Attachment_5_CDRFORM.doc

DOC document 31 KB Posted Jul 25, 2013

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Attachment 5

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CONTRACTOR DISCREPANCY REPORT

CONTRACT NO.:

TASK ORDER NO: N/A

DATE:

TO: (Contractor’s name and address)

FROM: (Facility Name and address, including COR)

DISCREPANCY (INCLUDE REFERENCE):

SIGNATURE OF COR: DATE:

TO: (Facility name and address, including COR)

FROM : (Contractor’s name and address)

CONTRACTOR RESPONSE AS TO CAUSE AND CORRECTIVE ACTION TAKEN:

SIGNATURE OF CONTRACTOR’S REP: DATE:

GOVERNMENT COMMENT ON RESPONSE:

SIGNATURE OF COR: DATE:

SIGNATURE OF CONTRACTING OFFICER: DATE:

File details come from the government source that posted it. Updated Nov 14, 2017.