Report 1849 PH B110 BFP PM 4-5-21.pdf

PDF 358 KB Posted

Attached to
Prospect Harbor Space Force Station (SFS) Base Operations Support (BOS)
Solicitation number
FA255024R0003
Issued by

About this file

This document provides details regarding a forthcoming solicitation for base operations support services at Prospect Harbor Space Force Station in Maine. The solicitation is expected to be released in January 2024 for a competitively awarded firm-fixed-price contract with a period of performance from October 2024 through September 2029. The contractor will be responsible for operating and maintaining the government-owned facility, including physical security, civil engineering, communications systems, logistics, and environmental compliance. Submission of proposals must be done through the Procurement Integrated Enterprise Environment Solicitation Module. This will be a 100% small business set-aside conducted using a subjective tradeoff best value evaluation.

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Text version

(ATTACH ADDITIONAL SHEETS IF NECESSARY)

YES NO

YES NO

YES NO

MATERIALS USED

MAINTENACE & INSPECTION REPORT

(ONE FOR EACH PIECE OF EQUIPMENT)

WILL MATERIALS NEED TO BE ORDERED? HOW LONG IS THE LEED TIME?

EXPLAIN BELOW

HAVE NOT BEEN MET

(BELOW) FOR ADMINISTRATION USE ONLY

DATE IT WILL BE RECEIVED :

PROPER PPE BEING WORN

YES

CONTRACTOR: TECHNICIANS NAME:

LOCATION WEATHERBUILDING NAME or #

CONTRACTOR/SIGNATURE CCI/ SIGNATURE SITE INSPECTOR/SIGNATURE

CONTRACT # ELIN # REPORT NO.

HAVE BEEN MET

DATE:

General Direct Condition Rating

TYPE OF EQUIPMENT MAKE MODEL

WORK DESCRIPTION & PROBLEMS FOUNDS

TIME TO COMPLETE TASK

IS INSPECTION CHECK LIST ATTACHED?

SAFETY REQUIREMENTS

WAS WORK COMPLETED?

IF NO EXPLAIN BELOW

General Direct Condition Rating Notes ( Explain Conditions found for the Rating given above)

N40085-17-D-7201

NO

HOUSE KEEPING COMPLETE

YES

NO

MAXIMO # Work Order #

4/5/2021

Backflow preventer Watts 909M1QT .5 Dean & Allyn, Inc. Barry Prescott

Prospect Harbor #110 Cool/drizzle Green +

Annual backflow preventer test

E002AQ 1849

x

Backflow Prevention Assembly

Test and Maintenance Report

Property Owner/Agent US Navy - Prospect Harbor - Bldg 110

Light House Point Road

Prospect Harbor, ME

CCI Group, LLC

Property Access Derek McCaslin

(207)620-7172 x111

Owner/Agent Contact

April 05, 2021

526 Western Ave.

Augusta, ME 04430 Water Company

Bldg #110 Date of InstallDevice Manufacturer Model Serial No.Size Type

Gauge Manufacturer Purchase DateModel Serial No.

909M1Watts 4335451-1/4"

New Install ?

Type

Location of Assembly Service Type-Class-Use

Next Date DueDate Calibrated

Meter/Acct #

Alarm Company Phone Reference Date/Time OnDate/Time Off

RPZ

CV Assembly

______psi ______psi

CHECK VALVE #1 CHECK VALVE #2

PRESSURE VACUUM

Leaked

R E

P A

IR

S

IN

IT

IA

L

T E

S T

F

IN

A L

T E

S T

Closed tight

Pressure drop across check valve

Closed tight

Leaked

Cleaned

Rubber Kit Disc

Opened at:

Did not open Did not open

Air inlet opened:

REPLACED

O-Ring Seat

Spring

Stem/Guide

Retainer

Locknuts

Other

Cleaned

Rubber Kit Disc

REPLACED

O-Ring Seat

Spring

Stem/Guide

Retainer

Locknuts

Other

Cleaned

Rubber Kit Disc

REPLACED

Diaphragm Seat

Spring Guide

O-Ring

Other

Cleaned

Air Inlet Disc

Inlet Spring

REPLACED

Diaphragm

CV Disc

Spring

Guide

Retainer

O-Ring

Other

Closed Tight Closed Tight

Opened at:

Satisfactory

Check held at:

OR OR OR

CV Assembly RV Assembly

Pressure drop across check valve

Pressure drop across check valve

Pressure drop across check valve

X X

LINE PRESSURE:CONTROL VALVE #2:RESULTS OF TEST: LeakedTight

DIFFERENTIAL PRESSURE

Leaked

FailPass

RELIEF VALVE BREAKER

_______psi

______psi ______psi ______psi

______psi ______psi

______psi

XX

9.2 1.6 4.5

I ACKNOWLEDGE THE CONTROL

VALVES HAVE BEEN LEFT IN

THE OPEN POSITION

Witness to Assembly Test (Print) Witness to Assembly Test Signature Date

APPROVALS

INITIAL

TEST

Certified Tester (Print) Certified Tester # Exp. DateCertified Tester Signature

Exp. DateCertified Tester #

FINAL

TEST

Barry Prescott #135

Barry Prescott #135

Date

DateCertified Tester (Print) Certified Tester Signature

I CERTIFY THAT THIS DATA IS ACCURATE AND RELECTS THE PROPER OPERATION AND MAINTENANCE OF THE ASSEMBLY

1990NEWWA 12/31/21

12/31/211990NEWWA

4/5/2021

4/5/2021

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