Visitor Authorization List (VAL) - SABER Pre-Proposal Conference.pdf

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Attached to
Simplified Acquisition of Base Engineering Requirements (SABER) Re-Compete
Solicitation number
FA930120R0002
Issued by

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This document includes a solicitation for the Simplified Acquisition of Base Engineering Requirements (SABER) re-compete contract at Edwards Air Force Base. The solicitation seeks contractors to provide management, labor, materials, equipment, transportation, supervision and minimal designs for maintenance, repair and minor construction projects across Edwards AFB, the Air Force Research Laboratory, and NASA Armstrong Flight Research Center facilities. The base encompasses over 308,000 acres and 3,064 facilities totaling 8,879,854 square feet. Projects will vary in complexity and scope. The minimum contract value is $10,000 and the maximum is $55,000,000. A pre-proposal conference will be held on March 18, 2020 at 0900 at Building 1405 to discuss the opportunity and conduct a site visit. Interested offerors must submit a completed Visitor Authorization List by March 13. Registration on beta.sam.gov and sam.gov is required to receive solicitation updates and be eligible for award.

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Solicitation Amendment FA930120R00020001 SF 30.pdf PDF
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Edwards AFB Pre-Proposal Conference Slides.pdf PDF
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All information received will be handled only by trained/authorized Security Forces/Law Enforcement personnel and will be safeguarded using appropriate protection protocols

Page 1 of _

VISITOR AUTHORIZATION LIST (VAL)

FOR OFFICIAL USE ONLY

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this PERSONAL INFORMATION may result in criminal and/or civil penalties. The AUTHORITY to collect and/or maintain the records in this form are 10 U.S.C. 8013, Secretary of the Air Force; Air Force Instruction 31-203, Security Forces Management Information System; and E.O. 9397 (SSN), as amended; PURPOSE: Visitor pass and restricted area authorization tracking; ROUTINE USES: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, these records contained therein may specifically be disclosed outside the Department of Defense (DoD) as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: To the Department of Justice for criminal reporting purposes and as required by the Brady Handgun Violence Prevention Act; VOLUNTARY DISCLOSURE:

Disclosure is voluntary; however, failure to consent may cause delay of base entry and/or denial of base entry. The Privacy Act, System of Record Notice (SORN) is F031 AF SF B, Security Forces Management Information System (March 18, 2010, 75 FR 13096) is available at http://privacy.defense.gov/notices/usaf/. Please enter all information for the VAL. Missing information will delay the vetting process. VALs must be submitted via encrypted mail to 412SFS.S5.VCC@us.af.mil at least 3 duty days in advance.

Company Name (ex// AT&T, SCE, Time Warner, DTV, etc.)

Reason for visit (ex// Special Event, Inspection, etc.)

Date(s) of Sponsorship (ex// 19 – 30 April 2016)

Time of sponsorship (ex// 0600-1630 hrs, All Day, etc)

Location of sponsorship (ex// Bldg 720, Base Housing, etc.)

PERSONNEL BEING SPONSORED

(Provide ALL information for each visitor – DO NOT USE FOR FOREIGN NATIONALS)

Last Name (Name as appears on DL)

First Name (Name as appears on DL)

Driver’s License State/Number

(CA/A1234567)

US

Citizen/Person

(Y/N)

SSN

(Last 4)

Date of Birth (mm/dd/yyyy)

A=Approved D=Denied

(VCC ONLY)

Sponsor Information Authenticated By:

(VCC Clerk click signature block to sign)

Name/Rank:

DOD ID Number/SSN:

Duty Phone:

Cell Phone:

(alternate phone #)

412 SF FORM 113, DEC 2018

mailto:412SFS.S5.VCC@us.af.mil

VISITOR AUTHORIZATION LIST (VAL)

FOR OFFICIAL USE ONLY

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this

PERSONAL INFORMATION may result in criminal and/or civil penalties. (continued…)

All information received will be handled only by trained/authorized Security Forces/Law Enforcement personnel and will be safeguarded using appropriate protection protocols

Page 2 of _

Last Name (Name as appears on DL)

First Name (Name as appears on DL)

Driver’s License State/Number

(CA/A1234567)

US

Citizen/Person

(Y/N)

SSN

(Last 4)

Date of Birth (mm/dd/yyyy)

A=Approved D=Denied

(VCC ONLY)

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this

PERSONAL INFORMATION may result in criminal and/or civil penalties. (continued…)

All information received will be handled only by trained/authorized Security Forces/Law enforcement personnel and will be safeguarded using appropriate protection protocols

Page 3 of _

Last Name (Name as appears on DL)

First Name (Name as appears on DL)

Driver’s License State/Number

(CA/A1234567)

US

Citizen/Person

(Y/N)

SSN

(Last 4)

Date of Birth (mm/dd/yyyy)

A=Approved

The information herein is For Official Use Only (FOUO) which must be protected under the Freedom of Information Act of 1966 and Privacy Act of 1974, as amended. Unauthorized disclosure or misuse of this

PERSONAL INFORMATION may result in criminal and/or civil penalties. (continued…)

All information received will be handled only by trained/authorized Security Forces/Law Enforcement personnel and will be safeguarded using appropriate protection protocols

