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 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
Visitor:
0: Doe, John M.
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