B433 Utility Repair Site Visit Access List.pdf
PDF 3 MB Posted
- Attached to
- B433 Utility Repair
- Solicitation number
- FA460026Q0008
About this file
This document is a Fouo Offutt Air Force Base Entry Authority List for a Building 433 Lift Station Utility Repair Site Visit scheduled for 1/06/2026. The form is designed to authorize installation entry for guests, with the event time set from 2:00 PM to 3:00 PM. The event sponsor is Anna Mosier, a civilian with contact number 402-232-5725, and the location is Building 433. The form provides spaces to record guest details including legal name, gender, date of birth, driver's license information, and U.S. citizenship status. The second page of the document is an aerial map of Offutt Air Force Base, with a red route/path highlighted, showing various base facilities including the Visitor Control Center and 55th Wing Headquarters.
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| File | Type | Posted |
|---|---|---|
| 7 Control Panel Manhole Det.pdf | ||
| Questions and Answers.pdf | ||
| Site Visit Sign In Sheet.pdf | ||
| 6 Sanitary Sewer Lift Station.PDF | ||
| Solicitation - FA460026Q0008.pdf | ||
| PWS B433 utility repairs.docx | DOCX document | |
| Wage Determination.pdf |
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Text version
FOUO OFFUTT AIR FORCE BASE ENTRY AUTHORITY LIST
Page of 55 SFS Form 31 (10 Apr 2015)
Event Name
Start and End Time for Each Day of Event Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Date(s) of Event (Expires Immediately After Event ) Location of Event
Sponsor Name and Rank Sponsor Phone Number(s)
PRIVACY ACT STATEMENT
Authority: 10 U.S.C. 8013 and Executive Orders 13478 and 9397 as amended.
Purpose: Information collected by Security Forces personnel will be used to authorize installation entry to persons shown on the entry authority listing for the specific purpose provided by the sponsor. Information will also be used to notify person(s) designated as the visitor sponsor of arrival and other pertinent information relating to entry on the installation.
Routine Uses: Records may be disclosed to applicable Federal, State, or local agency charged with the responsibility of investigating or prosecuting a violation or enforcing/implementing a statute, rule, regulation, order issued pursuant thereto.
Disclosure: Disclosure of requested information is voluntary. Failure to provide all or parts of information requested can result in denial of installation entry. System of records number F031 AF SF B, Security Forces Management Information System (SFMIS), Defense Biometric Identification Systems (DBIDS) applies.
**DO NOT MODIFY FORMAT**
Approval Stamp (55 SFS Use Only)
Signature of Authenticator (55 SFS Use Only)
Legal Name of Guest:
(Last, First, MI)
Gender:
(M/F)
DOB:
(1962 Jan 11)
Driver’s License# State Issued
(M19GO62BLU / MI)
United States Citizen
(Yes / No)
1609557377A Stamp
Blank Page
| Tuesday: 2:00 PM - 3:00 PM |
| Wednesday: |
| Thursday: |
| Friday: |
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| Sunday: |
| Sponsor Name and Rank: Anna Mosier CIV |
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| Monday: |
| Sponser Phone Number: 402-232-5725 |
| Event Name: Bldg. 433 Lift Station Utility Repair Site Visit |
| Date of Event: 1/06/2026 |
| Location of Event: Bldg. 433 |
File details come from the government source that posted it. Updated .