Page 4 of _

Last Name (Name as appears on DL)

First Name (Name as appears on DL)

Driver’s License State/Number

(CA/A1234567)

US

Citizen/Person

(Y/N)

SSN

(Last 4)

Date of Birth (mm/dd/yyyy)

A=Approved

Company Name ex ATT SCE Time Warner DTV etc: Various
Reason for visit ex Special Event Inspection etc: SABER Pre-Proposal Conference
Dates of Sponsorship ex 19 30 April 2016: 18 March 2020
Time of sponsorship ex 06001630 hrs All Day etc: All Day
Location of sponsorship ex Bldg 720 Base Housing etc: Bldg 1212 and 1405
Last Name Name as appears on DLRow1:
First Name Name as appears on DLRow1:
Drivers License StateNumber CAA1234567Row1:
US CitizenPerson YNRow1:
SSN Last 4Row1:
Date of Birth mmddyyyyRow1:
AApproved DDenied VCC ONLYRow1:
Last Name Name as appears on DLRow2:
First Name Name as appears on DLRow2:
Drivers License StateNumber CAA1234567Row2:
US CitizenPerson YNRow2:
SSN Last 4Row2:
Date of Birth mmddyyyyRow2:
AApproved DDenied VCC ONLYRow2:
Last Name Name as appears on DLRow3:
First Name Name as appears on DLRow3:
Drivers License StateNumber CAA1234567Row3:
US CitizenPerson YNRow3:
SSN Last 4Row3:
Date of Birth mmddyyyyRow3:
AApproved DDenied VCC ONLYRow3:
Last Name Name as appears on DLRow4:
First Name Name as appears on DLRow4:
Drivers License StateNumber CAA1234567Row4:
US CitizenPerson YNRow4:
SSN Last 4Row4:
Date of Birth mmddyyyyRow4:
AApproved DDenied VCC ONLYRow4:
Last Name Name as appears on DLRow5:
First Name Name as appears on DLRow5:
Drivers License StateNumber CAA1234567Row5:
US CitizenPerson YNRow5:
SSN Last 4Row5:
Date of Birth mmddyyyyRow5:
AApproved DDenied VCC ONLYRow5:
Last Name Name as appears on DLRow6:
First Name Name as appears on DLRow6:
Drivers License StateNumber CAA1234567Row6:
US CitizenPerson YNRow6:
SSN Last 4Row6:
Date of Birth mmddyyyyRow6:
AApproved DDenied VCC ONLYRow6:
Last Name Name as appears on DLRow7:
First Name Name as appears on DLRow7:
Drivers License StateNumber CAA1234567Row7:
US CitizenPerson YNRow7:
SSN Last 4Row7:
Date of Birth mmddyyyyRow7:
AApproved DDenied VCC ONLYRow7:
Last Name Name as appears on DLRow8:
First Name Name as appears on DLRow8:
Drivers License StateNumber CAA1234567Row8:
US CitizenPerson YNRow8:
SSN Last 4Row8:
Date of Birth mmddyyyyRow8:
AApproved DDenied VCC ONLYRow8:
Last Name Name as appears on DLRow9:
First Name Name as appears on DLRow9:
Drivers License StateNumber CAA1234567Row9:
US CitizenPerson YNRow9:
SSN Last 4Row9:
Date of Birth mmddyyyyRow9:
AApproved DDenied VCC ONLYRow9:
Last Name Name as appears on DLRow10:
First Name Name as appears on DLRow10:
Drivers License StateNumber CAA1234567Row10:
US CitizenPerson YNRow10:
SSN Last 4Row10:
Date of Birth mmddyyyyRow10:
AApproved DDenied VCC ONLYRow10:
Last Name Name as appears on DLRow11:
First Name Name as appears on DLRow11:
Drivers License StateNumber CAA1234567Row11:
US CitizenPerson YNRow11:
SSN Last 4Row11:
Date of Birth mmddyyyyRow11:
AApproved DDenied VCC ONLYRow11:
Last Name Name as appears on DLRow12:
First Name Name as appears on DLRow12:
Drivers License StateNumber CAA1234567Row12:
US CitizenPerson YNRow12:
SSN Last 4Row12:
Date of Birth mmddyyyyRow12:
AApproved DDenied VCC ONLYRow12:
Last Name Name as appears on DLRow13:
First Name Name as appears on DLRow13:
Drivers License StateNumber CAA1234567Row13:
US CitizenPerson YNRow13:
SSN Last 4Row13:
Date of Birth mmddyyyyRow13:
AApproved DDenied VCC ONLYRow13:
Last Name Name as appears on DLRow14:
First Name Name as appears on DLRow14:
Drivers License StateNumber CAA1234567Row14:
US CitizenPerson YNRow14:
SSN Last 4Row14:
Date of Birth mmddyyyyRow14:
AApproved DDenied VCC ONLYRow14:
Last Name Name as appears on DLRow15:
First Name Name as appears on DLRow15:
Drivers License StateNumber CAA1234567Row15:
US CitizenPerson YNRow15:
SSN Last 4Row15:
Date of Birth mmddyyyyRow15:
AApproved DDenied VCC ONLYRow15:
Sponsor Information:
NameRank:
DOD ID NumberSSN:
Duty Phone:
Cell Phone alternate phone:
Authenticated By VCC Clerk click signature block to signRow1:
