Attachment_4_-_Past_Performance_Information_Form.pdf

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Attached to
Pump Out and Clean of Skimming Pits, Fuel Tanks, and Oil Water Separators
Solicitation number
FA5270-15-T-0034
Issued by

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Attachment 4 Past Performance

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Attachment_1_-_PWS-_(dated)_31_Mar_15.pdf PDF
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FA5270-15-T-0034.pdf PDF

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ATTACHMENT 4 - Past and Present Performance Information RFQ: FA5270-15-T-0034 Pump out and Cleaning for Oil/Water Separator Service at POL Facilities, Okinawa, Japan

Type of Service (Title of Project)

Customer /Address

Contract #

Performance Period

¥ ($) Amount

Point of Contact (POC)

Tel No.

FaxNo.

Email Address

Remarks

Pump out and cleaning o;i/water separator service

XYZ

Corporation 1-2-3 Yamauchi, Uruma City, Okinawa

FA5270-11-P-

From: 1 Jan xx To: Present

¥ XXXXXXXX

Mr. Taro Kadena

098-xxx-

XXXX

098-xxx-

XXXX

hanakocomany @cont.ne.jp

COMPANY/NAME OF OFFEROR: ____________________________________________________________

POC’s Name, Title and Signature: _________________________________________________________________

Date: _______________________________

Point of Contact (POC)

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