Exhibit 4 Record of Time of Arrival-Departure.pdf

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RECORD OF TIME OF ARRIVAL AND DEPARTURE eUIl.DING Tt'EAR MONTH

FROM BUILDINGS (DURING SECURITY HOURS)

PHlNf NAME ROOM SEE TIME OF f)1\H.

rl.ort - fl,.t ... lIIdll SIGNATURE NJENCY OR FIRM NO. PURPOSE OF VISIT FOOT, ARRIVAL DEPART·UR!NOTE lal Ib) Ccl Cd) leI II) (gI ChI iii

---1----------.

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-red.II' Protecllve S~nlu .nd Conl•• ct Admlnhlt.llon IItttonnel. when conducllng an In.pullon, must pIne an ")("In thll column•

GSA FORM 139 (REV. 10·191. (Conti",,,,, on rf1I"'l'.rJGfNERl\l SEnVICES ADMINIS1RATION http:rf1I"'l'.rJ

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