Atch_3,_AF_Form_66.pdf
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- Attached to
- F. E. Warren Cathodic Protection
- Solicitation number
- FA4613-17-R-0002
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Atch 3, AF Form 66
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PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LI
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REMARKS
APPROVED DISAPPROVED
1 EAL Documentat ion Security Requirements (SOW 8)
1 After Award
2 AF Form 103- Dig Permit
(SOW 10)
4 After Award
All Permits (Local, State, and Federal) NPDES, ROW, or Other
(SOW 10)
4 After Award
4 Material Safety Data Sheets (SOW 20) 4 After Award
5 Hazardous Materials
(SOW 20)
4 After Award
6 Storage Plan (If Required)
(SOW 6.7)
4 After Award
7 Project Schedule
(SOW 20)
15 Days
After Aw ard
8 Anodes
(SOW 15, 16)
4 4 21 Days
After Aw ard
9 Anode Lead Wire
(SOW 15, 16) 4 4
21 Days After
Aw ard
10 Backfill
(SOW 17)
4 4 21 Days
After Aw ard
11 Anode Centralizers
(SOW 15, 16)
4 4 21 Days
After Aw ard
12 Vent Pipe
(SOW 15.1)
4 4 21 Days
After Aw ard
13 24V/16A Rectif ier
(SOW 14.1)
4 4 4 4 21 Days
After Aw ard
14 #4 Cable
(SOW 4)
4 4 21 Days
After Aw ard
15 Anode Resistance Test
(SOW 20)
4 4 21 Days
After Aw ard
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
Maintain Cathodic Protect ion SystemGHLN 17-1014
PROJECT TITLE
FA4613-17-R-0002
PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LI
N
E N
U M
B
ER
ITEM OR DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE OF
SUBMITTAL
C
ER
TI
FI
C A
TI
O
N O
F C
O M
PL
IA
N C
E
SH
O
P D
R A
W
IN
G S
SA
M
PL
ES
C O
LO
R
S
EL
EC
TI
O N
M A
N U
FA
C
TU
R
E' S
R
EC
O M
M
EN
D A
TI
O
N S
M A
N U
FA
C
TU
R
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'S
W
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R A
N
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C A
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A
TA
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TI
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S
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IS
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IN
EE
R
IN
G
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SP
EN
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D A
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FO
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O W
-U P
DATE CONTRACTOR NOTIFIED
C O
N
TR
A C
TO
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U
B M
IT
TA
L
FI
N
A L
A
PP
R O
VA
L
REMARKS
APPROVED DISAPPROVED
16 Anode Current Output Test
(SOW 20)
4 5 Days After Test
17 Drilling Logs
(SOW 20)
4 5 Days After Test
18 Structure/Soil Test
(SOW 17.3)
4 5 Days After Test
19 As Builts
(SOW 6.14)
30 Days Prior DO
Close Out
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
PROJECT TITLE
GHLN 17-1014 Maintain Cathodic Protect ion System FA4613-17-R-0002
| Sheet 1 |
| Sheet 2 |
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