Last Name Name as appears on DLRow1_2:
First Name Name as appears on DLRow1_2:
Drivers License StateNumber CAA1234567Row1_2:
US CitizenPerson YNRow1_2:
SSN Last 4Row1_2:
Date of Birth mmddyyyyRow1_2:
AApproved DDenied VCC ONLYRow1_2:
Last Name Name as appears on DLRow2_2:
First Name Name as appears on DLRow2_2:
Drivers License StateNumber CAA1234567Row2_2:
US CitizenPerson YNRow2_2:
SSN Last 4Row2_2:
Date of Birth mmddyyyyRow2_2:
AApproved DDenied VCC ONLYRow2_2:
Last Name Name as appears on DLRow3_2:
First Name Name as appears on DLRow3_2:
Drivers License StateNumber CAA1234567Row3_2:
US CitizenPerson YNRow3_2:
SSN Last 4Row3_2:
Date of Birth mmddyyyyRow3_2:
AApproved DDenied VCC ONLYRow3_2:
Last Name Name as appears on DLRow4_2:
First Name Name as appears on DLRow4_2:
Drivers License StateNumber CAA1234567Row4_2:
US CitizenPerson YNRow4_2:
SSN Last 4Row4_2:
Date of Birth mmddyyyyRow4_2:
AApproved DDenied VCC ONLYRow4_2:
Last Name Name as appears on DLRow5_2:
First Name Name as appears on DLRow5_2:
Drivers License StateNumber CAA1234567Row5_2:
US CitizenPerson YNRow5_2:
SSN Last 4Row5_2:
Date of Birth mmddyyyyRow5_2:
AApproved DDenied VCC ONLYRow5_2:
Last Name Name as appears on DLRow6_2:
First Name Name as appears on DLRow6_2:
Drivers License StateNumber CAA1234567Row6_2:
US CitizenPerson YNRow6_2:
SSN Last 4Row6_2:
Date of Birth mmddyyyyRow6_2:
AApproved DDenied VCC ONLYRow6_2:
Last Name Name as appears on DLRow7_2:
First Name Name as appears on DLRow7_2:
Drivers License StateNumber CAA1234567Row7_2:
US CitizenPerson YNRow7_2:
SSN Last 4Row7_2:
Date of Birth mmddyyyyRow7_2:
AApproved DDenied VCC ONLYRow7_2:
Last Name Name as appears on DLRow8_2:
First Name Name as appears on DLRow8_2:
Drivers License StateNumber CAA1234567Row8_2:
US CitizenPerson YNRow8_2:
SSN Last 4Row8_2:
Date of Birth mmddyyyyRow8_2:
AApproved DDenied VCC ONLYRow8_2:
Last Name Name as appears on DLRow9_2:
First Name Name as appears on DLRow9_2:
Drivers License StateNumber CAA1234567Row9_2:
US CitizenPerson YNRow9_2:
SSN Last 4Row9_2:
Date of Birth mmddyyyyRow9_2:
AApproved DDenied VCC ONLYRow9_2:
Last Name Name as appears on DLRow10_2:
First Name Name as appears on DLRow10_2:
Drivers License StateNumber CAA1234567Row10_2:
US CitizenPerson YNRow10_2:
SSN Last 4Row10_2:
Date of Birth mmddyyyyRow10_2:
AApproved DDenied VCC ONLYRow10_2:
Last Name Name as appears on DLRow11_2:
First Name Name as appears on DLRow11_2:
Drivers License StateNumber CAA1234567Row11_2:
US CitizenPerson YNRow11_2:
SSN Last 4Row11_2:
Date of Birth mmddyyyyRow11_2:
AApproved DDenied VCC ONLYRow11_2:
Last Name Name as appears on DLRow12_2:
First Name Name as appears on DLRow12_2:
Drivers License StateNumber CAA1234567Row12_2:
US CitizenPerson YNRow12_2:
SSN Last 4Row12_2:
Date of Birth mmddyyyyRow12_2:
AApproved DDenied VCC ONLYRow12_2:
Last Name Name as appears on DLRow13_2:
First Name Name as appears on DLRow13_2:
Drivers License StateNumber CAA1234567Row13_2:
US CitizenPerson YNRow13_2:
SSN Last 4Row13_2:
Date of Birth mmddyyyyRow13_2:
AApproved DDenied VCC ONLYRow13_2:
Last Name Name as appears on DLRow14_2:
First Name Name as appears on DLRow14_2:
Drivers License StateNumber CAA1234567Row14_2:
US CitizenPerson YNRow14_2:
SSN Last 4Row14_2:
Date of Birth mmddyyyyRow14_2:
AApproved DDenied VCC ONLYRow14_2:
Last Name Name as appears on DLRow15_2:
First Name Name as appears on DLRow15_2:
Drivers License StateNumber CAA1234567Row15_2:
US CitizenPerson YNRow15_2:
SSN Last 4Row15_2:
Date of Birth mmddyyyyRow15_2:
AApproved DDenied VCC ONLYRow15_2:
Last Name Name as appears on DLRow16:
First Name Name as appears on DLRow16:
Drivers License StateNumber CAA1234567Row16:
US CitizenPerson YNRow16:
SSN Last 4Row16:
Date of Birth mmddyyyyRow16:
AApproved DDenied VCC ONLYRow16:
Last Name Name as appears on DLRow17:
First Name Name as appears on DLRow17:
Drivers License StateNumber CAA1234567Row17:
US CitizenPerson YNRow17:
SSN Last 4Row17:
Date of Birth mmddyyyyRow17:
