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
- Issued by
-
Defense Logistics Agency Distribution
About this file
This is a DLA Form 1818 Visit Notification form used to control access to and movement on Department of Defense installations, buildings, and facilities at the Defense Logistics Agency location in Fort Belvoir, Virginia.
The form documents a site visit scheduled for August 5, 2026, to DLA Installation Management at Susquehanna, Building 753. The visit requestor is Christopher Chapman (Office Code DJSP, telephone 614-693-4034), who will serve as the point of contact. The stated purpose of the visit is to conduct a site inspection of Building 753 for potential vendors interested in quoting boiler repair and maintenance requirements. Visitors must register through the pre-enrollment website at https://dbids-global.dmdc.mil. One visitor, John M. Doe (grade/rank ABCDEF), is listed in Section II. Section III requires completion by a security representative including typed name, signature, activity code, telephone number, and date. The form operates under Privacy Act authority Section 21, 50 U.S.C. 781 et seq. and Executive Order 10450, with information disclosure being voluntary but potentially resulting in access denial if requested information is not provided.
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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: 614-693-4034 |
| POCPhone: 614-693-4034 |
| 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 |
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| 0: Doe, John M. |
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