Exhibit G - Corrosion Assessment Checklist.pdf
PDF 65 KB Posted
- Attached to
- Corrosion Surveillance Program on Guam
- Solicitation number
- N3943020R2240
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_3 N3943020R2240.pdf | ||
| Amendment_2 N3943020R2240.pdf | ||
| Responses to Final RFIs.pdf | ||
| Exhibit H - PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| Amendment_1 N3943020R2240.pdf | ||
| Responses to RFIs 140820.pdf |
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Text version
APPENDIX B
CORROSION ASSESSMENT CHECKLIST
FOR
EQUIPMENT - CORROSION SURVEILLANCE, ABATEMENT, and REPAIR
PROGRAM at NAVAL BASE GUAM
E-CSAR PWS APP B v20-01-23 Page 1 of 1
ASSESSED BY: _________________________________________________________
(NAME [FIRST, MI, LAST] and TITLE)
COMPANY NAME: ________________________________________________________
DATE OF ASSESMENT: ________________
(yyyy/mm/dd)
BASE YEAR: __________________ FISCAL YEAR (FY) QUARTER: □ FY quarter 1 (2020, 2021, 2022…) □ FY quarter 2
□ FY quarter 3
□ FY quarter 4
USN REGISTRATION NUMBER: _____________________________________________
(or serial number if there is no USN)
NOMENCLATURE: ________________________________________________________
MAKE: ___________________________ MODEL: ___________________________
LOCATION: ____________________________________________________________
ASSIGNED CORROSION CATEGORY CODE (CCC): ______________________________
(CCC for this reporting period)
NARRATIVE: ____________________________________________________________
ASSESSOR’S RECOMMENDATION: PHOTOS INCLUDED:
□ No Additional Services at this Time □ YES □ NO
□ Corrosion Abatement Services NUMBER OF PHOTOS: ____
□ Corrosion Repair Services
SIGNATURE OF ASSESSOR: __________________________ DATE: ______________
(yyyy/mm/dd)
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