AApproved DDenied VCC ONLYRow17:
Last Name Name as appears on DLRow18:
First Name Name as appears on DLRow18:
Drivers License StateNumber CAA1234567Row18:
US CitizenPerson YNRow18:
SSN Last 4Row18:
Date of Birth mmddyyyyRow18:
AApproved DDenied VCC ONLYRow18:
Last Name Name as appears on DLRow19:
First Name Name as appears on DLRow19:
Drivers License StateNumber CAA1234567Row19:
US CitizenPerson YNRow19:
SSN Last 4Row19:
Date of Birth mmddyyyyRow19:
AApproved DDenied VCC ONLYRow19:
Last Name Name as appears on DLRow20:
First Name Name as appears on DLRow20:
Drivers License StateNumber CAA1234567Row20:
US CitizenPerson YNRow20:
SSN Last 4Row20:
Date of Birth mmddyyyyRow20:
AApproved DDenied VCC ONLYRow20:
Last Name Name as appears on DLRow21:
First Name Name as appears on DLRow21:
Drivers License StateNumber CAA1234567Row21:
US CitizenPerson YNRow21:
SSN Last 4Row21:
Date of Birth mmddyyyyRow21:
AApproved DDenied VCC ONLYRow21:
Last Name Name as appears on DLRow22:
First Name Name as appears on DLRow22:
Drivers License StateNumber CAA1234567Row22:
US CitizenPerson YNRow22:
SSN Last 4Row22:
Date of Birth mmddyyyyRow22:
AApproved DDenied VCC ONLYRow22:
Last Name Name as appears on DLRow23:
First Name Name as appears on DLRow23:
Drivers License StateNumber CAA1234567Row23:
US CitizenPerson YNRow23:
SSN Last 4Row23:
Date of Birth mmddyyyyRow23:
AApproved DDenied VCC ONLYRow23:
Last Name Name as appears on DLRow24:
First Name Name as appears on DLRow24:
Drivers License StateNumber CAA1234567Row24:
US CitizenPerson YNRow24:
SSN Last 4Row24:
Date of Birth mmddyyyyRow24:
AApproved DDenied VCC ONLYRow24:
Last Name Name as appears on DLRow25:
First Name Name as appears on DLRow25:
Drivers License StateNumber CAA1234567Row25:
US CitizenPerson YNRow25:
SSN Last 4Row25:
Date of Birth mmddyyyyRow25:
AApproved DDenied VCC ONLYRow25:
Last Name Name as appears on DLRow26:
First Name Name as appears on DLRow26:
Drivers License StateNumber CAA1234567Row26:
US CitizenPerson YNRow26:
SSN Last 4Row26:
Date of Birth mmddyyyyRow26:
AApproved DDenied VCC ONLYRow26:
Last Name Name as appears on DLRow27:
First Name Name as appears on DLRow27:
Drivers License StateNumber CAA1234567Row27:
US CitizenPerson YNRow27:
SSN Last 4Row27:
Date of Birth mmddyyyyRow27:
AApproved DDenied VCC ONLYRow27:
Last Name Name as appears on DLRow28:
First Name Name as appears on DLRow28:
Drivers License StateNumber CAA1234567Row28:
US CitizenPerson YNRow28:
SSN Last 4Row28:
Date of Birth mmddyyyyRow28:
AApproved DDenied VCC ONLYRow28:
Last Name Name as appears on DLRow29:
First Name Name as appears on DLRow29:
Drivers License StateNumber CAA1234567Row29:
US CitizenPerson YNRow29:
SSN Last 4Row29:
Date of Birth mmddyyyyRow29:
AApproved DDenied VCC ONLYRow29:
Last Name Name as appears on DLRow30:
First Name Name as appears on DLRow30:
Drivers License StateNumber CAA1234567Row30:
US CitizenPerson YNRow30:
SSN Last 4Row30:
Date of Birth mmddyyyyRow30:
AApproved DDenied VCC ONLYRow30:
Last Name Name as appears on DLRow31:
First Name Name as appears on DLRow31:
Drivers License StateNumber CAA1234567Row31:
US CitizenPerson YNRow31:
SSN Last 4Row31:
Date of Birth mmddyyyyRow31:
AApproved DDenied VCC ONLYRow31:
Last Name Name as appears on DLRow32:
First Name Name as appears on DLRow32:
Drivers License StateNumber CAA1234567Row32:
US CitizenPerson YNRow32:
SSN Last 4Row32:
Date of Birth mmddyyyyRow32:
AApproved DDenied VCC ONLYRow32:
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US CitizenPerson YNRow33:
SSN Last 4Row33:
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AApproved DDenied VCC ONLYRow33:
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First Name Name as appears on DLRow34:
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AApproved DDenied VCC ONLYRow34:
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First Name Name as appears on DLRow35:
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AApproved DDenied VCC ONLYRow35:
