Exhibit I Attachment A SUBCONTRACTOR TRANSMITTAL STATUS SHEET.doc

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Offsite Analytical Laboratory Services
Solicitation number
PO-0000262
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Exhibit I Attachment A

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Exhibit I Attachment A (Rev. 0, 2-23-09)

SUBCONTRACTOR TRANSMITTAL / STATUS SHEET

Subcontract Number:

STR Name:

SUBCONTRACTOR
Company Name:

Date Submitted:

Street Address:

FORMCHECKBOX

Initial Submittal of a New Document

FORMCHECKBOX

Re-Submittal of Previous Document

City, State, Zip code:

Subcontractor’s Point of Contact:

Submittal Number:
0
Submittal Title:
Analytical Data Package
Revision Number:
0

Subcontractor’s Representative’s signature below indicates that submittal has been reviewed for accuracy and meets the requirements of the subcontract.

Subcontractor’s Representative’s signature:

CONTRACTOR
Date Received:

Statused By:

Date:

Comments:

Status Code:

FORMCHECKBOX

Reviewed- Work may proceed

FORMCHECKBOX

Reviewed-Revise and resubmit. Work may proceed subject to incorporation of indicated comments.

FORMCHECKBOX

Reviewed. Revise and resubmit. Work may not proceed.

FORMCHECKBOX

Reject. Submittal does not meet requirements. Resubmit.

FORMCHECKBOX

Permission to proceed not required.

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