Attachment 3 - Site Visit DLA Form 1818.pdf

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Attached to
DDSP Boiler Repairs - SP3300-26-Q-0221
Solicitation number
SP3300-26-Q-0221
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About this file

This is a DLA Form 1818 Visit Notification form for a site visit to the Defense Logistics Agency Installation Management at Susquehanna, Building 753 on August 5, 2026. The visit is being coordinated by Christopher Chapman (DISM office code, phone 717-770-4119) to allow potential vendors to inspect Building 753 for the purpose of quoting boiler repair and maintenance requirements. Visitors must pre-register through the DBIDS-global.dmdc.mil website prior to arrival.

The form captures standard security and access control information required for DoD facility visits, including visitor names, grades/ranks, social security numbers, dates of birth, states/countries of birth, security clearances, and clearance dates. The Privacy Act statement establishes the legal authority for information collection under Section 21, 50 U.S.C. 781 et seq., and Executive Order 10450, with disclosure being voluntary but required for facility access. The form must be completed by a security representative and includes sections for signature authorization, activity code, and contact telephone number.

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Text version

PRIVACY ACT STATEMENT

VISIT NOTIFICATION

1. ACTIVITY TO BE VISITED

AUTHORITY:

PRINCIPAL PURPOSE:

ROUTINE USES:

DISCLOSURE:DEFENSE LOGISTICS AGENCY

8725 JOHN J. KINGMAN ROAD

FT BELVOIR, VA 22060-6220

Section 21, 50 U.S.C. 781 et seq.; Executive Order 10450.

To control access to and movement on DoD installations, buildings, or facilities.

Used by General Services Administration Protective Service Personnel for access control and for any of the Blanket Routine Uses published by DLA.

Voluntary. However, failure to provide all the requested information may result in refusal to grant access to the installation, building, or facility.

DLA PRIVACY ACT SYSTEM NOTICE S500.50 DLA-I APPLIES

SECTION I

2. NAME OF REQUESTOR/PREPARER 4. TELEPHONE3. OFFICE CODE

5. DATE(S) OF VISIT 6. POINT OF CONTACT (at facility to be visited) 7. POC TELEPHONE

8. PURPOSE OF VISIT

SECTION II

9.

NAME(S) OF VISITOR(S)

(Last, First, MI)

10.

GRADE/RANK

11.

SSN

12.

DATE OF BIRTH

13.

STATE /COUNTRY OF

BIRTH

14.

CLEARANCE/DATE

GRANTED

15.

TYPE OF INVESTIGATION/

DATE

16. TYPED NAME OF SECURITY REPRESENTATIVE

SECTION III

18. ACTIVITY 19. TELEPHONE NUMBER 20. DATE17. SIGNATURE OF SECURITY REPRESENTATIVE

DLA FORM 1818, JUL 96 (EG)

FROM: TO:

PDF (DLA)

RequesterName: Christopher Chapman
OfficeCode: DDSP
FacPOC: Christopher Chapman
Phone: 717-770-4119
POCPhone: 717-770-4119
VisitedActivity: DLA Installation Management at Susquehanna,

Building 753 VisitPurpose: Site Visit of Building 753 for potential vendors interested in quoting boiler repair and maintenance requirements.

Visitor has registered utilizing the pre-enrollment website: https://dbids-global.dmdc.mil

DateTo: 8/5/2026
Visitor:
0: Doe, John M.
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