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First Name Name as appears on DLRow36:
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US CitizenPerson YNRow36:
SSN Last 4Row36:
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AApproved DDenied VCC ONLYRow36:
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First Name Name as appears on DLRow37:
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US CitizenPerson YNRow37:
SSN Last 4Row37:
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AApproved DDenied VCC ONLYRow37:
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US CitizenPerson YNRow2_3:
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US CitizenPerson YNRow3_3:
SSN Last 4Row3_3:
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US CitizenPerson YNRow4_3:
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AApproved DDenied VCC ONLYRow4_3:
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US CitizenPerson YNRow5_3:
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AApproved DDenied VCC ONLYRow5_3:
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AApproved DDenied VCC ONLYRow6_3:
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US CitizenPerson YNRow7_3:
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AApproved DDenied VCC ONLYRow7_3:
Last Name Name as appears on DLRow8_3:
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Drivers License StateNumber CAA1234567Row8_3:
US CitizenPerson YNRow8_3:
SSN Last 4Row8_3:
Date of Birth mmddyyyyRow8_3:
AApproved DDenied VCC ONLYRow8_3:
Last Name Name as appears on DLRow9_3:
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Drivers License StateNumber CAA1234567Row9_3:
US CitizenPerson YNRow9_3:
SSN Last 4Row9_3:
Date of Birth mmddyyyyRow9_3:
AApproved DDenied VCC ONLYRow9_3:
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US CitizenPerson YNRow10_3:
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AApproved DDenied VCC ONLYRow10_3:
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US CitizenPerson YNRow11_3:
SSN Last 4Row11_3:
Date of Birth mmddyyyyRow11_3:
AApproved DDenied VCC ONLYRow11_3:
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US CitizenPerson YNRow12_3:
SSN Last 4Row12_3:
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AApproved DDenied VCC ONLYRow12_3:
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US CitizenPerson YNRow13_3:
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AApproved DDenied VCC ONLYRow13_3:
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US CitizenPerson YNRow14_3:
SSN Last 4Row14_3:
Date of Birth mmddyyyyRow14_3:
AApproved DDenied VCC ONLYRow14_3:
Last Name Name as appears on DLRow15_3:
First Name Name as appears on DLRow15_3:
Drivers License StateNumber CAA1234567Row15_3:
US CitizenPerson YNRow15_3:
SSN Last 4Row15_3:
Date of Birth mmddyyyyRow15_3:
AApproved DDenied VCC ONLYRow15_3:
Last Name Name as appears on DLRow16_2:
First Name Name as appears on DLRow16_2:
Drivers License StateNumber CAA1234567Row16_2:
US CitizenPerson YNRow16_2:
SSN Last 4Row16_2:
Date of Birth mmddyyyyRow16_2:
AApproved DDenied VCC ONLYRow16_2:
Last Name Name as appears on DLRow17_2:
First Name Name as appears on DLRow17_2:
Drivers License StateNumber CAA1234567Row17_2:
US CitizenPerson YNRow17_2:
SSN Last 4Row17_2:
Date of Birth mmddyyyyRow17_2:
AApproved DDenied VCC ONLYRow17_2:
Last Name Name as appears on DLRow18_2:
First Name Name as appears on DLRow18_2:
Drivers License StateNumber CAA1234567Row18_2:
US CitizenPerson YNRow18_2:
SSN Last 4Row18_2:
Date of Birth mmddyyyyRow18_2:
AApproved DDenied VCC ONLYRow18_2:
Last Name Name as appears on DLRow19_2:
First Name Name as appears on DLRow19_2:
Drivers License StateNumber CAA1234567Row19_2:
US CitizenPerson YNRow19_2:
SSN Last 4Row19_2:
Date of Birth mmddyyyyRow19_2:
AApproved DDenied VCC ONLYRow19_2:
Last Name Name as appears on DLRow20_2:
First Name Name as appears on DLRow20_2:
Drivers License StateNumber CAA1234567Row20_2:
