12. Attch 11 L-7 PARCS Visitor Request Normal 2015.pdf

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Attached to
Perimeter Acquisition Radar Attack Characterization Systems (PARCS) Federal contract opportunity
Solicitation number
FA2517-15-R-8000
Issued by
Department of the Air Force Space Command

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Attch 11

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Other files for this federal contract opportunity

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Text version

DEPARTMENT OF THE AIR FORCE

10th SPACE WARNING SQUADRON (AFSPC)

MEMORANDUM FOR 10 SWS/CC

FROM:

SUBJECT: Entry Authority List (EAL)

1. is/are visiting your installation from through and require(s) access to controlled, restricted, limited and exclusion areas, as noted below. The purpose of this visit is .

This EAL consists of a list of names of visitors/inspectors in alphabetical sequence.

Each individual is verified to be current for Standard Form (SF) 312, Classified Information Nondisclosure Agreement. All listed individuals have a valid need-to-know and are authorized access to classified information and materials to the level of their identified clearance. All clearances have been verified through the Joint Personnel Adjudication System (JPAS).

2. CAMERAS AND ELECTRONIC DEVICES: Photography and electronic devices inside the restricted area are limited to official business or special circumstances such as promotion ceremonies, reenlistments, etc. In these instances, a request letter must be accomplished prior to bringing the camera into the restricted area. The photography authorization letter is submitted to the 10 SW/CC for approval and 10 SWS/SF for authentication at least three (3) duty days prior.

3. RESTRICTED AREAS: All individuals are granted escorted/unescorted entry to all restricted areas based upon this EAL (see attachment) and either a valid AF Restricted Area Badge; DD Form 2/2 AF/Common Access Card; or a government issued photo ID.

4. EXCLUSION AREAS: Visitors are granted escorted/unescorted entry into exclusion areas, as indicated by the EAL area identifiers (see attachment) and either a valid AF Restricted Area Badge; DD Form 2/2 AF/Common Access Card; or a government issued photo ID.

Inspectors/visitors will never make up part of a two-person team.

5. RESTRICTED AREA IDENTIFIERS: The following codes will be used to designate the authorized areas for each inspector/individual/visitor listed on the EAL:

T Authorized unescorted entry to Protection Level 1 (non-nuclear) Limited Areas

V Authorized escorted entry to Protection Level 1 (non-nuclear) Limited Areas

F Authorized unescorted entry to Protection Level 4 (controlled)

Installation Authorized unescorted entry to Cavalier AFS (no controlled/Restricted Area access)

6. The POC for this EAL is

7. This EAL expires at hrs.

Attachment:

1st Ind

MEMORANDUM FOR

APPROVED / DISAPPROVED

APPROVAL AUTHORITY

Authenticated by:

Authenticator Signature: Date/Time:

1243007743A Cross-Out

FOR OFFICIAL USE ONLY

VISITORS

ENTRY AUTHORITY LIST (EAL)

PRIVACY ACT

Authority: AFI 31-101, Integrated Defense, and DoD 5210.41-M_AFMAN 31-108 Purpose: Verification of Authority to enter a designated area SSN: Is used for further identification of an individual Routine Use(s): Entry Controllers will use the SSN or Controlled Picture ID (CPID) number as a means to verify a person is allowed to enter a designated area Disclosure: Disclosure is voluntary. Failure to disclose required information will result in that person not being allowed to enter a designated area

Full Name Rank Controlled Picture ID #

Badge Number

Date of Birth

Clearance Authorized Area(s)

///LAST ITEM///

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties.

SSN/DoD ID# or Driver's Lic#/State( )

1130516846A Typewritten Text (Last, First MI)

1130516846A Typewritten Text

1130516846A Typewritten Text

1130516846A Typewritten Text

1130516846A Typewritten Text

Full Name Note 11Row1:
Controlled Picture ID Note 12Row1:
Badge Number Note 13Row1:
Full Name Note 11Row2:
Controlled Picture ID Note 12Row2:
Badge Number Note 13Row2:
Full Name Note 11Row3:
Controlled Picture ID Note 12Row3:
Badge Number Note 13Row3:
Full Name Note 11Row4:
Controlled Picture ID Note 12Row4:
Badge Number Note 13Row4:
Full Name Note 11Row5:
Controlled Picture ID Note 12Row5:
Badge Number Note 13Row5:
Full Name Note 11Row6:
Controlled Picture ID Note 12Row6:
Badge Number Note 13Row6:
Full Name Note 11Row7:
Controlled Picture ID Note 12Row7:
Badge Number Note 13Row7:
Full Name Note 11Row8:
Controlled Picture ID Note 12Row8:
Badge Number Note 13Row8:
Full Name Note 11Row9:
Controlled Picture ID Note 12Row9:
Badge Number Note 13Row9:
Full Name Note 11Row10:
Controlled Picture ID Note 12Row10:
Badge Number Note 13Row10:
Full Name Note 11Row11:
Controlled Picture ID Note 12Row11:
Badge Number Note 13Row11:
Full Name Note 11Row12:
Controlled Picture ID Note 12Row12:
Badge Number Note 13Row12:
Full Name Note 11Row13:
Controlled Picture ID Note 12Row13:
Badge Number Note 13Row13:
Full Name Note 11Row14:
Controlled Picture ID Note 12Row14:
Badge Number Note 13Row14:
Number of Guests: [1]
(Rank First, M, Last/ Contact Number(s)):
Start Date:
End Date:
Time: 2359
Name of Requester or Company:
Check Box17: Yes
Check Box18: Off
Authorized Approving Officials: [RICHARD J. SWANK, TSgt, USAF]
APPROVING OFFICIAL'S DUTY TITLE: [10 SWS SF Plans & Programs, NCOIC]
AUTHENTICATING OFFICIAL: [TSgt Richard J. Swank]
AUTHENTICATING OFFICIAL'S DUTY TITLE: [10 SWS SF Plans & Programs, NCOIC]
DATE:
Authorized Area 4: [ ]
Authorized Area 5: [ ]
Authorized Area 6: [ ]
Authorized Area 10: [ ]
Authorized Area 11: [ ]
Clearance: [N/A]
Clearance 1: [ ]
Clearance 2: [ ]
Clearance 3: [ ]
Clearance 4: [ ]
Clearance 5: [ ]
Clearance 6: [ ]
Clearance 7: [ ]
Clearance 8: [ ]
Clearance 9: [ ]
Clearance 10: [ ]
Clearance 11: [ ]
Clearance 12: [ ]
Clearance 13: [ ]
Rank: [CIV]
Rank 5: [ ]
Rank 6: [ ]
Rank 7: [ ]
Rank 8: [ ]
Rank 9: [ ]
Rank 10: [ ]
Rank 11: [ ]
Rank 12: [ ]
Rank 13: [ ]
Rank 4: [ ]
Rank 3: [ ]
Rank 2: [ ]
Rank 1: [ ]
Reason For Visit:
Visiting/Requesting Agency:
FOR SF USE ONLY: (SF Use Only)
Attachment:
Attachment 2:
Authorized Areas: [V]
Authorized Area 1: [ ]
Authorized Area 2: [ ]
Authorized Area 3: [ ]
Authorized Area 9: [ ]
Authorized Area 8: [ ]
Authorized Area 7: [ ]
Authorized Area 13: [ ]
Authorized Area 12: [ ]

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