S02-ATTACHMENT B.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C25225Q0193
About this file
This is a blank roof inspection report template (Attachment B) to be used for documenting roof inspections at the Milwaukee VA Medical Center located at 5000 W. National Ave, Milwaukee, WI 54333. The template requires the inspector to provide their company information, document deficiencies found during visual inspection (with spaces for 5 items), include inspection photos, list any repairs completed during the inspection, and provide overall recommendations. The form concludes with fields for the inspector's printed name, signature, and date.
The template is related to solicitation 36C25225Q0193 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 for roof inspection services at the Clement J. Zablocki VAMC in Milwaukee, WI. The blank template itself does not contain any actual inspection findings or completed information.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25225Q0193 0002.docx | DOCX document | |
| 36C25225Q0193 0001.docx | DOCX document | |
| P07 - Milwaukee County WD 2015-4899 Rev-26 dated 12.23.2024.pdf | ||
| 36C25225Q0193.docx | DOCX document | |
| S02-ATTACHMENT A.docx | DOCX document | |
| S02-ATTACHMENT C.pdf |
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Text version
Attachment B
ROOF INSPECTION REPORT FOR MILWAUKEE VA MEDICAL CENTER
Date:
Prepared by:
Company/Address:
Subj: Roof Inspection Report
To: Milwaukee VMAC Contracting Officer’s Representative (COR)
I have conducted a visual inspection of the roof areas located on the VMAC Campus located at 5000 W. National Ave, Milwaukee, WI 54333. I am pleased to provide my findings in the following report.
Summary of Overall Inspection:
Deficiencies Include:
1.
2.
3.
4.
5.
** Insert Inspection Photos**
Repairs completed on the spot:
1.
Overall Recommendations:
Name (Printed) _____________________________
Signature: __________________________ Date:___________
File details come from the government source that posted it. Updated .