US CitizenPerson YNRow20_2:
SSN Last 4Row20_2:
Date of Birth mmddyyyyRow20_2:
AApproved DDenied VCC ONLYRow20_2:
Last Name Name as appears on DLRow21_2:
First Name Name as appears on DLRow21_2:
Drivers License StateNumber CAA1234567Row21_2:
US CitizenPerson YNRow21_2:
SSN Last 4Row21_2:
Date of Birth mmddyyyyRow21_2:
AApproved DDenied VCC ONLYRow21_2:
Last Name Name as appears on DLRow22_2:
First Name Name as appears on DLRow22_2:
Drivers License StateNumber CAA1234567Row22_2:
US CitizenPerson YNRow22_2:
SSN Last 4Row22_2:
Date of Birth mmddyyyyRow22_2:
AApproved DDenied VCC ONLYRow22_2:
Last Name Name as appears on DLRow23_2:
First Name Name as appears on DLRow23_2:
Drivers License StateNumber CAA1234567Row23_2:
US CitizenPerson YNRow23_2:
SSN Last 4Row23_2:
Date of Birth mmddyyyyRow23_2:
AApproved DDenied VCC ONLYRow23_2:
Last Name Name as appears on DLRow24_2:
First Name Name as appears on DLRow24_2:
Drivers License StateNumber CAA1234567Row24_2:
US CitizenPerson YNRow24_2:
SSN Last 4Row24_2:
Date of Birth mmddyyyyRow24_2:
AApproved DDenied VCC ONLYRow24_2:
Last Name Name as appears on DLRow25_2:
First Name Name as appears on DLRow25_2:
Drivers License StateNumber CAA1234567Row25_2:
US CitizenPerson YNRow25_2:
SSN Last 4Row25_2:
Date of Birth mmddyyyyRow25_2:
AApproved DDenied VCC ONLYRow25_2:
Last Name Name as appears on DLRow26_2:
First Name Name as appears on DLRow26_2:
Drivers License StateNumber CAA1234567Row26_2:
US CitizenPerson YNRow26_2:
SSN Last 4Row26_2:
Date of Birth mmddyyyyRow26_2:
AApproved DDenied VCC ONLYRow26_2:
Last Name Name as appears on DLRow27_2:
First Name Name as appears on DLRow27_2:
Drivers License StateNumber CAA1234567Row27_2:
US CitizenPerson YNRow27_2:
SSN Last 4Row27_2:
Date of Birth mmddyyyyRow27_2:
AApproved DDenied VCC ONLYRow27_2:
Last Name Name as appears on DLRow28_2:
First Name Name as appears on DLRow28_2:
Drivers License StateNumber CAA1234567Row28_2:
US CitizenPerson YNRow28_2:
SSN Last 4Row28_2:
Date of Birth mmddyyyyRow28_2:
AApproved DDenied VCC ONLYRow28_2:
Last Name Name as appears on DLRow29_2:
First Name Name as appears on DLRow29_2:
Drivers License StateNumber CAA1234567Row29_2:
US CitizenPerson YNRow29_2:
SSN Last 4Row29_2:
Date of Birth mmddyyyyRow29_2:
AApproved DDenied VCC ONLYRow29_2:
Last Name Name as appears on DLRow30_2:
First Name Name as appears on DLRow30_2:
Drivers License StateNumber CAA1234567Row30_2:
US CitizenPerson YNRow30_2:
SSN Last 4Row30_2:
Date of Birth mmddyyyyRow30_2:
AApproved DDenied VCC ONLYRow30_2:
Last Name Name as appears on DLRow31_2:
First Name Name as appears on DLRow31_2:
Drivers License StateNumber CAA1234567Row31_2:
US CitizenPerson YNRow31_2:
SSN Last 4Row31_2:
Date of Birth mmddyyyyRow31_2:
AApproved DDenied VCC ONLYRow31_2:
Last Name Name as appears on DLRow32_2:
First Name Name as appears on DLRow32_2:
Drivers License StateNumber CAA1234567Row32_2:
US CitizenPerson YNRow32_2:
SSN Last 4Row32_2:
Date of Birth mmddyyyyRow32_2:
AApproved DDenied VCC ONLYRow32_2:
Last Name Name as appears on DLRow33_2:
First Name Name as appears on DLRow33_2:
Drivers License StateNumber CAA1234567Row33_2:
US CitizenPerson YNRow33_2:
SSN Last 4Row33_2:
Date of Birth mmddyyyyRow33_2:
AApproved DDenied VCC ONLYRow33_2:
Last Name Name as appears on DLRow34_2:
First Name Name as appears on DLRow34_2:
Drivers License StateNumber CAA1234567Row34_2:
US CitizenPerson YNRow34_2:
SSN Last 4Row34_2:
Date of Birth mmddyyyyRow34_2:
AApproved DDenied VCC ONLYRow34_2:
Last Name Name as appears on DLRow35_2:
First Name Name as appears on DLRow35_2:
Drivers License StateNumber CAA1234567Row35_2:
US CitizenPerson YNRow35_2:
SSN Last 4Row35_2:
Date of Birth mmddyyyyRow35_2:
AApproved DDenied VCC ONLYRow35_2:
Last Name Name as appears on DLRow36_2:
First Name Name as appears on DLRow36_2:
Drivers License StateNumber CAA1234567Row36_2:
US CitizenPerson YNRow36_2:
SSN Last 4Row36_2:
Date of Birth mmddyyyyRow36_2:
AApproved DDenied VCC ONLYRow36_2:
Last Name Name as appears on DLRow1_4:
