JL-9_AAFB_3. Interstate Identification Index (III) Log.pdf
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- Solicitation number
- N4019225R5000
About this file
This is an Interstate Identification Index (III) Log form template used for requesting base access at Andersen Air Force Base (AAFB). The form contains 30 numbered rows with columns for tracking request number (RN), request type (QH/QR), III requester information, date of request, subject name (last, first, MI), FBI number, date of birth, social security number, purpose code, and specific reason for the III request. All rows are pre-populated with "QH" request types, "C" purpose codes, and "MG-Base Access" as the specific reason for request.
This form appears to be Attachment JL-9 referenced in the associated contract opportunity for Environmental IDIQ Services at Joint Region Marianas, Guam. It is one of several required documents that potential contractors must complete to obtain base access for attending the site visit scheduled for December 17, 2024 at AAFB.
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Text version
RN
REQUEST
TYPE
QH/QR
III REQUESTER
DATE OF
REQUEST
SUBJECT FBI DOB SSN
PUR
CODE C/
J/ F/ H/ D
SPECIFIC REASON FOR III
REQUEST LIST
ASSOCIATED
INVESTIGATION AND
INDICATE IF QUERY MADE
AT TIME OF ARREST
1 QH C MG-Base Access
2 QH C MG-Base Access
3 QH C MG-Base Access
4 QH C MG-Base Access
5 QH C MG-Base Access
6 QH C MG-Base Access
7 QH C MG-Base Access
8 QH C MG-Base Access
9 QH C MG-Base Access
10 QH C MG-Base Access
11 QH C MG-Base Access
12 QH C MG-Base Access
13 QH C MG-Base Access
14 QH C MG-Base Access
15 QH C MG-Base Access
16 QH C MG-Base Access
17 QH C MG-Base Access
18 QH C MG-Base Access
19 QH C MG-Base Access
20 QH C MG-Base Access
21 QH C MG-Base Access
22 QH C MG-Base Access
23 QH C MG-Base Access
24 QH C MG-Base Access
25 QH C MG-Base Access
26 QH C MG-Base Access
27 QH C MG-Base Access
28 QH C MG-Base Access
29 QH C MG-Base Access
30 QH C MG-Base Access
LAST, FIRST MI
1256740857A Typewritten Text
YYYY-MM-DD
1256740857A Typewritten Text 123-45-6789
1256740857A Typewritten Text
| SUBJECTQH_11: |
| SUBJECTQH_10: |
| SUBJECTQH_9: |
| SUBJECTQH_8: |
| SUBJECTQH_7: |
| SUBJECTQH_6: |
| SUBJECTQH_5: |
| SUBJECTQH_4: |
| SUBJECTQH_3: |
| SUBJECTQH_2: |
| SUBJECTQH: |
| DOBQH_2: |
| DOBQH: |
| DOBQH_3: |
| DOBQH_4: |
| SUBJECTQH_14: |
| SUBJECTQH_13: |
| SUBJECTQH_12: |
| SSNQH: |
| SSNQH_2: |
| SSNQH_3: |
| DOBQH_5: |
| DOBQH_6: |
| DOBQH_7: |
| SUBJECTQH_15: |
| SSNQH_4: |
| DOBQH_8: |
| SUBJECTQH_16: |
| SSNQH_5: |
| DOBQH_9: |
| SUBJECTQH_17: |
| SSNQH_6: |
| DOBQH_10: |
| SUBJECTQH_18: |
| SSNQH_7: |
| DOBQH_11: |
| SUBJECTQH_19: |
| SSNQH_8: |
| DOBQH_12: |
| SUBJECTQH_20: |
| SSNQH_9: |
| DOBQH_13: |
| SUBJECTQH_21: |
| SSNQH_10: |
| DOBQH_14: |
| SUBJECTQH_22: |
| SSNQH_11: |
| DOBQH_15: |
| SUBJECTQH_23: |
| SSNQH_12: |
| DOBQH_16: |
| SUBJECTQH_24: |
| SSNQH_13: |
| DOBQH_17: |
| SUBJECTQH_25: |
| SSNQH_14: |
| DOBQH_18: |
| SUBJECTQH_26: |
| SSNQH_15: |
| DOBQH_19: |
| SUBJECTQH_27: |
| SSNQH_16: |
| DOBQH_20: |
| SUBJECTQH_28: |
| SSNQH_17: |
| DOBQH_21: |
| SUBJECTQH_29: |
| SSNQH_18: |
| DOBQH_22: |
| SUBJECTQH_30: |
| SSNQH_19: |
| DOBQH_23: |
| SSNQH_20: |
| DOBQH_24: |
| SSNQH_21: |
| DOBQH_25: |
| SSNQH_22: |
| DOBQH_26: |
| SSNQH_23: |
| DOBQH_27: |
| SSNQH_24: |
| DOBQH_28: |
| SSNQH_25: |
| DOBQH_29: |
| SSNQH_26: |
| DOBQH_30: |
| SSNQH_27: |
| SSNQH_28: |
| SSNQH_29: |
| SSNQH_30: |
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