Attachment_07_AF_Form_66.pdf
Air Force Form PDF 253 KB Posted
- Attached to
- Repair Backflow Preventers
- Solicitation number
- FA481918B7005
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AF Form 66
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8 11
/REPLACE BACKFLOW
PREVENTERS, BASEWID
AF FORM 66 SCHEDULE OF
MATERIAL SUBMITTALS
Page Intentionally Left Blank
PROJECT NUMBER SOLICITATION/CONTRACT NO.
FA4819-18-C-XXXX
NO. OF COPIES REQUIRED
L I N E
N U M B E R
ITEM OR DESCRIPTION OF ITEM, CONTRACT
REFERENCE, TYPE OF SUBMITTAL
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REMARKS
APPROVED DISAPPROVED
1 Kick-Off Meeting Award + 7 Days
2 Meeting Minutes (All Meetings) Meeting + 2 Days
3 Project Schedule - AF Form 3064 At Kick-Off Meeting
4 Work Clearance Request / Digging Permit - AF Form 103
10 Days Prior to Commencing
Work
3 Contractor Badging Applications Award + 14 Days
4 HAZMAT Inventory Form 81 & 82 14 Days Prior to
Commencing Work
5 Regulatory Agency Permit / Exemption Documentation
14 Days Prior to Commencing
Work
6 Contractor's Work Plan
5 Days After Each Field Condition
Assessment
7 Material Approval - AF Form 3000 1 1 1 1 7 Days Prior to Order
8 Progress Report - AF Form 3065 Weekly
R E F
Backflow Assembly Testing Reports 3 Days After Field Testing
R E F
Construction Material Testing Reports Upon Receipt
1 1
SCHEDULE OF MATERIAL SUBMITTALS
PROJECT TITLE
XLWU 18-1011 REPAIR/REPLACE BACKFLOW PREVENTERS, BASEWIDE
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
AF Form 66 1 of 2
PROJECT NUMBER SOLICITATION/CONTRACT NO.
FA4819-18-C-XXXX
NO. OF COPIES REQUIRED
L I N E
N U M B E R
ITEM OR DESCRIPTION OF ITEM, CONTRACT
REFERENCE, TYPE OF SUBMITTAL
C
ER
TI
FI
C
AT
E O
F C
O M
PL
IA
N C
E
SH
O
P D
R
AW
IN
G
S
SA
M
PL
ES
C O
LO
R
S
EL
EC
TI
O N
M
AN
U
FA
C
TU
R
ER
'S R
EC
O
M M
EN
D
AT
IO
N S
M
AN
U
FA
C
TU
R
ER
'S W
AR
R
AN
TY
C
AT
AL
O
G D
AT
A
O
PE
R
AT
IN
G
IN
ST
R U
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TI
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S
AS
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T
D R
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IN
G S
D
IS
K
D O
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EN
TA
TI
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A S
R
EQ
U
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R
EQ
U
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S
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N
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D
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C
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DATE CONTRACTOR NOTIFIED
C O
N
TR
AC
TO
ES
U
BM
IT
TA
L
FI
N
AL
A
PP
R
O
VA
L
REMARKS
APPROVED DISAPPROVED
SCHEDULE OF MATERIAL SUBMITTALS
PROJECT TITLE
XLWU 18-1011 REPAIR/REPLACE BACKFLOW PREVENTERS, BASEWIDE
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
R E F
Production of Delivery Problem Report Same Day of Problem
R E F
Welding/Burn Permit - As Required 3 Days Prior to Commencing
Hot Work R E F
Draft DD 1354 - Transfer & Acceptance of Military Real Property NTP +30 Days
R E F
Pre-Final Inspection Report Pre-Final + 3 Days
R E F
Contractor Environmental Reporting Entry - TAFB Form 83
Prior to Final Inspection
R E F
Equipment Manuals and Parts Lists Prior to Final Inspection
R E F
Final DD 1354 - Transfer & Acceptance of Military Real Property
At Final Inspection
R E F
Comprehensive Device Installation List At Final Inspection
R E F
Project Close Out Documents Final
Inspection + 7 Days
1 1 1
1 1
AF Form 66 2 of 2
AF 66
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