First Name Name as appears on DLRow1_4:
Drivers License StateNumber CAA1234567Row1_4:
US CitizenPerson YNRow1_4:
SSN Last 4Row1_4:
Date of Birth mmddyyyyRow1_4:
AApproved DDenied VCC ONLYRow1_4:
Last Name Name as appears on DLRow2_4:
First Name Name as appears on DLRow2_4:
Drivers License StateNumber CAA1234567Row2_4:
US CitizenPerson YNRow2_4:
SSN Last 4Row2_4:
Date of Birth mmddyyyyRow2_4:
AApproved DDenied VCC ONLYRow2_4:
Last Name Name as appears on DLRow3_4:
First Name Name as appears on DLRow3_4:
Drivers License StateNumber CAA1234567Row3_4:
US CitizenPerson YNRow3_4:
SSN Last 4Row3_4:
Date of Birth mmddyyyyRow3_4:
AApproved DDenied VCC ONLYRow3_4:
Last Name Name as appears on DLRow4_4:
First Name Name as appears on DLRow4_4:
Drivers License StateNumber CAA1234567Row4_4:
US CitizenPerson YNRow4_4:
SSN Last 4Row4_4:
Date of Birth mmddyyyyRow4_4:
AApproved DDenied VCC ONLYRow4_4:
Last Name Name as appears on DLRow5_4:
First Name Name as appears on DLRow5_4:
Drivers License StateNumber CAA1234567Row5_4:
US CitizenPerson YNRow5_4:
SSN Last 4Row5_4:
Date of Birth mmddyyyyRow5_4:
AApproved DDenied VCC ONLYRow5_4:
Last Name Name as appears on DLRow6_4:
First Name Name as appears on DLRow6_4:
Drivers License StateNumber CAA1234567Row6_4:
US CitizenPerson YNRow6_4:
SSN Last 4Row6_4:
Date of Birth mmddyyyyRow6_4:
AApproved DDenied VCC ONLYRow6_4:
Last Name Name as appears on DLRow7_4:
First Name Name as appears on DLRow7_4:
Drivers License StateNumber CAA1234567Row7_4:
US CitizenPerson YNRow7_4:
SSN Last 4Row7_4:
Date of Birth mmddyyyyRow7_4:
AApproved DDenied VCC ONLYRow7_4:
Last Name Name as appears on DLRow8_4:
First Name Name as appears on DLRow8_4:
Drivers License StateNumber CAA1234567Row8_4:
US CitizenPerson YNRow8_4:
SSN Last 4Row8_4:
Date of Birth mmddyyyyRow8_4:
AApproved DDenied VCC ONLYRow8_4:
Last Name Name as appears on DLRow9_4:
First Name Name as appears on DLRow9_4:
Drivers License StateNumber CAA1234567Row9_4:
US CitizenPerson YNRow9_4:
SSN Last 4Row9_4:
Date of Birth mmddyyyyRow9_4:
AApproved DDenied VCC ONLYRow9_4:
Last Name Name as appears on DLRow10_4:
First Name Name as appears on DLRow10_4:
Drivers License StateNumber CAA1234567Row10_4:
US CitizenPerson YNRow10_4:
SSN Last 4Row10_4:
Date of Birth mmddyyyyRow10_4:
AApproved DDenied VCC ONLYRow10_4:
Last Name Name as appears on DLRow11_4:
First Name Name as appears on DLRow11_4:
Drivers License StateNumber CAA1234567Row11_4:
US CitizenPerson YNRow11_4:
SSN Last 4Row11_4:
Date of Birth mmddyyyyRow11_4:
AApproved DDenied VCC ONLYRow11_4:
Last Name Name as appears on DLRow12_4:
First Name Name as appears on DLRow12_4:
Drivers License StateNumber CAA1234567Row12_4:
US CitizenPerson YNRow12_4:
SSN Last 4Row12_4:
Date of Birth mmddyyyyRow12_4:
AApproved DDenied VCC ONLYRow12_4:
Last Name Name as appears on DLRow13_4:
First Name Name as appears on DLRow13_4:
Drivers License StateNumber CAA1234567Row13_4:
US CitizenPerson YNRow13_4:
SSN Last 4Row13_4:
Date of Birth mmddyyyyRow13_4:
AApproved DDenied VCC ONLYRow13_4:
Last Name Name as appears on DLRow14_4:
First Name Name as appears on DLRow14_4:
Drivers License StateNumber CAA1234567Row14_4:
US CitizenPerson YNRow14_4:
SSN Last 4Row14_4:
Date of Birth mmddyyyyRow14_4:
AApproved DDenied VCC ONLYRow14_4:
Last Name Name as appears on DLRow15_4:
First Name Name as appears on DLRow15_4:
Drivers License StateNumber CAA1234567Row15_4:
US CitizenPerson YNRow15_4:
SSN Last 4Row15_4:
Date of Birth mmddyyyyRow15_4:
AApproved DDenied VCC ONLYRow15_4:
Last Name Name as appears on DLRow16_3:
First Name Name as appears on DLRow16_3:
Drivers License StateNumber CAA1234567Row16_3:
US CitizenPerson YNRow16_3:
SSN Last 4Row16_3:
Date of Birth mmddyyyyRow16_3:
AApproved DDenied VCC ONLYRow16_3:
Last Name Name as appears on DLRow17_3:
First Name Name as appears on DLRow17_3:
Drivers License StateNumber CAA1234567Row17_3:
US CitizenPerson YNRow17_3:
SSN Last 4Row17_3:
Date of Birth mmddyyyyRow17_3:
AApproved DDenied VCC ONLYRow17_3:
