Attachment_4 _Site_Visit_Reservation_Form.pdf

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PREVENTIVE MAINTENANCE OF REAL PROPERTY FIXED EQUIPMENT FOR DEFENSE LOGISTICS AGENCY ENERGY OKINAWA, OKINAWA JAPAN
Solicitation number
FA5270-13-R-0045_
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Solicitation Number.: FA5270-13-R-0045 Attachment 4, Site Visit Form

SITE VISIT RESERVATION FORM

Site Visit: 10 Sep 2013, Tuesday, 1400 hrs, Japan Standard Time (JST) at Bldg 2 Chimu-Wan Tank Farm 3, near Camp Courtney

INSTRUCTIONS: Please complete and EMAIL this form to Tomoko Hanashiro by 9 Sep 2013, 2:00 PM, Thursday. It is the contractor’s responsibility to verify that this reservation form has been received by 18th Contracting Squadron.

Buyer: Tomoko Hanashiro (Bldg 95, Kadena AB) Email: tomoko.hanashiro.jp@us.af.mil Tel No.: 098-961-5821 (DSN 634-5821) Fax No.: 098-961-8571 (DSN 634-8571)

Name of Company: ___________________________________________ Address: ___________________________________________ Point of Contact: ___________________________________________ E-mail Address: ___________________________________________ Phone No: ___________________ Fax No: ________________ Mobile Phone No: ___________________________________________

Name of the individuals to attend the site visit: (Maximum of Two (2)

Note: Meeting location will be at Chimu-Wan Tank Farm 3, near Camp Courtney.

1._____________________________________________________________________________________ Job Title Name of Attendee

2._____________________________________________________________________________________ Job Title Name of Attendee

B. If your company will need to be escorted from the main gate of Kadena AB to the site visit location, please indicate the names of the personnel below:

Name: ___________________________ Cell Phone No. __________________

Name: ___________________________ Cell Phone No. __________________

Signature of Requester: _____________________________ Date: ___________________________________

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