Exhibit C - IRAHC Laundry Talley Sheet.pdf

This is a logistics form template used to document laundry services transactions between IRAHC (the federal agency or organization) and a contractor. The form, designated LOGISTICS FORM 1-1-1 and effective April 1, 2026, serves as a talley sheet for tracking contaminated laundry pickup and clean laundry delivery operations.

The form captures critical operational data including the date and time of pickup, date and time of delivery, and weight measurements at each stage of the process. For pickups, the form records total weight, cart weight, and actual weight of contaminated items. Corresponding measurements are documented upon delivery for the clean laundry. The form includes dedicated fields for total contaminated weight picked up and total clean weight delivered, ensuring accountability throughout the laundry cycle. Verification and authorization of transactions are obtained through signature blocks for both IRAHC representatives and contractor representatives, with printed names and signatures required for both pickup verification and delivery verification. This template does not address specific pricing terms, response dates, or contract vehicles.