Shipyard_Acces.xls

XLS spreadsheet 26 KB Posted

Attached to
: USS GRIDLEY (DDG 101) FY16 Dry-Docking Selected Restricted Availability (DSRA)
Solicitation number
N4523A-16-R-0003
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Shipyard Access Due by 8 00 am PST on 11 Dec 2015.

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PERSONAL INFORMATION "CONFIDENTIAL" Privacy Act of 1974 5 U.S.C. 552a (Public Law 93-579) restrictions apply Revised 03/02/2010
PUGET SOUND NAVAL SHIPYARD CONTROLLED INDUSTRIAL AREA ACCESS REQUEST
ALL FIELDS MUST CONTAIN AN ENTRY - PAY ATTENTION TO FORMAT WHERE INDICATED
Company Name:
Company POC:
POC phone number and email:
Visit Start / End Date:
Contract Number:
Name; Last, First and MiddleCompany NameDOB mm/dd/yyyyCity & State of birth
EX: Seattle, WA.citizenshipSSN XXX-XX-XXXXClearance Info: Clearance / CAF or Uncleared

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