptions, units, quantities, and unit costs. Parts provided under the contract must be identified with two asterisks.

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Text version

ATTACHMENT G.J.1 - ELLINGTON AFB (EF)

MAINTENANCE SUMMARY FORM

FACILITY NO.: LOCATION NO.:

PROJECT: CONTRACT NO.:

1. EQUIPMENT ITEM

2. MANUFACTURER

3. EQUIPMENT/TAG NUMBER(S)

4. PART NO. / SERIAL NO.:

5. WEIGHT OF INDIVIDUAL COMPONENTS (OVER 100 POUNDS)

6. NAMEPLATE DATA (hp, voltage, speed, etc.)

7. MANUFACTURER'S LOCAL REPRESENTATIVE

a. Name____________________________ Telephone No.

b. Address

8. MAINTENANCE REQUIREMENTS

Maintenance Operation

Comments

Frequency

Lubricant

(If Applicable)

List briefly each maintenance operation required and refer to specific information in manufacturer’s standard maintenance manual, if applicable.

(Reference to manufacturer’s catalog or sales literature is not acceptable.)

List required frequency of each maintenance operation.

Refer by symbol to lubricant required.

ELLINGTON FIELD, HOUSTON, TX 21 May 2024

9. LUBRICANT LIST

Reference

Symbol

Shell

Standar d Oil

Gulf

Arco

Or Equal

List symbols used in No. 7.

above.

List equivalent lubricants, as distributed by each manufacturer for the specific use recommended.

10. RECOMMENDED SPARE PARTS FOR GOVERNMENT INVENTORY

Part No. Description Unit Quantity Unit Cost

Note: Identify parts provided by this Contract with two asterisks.

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