Attachment_5_-_Site_Visit_EAL.pdf
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- Attached to
- Renovate Temporary Guard Shack for Entrance Ave
- Solicitation number
- FA6670-18-B-0005
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Attachment 5 - Site Visit EAL
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30 August 2018
MEMORANDUM FOR 914 SFS/S5V (VISITOR CONTROL CENTER)
FROM: 914 MSG/LGC
SUBJECT: Entry Authorization List (EAL)
1. This is a request to allow the following individual(s) access to the installation on the time and date listed below for the purpose of a site visit for an upcoming project at the temporary guard shack for renovation and electrical work.
Name (last, first, mi) *Alphabetized list*
Driver License or State ID #
Date of Birth
Country of Origin
Passport # (if applicable)
Date/Time of Entry
Doe, John 123 456 789 NY 04-07-1776 USA 27 June 18_1200
2. The sponsor and (POC) for the above individual(s) is Jason P. Topick 914th MSG/LGC and Mr.
Gerald Hromowyk, 914th MSG/CEC and can be reached at (716) 236-2214, or (716) 236-3115 respectively.
///Signed///
JASON P. TOPICK, CIV, USAFR
Contract Specialist
DEPARTMENT OF THE AIR FORCE
AIR FORCE RESERVE COMMAND
1ST Ind 914 SFS/S5
MEMORANDUM FOR 914 SFS/S5
Local Files Check Completed with Favorable Results YES __ NO __ initials of individual completing checks: (SPS)
NO:
Signature/Date: _____________________
914 SFS/S5
2nd Ind SFS LEADERSHIP
MEMORANDUM FOR 914 SFS/S3
APPROVED/DISAPPROVED
Signature/Date: _____________________
914 SFS/S3
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