Form_6.xfdl

4110B381-35E0-480F-AAA5-6CF1354A550F

1.21.6

16/1/2008 permit

IBM Lotus Forms Designer

960;1260

C86C4CCE-C47D-49A2-A9CB-DF2A01300EEF

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CORRECTIVE ACTION REPORT (CAR)

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1. CONTRACTOR

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2. CONTRACT/TASK ORDER NUMBER

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3. TYPE OF SERVICES

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4. PERFORMANCE WORK STATEMENT (PWS)

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5. SUSPENSE DATE

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6. CONTROL NUMBER

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7. MAJOR

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MINOR

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(Please repond within 30 days, unless otherwise stated in Block 5 above, with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence.)

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8. CONTRACTING OFFICER'S REPRESENTATIVE

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TYPED NAME AND GRADE

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SIGNATURE AND DATE

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TYPED NAME AND GRADE

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9. CONTRACTING OFFICER

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11. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE on text/rtf {\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fprq2\fcharset0 Times New Roman;}} {\colortbl ;\red0\green0\blue0;} \viewkind4\uc1\pard\cf1\f0\fs20\par plain off

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SIGNATURE AND DATE

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12. CONTRACTOR RESPONSE

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13. COR SIGNATURE AND DATE

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RELEASABILITY: Access to this form is restricted: this form is FOUO when filled in; requests for accessibility must be approved by the OPR.

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ACCEPTED

REJECTED

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AFOTEC Form 6 off

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FINDING:

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FINDING IMPACT:

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10. CONTRACTOR'S RESPONSE:

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Click here to sign

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TYPED NAME AND GRADE

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14. CONTRACTING OFFICER

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SIGNATURE AND DATE

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Click here to sign

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