AF_3000.pdf
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- Repair Sprinkler System
- Solicitation number
- FA9401-12-R-0020
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PREVIOUS EDITION IS OBSOLETE.
MATERIAL APPROVAL SUBMITTAL
(See Instructions on Reverse)
TO: (Contracting Officer)
PROJECT NUMBER
FOR GOVERNMENT USE ONLY
Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington DC 20503.
Please DO NOT RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
FROM: (Contractor)
DATE
For Evaluation and Action
TO: (Base Civil Engineering Officer)
TYPE OR PRINT NAME AND GRADE
SIGNATURE
TO: (AF Contracting Office)
RECOMMEND APPROVAL DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE
APPROVED
DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. REQUEST
TO: (Contractor)
DATE TYPE OR PRINT NAME AND GRADE SIGNATURE
DATE
DATE TYPE OR PRINT NAME AND GRADE SIGNATURE
AF FORM 3000, SEP 91 (EF)
SUBMITTALSUBMISSION NUMBER
CONTRACT NUMBER
NEW RESUBMITTAL
PREVIOUS SUBMISSION NUMBER
ITEM
NO.
SPECIFICATION SECTION/
PARA NO./DRAWING NO.
DESCRIPTION OF MATERIAL
(Include Type, Model Number, Catalog Number, Mfg., etc.)
SEE
REVERSE INITIAL
BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT
THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.
AP-
PROVED
DISAP-
PROVED
TO BE COMPLETED BY CONTRACTOR
DATE TYPE OR PRINT NAME AND TITLE
SIGNATURE
FOR GOVERNMENT USE ONLY
Form Approved OMB No 9000-0062 Expires Apr 30, 1993
RESUBMITTAL ON DISAPPROVED ITEMS WITHIN DAYS OF DATE SHOWN BELOW.
| FROM Contractor: |
| DATE: |
| SUBMISSION NUMBER: |
| NEW: Off |
| RESUBMITTAL: Off |
| PROJECT NUMBER: |
| SPECIFICATION SECTION PARA NODRAWING NORow1: |
| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow1: |
| AP PROVEDRow1: |
| DISAP PROVEDRow1: |
| SEE REVERSERow1: |
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| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow2: |
| AP PROVEDRow2: |
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| SEE REVERSERow2: |
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| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow3: |
| AP PROVEDRow3: |
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| AP PROVEDRow4: |
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| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow5: |
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| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow6: |
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| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow7: |
| AP PROVEDRow7: |
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| SPECIFICATION SECTION PARA NODRAWING NORow8: |
| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow8: |
| AP PROVEDRow8: |
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| SEE REVERSERow8: |
| INITIALRow8: |
| SPECIFICATION SECTION PARA NODRAWING NORow9: |
| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow9: |
| AP PROVEDRow9: |
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| SEE REVERSERow9: |
| INITIALRow9: |
| SPECIFICATION SECTION PARA NODRAWING NORow10: |
| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow10: |
| AP PROVEDRow10: |
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| SPECIFICATION SECTION PARA NODRAWING NORow11: |
| DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow11: |
| AP PROVEDRow11: |
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| SEE REVERSERow11: |
| INITIALRow11: |
| TYPE OR PRINT NAME AND TITLE: |
| SIGNATURE: |
| TYPE OR PRINT NAME AND GRADE: |
| SIGNATURE_2: |
| TYPE OR PRINT NAME AND GRADE_2: |
| SIGNATURE_3: |
| APPROVED: Off |
| undefined: Off |
| DAYS OF DATE SHOWN BELOW: |
| TYPE OR PRINT NAME AND GRADE_3: |
| SIGNATURE_4: |
| Text1: |
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| APPROVAL: |
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