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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