Attachment_3 _Site_Visit_Reservation_Form.pdf

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Pump-Out and Clean Oil/Water Separators & Holding Tanks
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FA5270-16-T-0007
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Attachment 3 Site Visit Reservation Form

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Solicitation: FA5270-16-T-0007 Attachment 3, Site Visit Reservation Form, March 2016

PRE-PROPOSAL / SITE VISIT RESERVATION FORM

22 March 2016, Tuesday, 10:00 A.M., Japan Standard Time (JST) at Bldg. 3119, Kadena Air Base, Okinawa, Japan

INSTRUCTIONS: Please complete and EMAIL this form to Rieko Toma by 21 March 2016, 2:00 P.M., Monday, Japan Standard Time (JST) if your company wishes to attend join site visit scheduled on 22 March 2016, 10:00 A.M., Tuesday, JST. It is the contractor’s responsibility to verify that this reservation form has been received by 18th Contracting Squadron.

Buyer: Rieko Toma (Bldg 99, Kadena AB) Email: rieko.toma.jp@us.af.mil Tel No.: 098-938-1111, Extension DSN 634-4703

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 place is at Bldg 3119, Kadena AB, Okinawa where pre-proposal conference and site visit will be held.

1._____________________________________________________________________________________ Job Title Name of Attendee

2._____________________________________________________________________________________ Job Title Name of Attendee

B. If offerors will need to be escorted from the Kadena AB security gate to Bldg. 3119, please indicate the names of the personnel below. One time escort will be provided. Meeting place for contractors needing escort is Gate ONE (1) Pass Office, Kadena AB, at 09:20 AM, 22 March, JST.

Name: _____________________________ Name: ____________________________

Signature of Requester: _____________________________ Date: ___________________________________

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