Last Name Name as appears on DLRow18_3:
First Name Name as appears on DLRow18_3:
Drivers License StateNumber CAA1234567Row18_3:
US CitizenPerson YNRow18_3:
SSN Last 4Row18_3:
Date of Birth mmddyyyyRow18_3:
AApproved DDenied VCC ONLYRow18_3:
Last Name Name as appears on DLRow19_3:
First Name Name as appears on DLRow19_3:
Drivers License StateNumber CAA1234567Row19_3:
US CitizenPerson YNRow19_3:
SSN Last 4Row19_3:
Date of Birth mmddyyyyRow19_3:
AApproved DDenied VCC ONLYRow19_3:
Last Name Name as appears on DLRow20_3:
First Name Name as appears on DLRow20_3:
Drivers License StateNumber CAA1234567Row20_3:
US CitizenPerson YNRow20_3:
SSN Last 4Row20_3:
Date of Birth mmddyyyyRow20_3:
AApproved DDenied VCC ONLYRow20_3:
Last Name Name as appears on DLRow21_3:
First Name Name as appears on DLRow21_3:
Drivers License StateNumber CAA1234567Row21_3:
US CitizenPerson YNRow21_3:
SSN Last 4Row21_3:
Date of Birth mmddyyyyRow21_3:
AApproved DDenied VCC ONLYRow21_3:
Last Name Name as appears on DLRow22_3:
First Name Name as appears on DLRow22_3:
Drivers License StateNumber CAA1234567Row22_3:
US CitizenPerson YNRow22_3:
SSN Last 4Row22_3:
Date of Birth mmddyyyyRow22_3:
AApproved DDenied VCC ONLYRow22_3:
Last Name Name as appears on DLRow23_3:
First Name Name as appears on DLRow23_3:
Drivers License StateNumber CAA1234567Row23_3:
US CitizenPerson YNRow23_3:
SSN Last 4Row23_3:
Date of Birth mmddyyyyRow23_3:
AApproved DDenied VCC ONLYRow23_3:
Last Name Name as appears on DLRow24_3:
First Name Name as appears on DLRow24_3:
Drivers License StateNumber CAA1234567Row24_3:
US CitizenPerson YNRow24_3:
SSN Last 4Row24_3:
Date of Birth mmddyyyyRow24_3:
AApproved DDenied VCC ONLYRow24_3:
Last Name Name as appears on DLRow25_3:
First Name Name as appears on DLRow25_3:
Drivers License StateNumber CAA1234567Row25_3:
US CitizenPerson YNRow25_3:
SSN Last 4Row25_3:
Date of Birth mmddyyyyRow25_3:
AApproved DDenied VCC ONLYRow25_3:
Last Name Name as appears on DLRow26_3:
First Name Name as appears on DLRow26_3:
Drivers License StateNumber CAA1234567Row26_3:
US CitizenPerson YNRow26_3:
SSN Last 4Row26_3:
Date of Birth mmddyyyyRow26_3:
AApproved DDenied VCC ONLYRow26_3:
Last Name Name as appears on DLRow27_3:
First Name Name as appears on DLRow27_3:
Drivers License StateNumber CAA1234567Row27_3:
US CitizenPerson YNRow27_3:
SSN Last 4Row27_3:
Date of Birth mmddyyyyRow27_3:
AApproved DDenied VCC ONLYRow27_3:
Last Name Name as appears on DLRow28_3:
First Name Name as appears on DLRow28_3:
Drivers License StateNumber CAA1234567Row28_3:
US CitizenPerson YNRow28_3:
SSN Last 4Row28_3:
Date of Birth mmddyyyyRow28_3:
AApproved DDenied VCC ONLYRow28_3:
Last Name Name as appears on DLRow29_3:
First Name Name as appears on DLRow29_3:
Drivers License StateNumber CAA1234567Row29_3:
US CitizenPerson YNRow29_3:
SSN Last 4Row29_3:
Date of Birth mmddyyyyRow29_3:
AApproved DDenied VCC ONLYRow29_3:
Last Name Name as appears on DLRow30_3:
First Name Name as appears on DLRow30_3:
Drivers License StateNumber CAA1234567Row30_3:
US CitizenPerson YNRow30_3:
SSN Last 4Row30_3:
Date of Birth mmddyyyyRow30_3:
AApproved DDenied VCC ONLYRow30_3:
Last Name Name as appears on DLRow31_3:
First Name Name as appears on DLRow31_3:
Drivers License StateNumber CAA1234567Row31_3:
US CitizenPerson YNRow31_3:
SSN Last 4Row31_3:
Date of Birth mmddyyyyRow31_3:
AApproved DDenied VCC ONLYRow31_3:
Last Name Name as appears on DLRow32_3:
First Name Name as appears on DLRow32_3:
Drivers License StateNumber CAA1234567Row32_3:
US CitizenPerson YNRow32_3:
SSN Last 4Row32_3:
Date of Birth mmddyyyyRow32_3:
AApproved DDenied VCC ONLYRow32_3:
Last Name Name as appears on DLRow33_3:
First Name Name as appears on DLRow33_3:
Drivers License StateNumber CAA1234567Row33_3:
US CitizenPerson YNRow33_3:
SSN Last 4Row33_3:
Date of Birth mmddyyyyRow33_3:
AApproved DDenied VCC ONLYRow33_3:
Last Name Name as appears on DLRow34_3:
First Name Name as appears on DLRow34_3:
Drivers License StateNumber CAA1234567Row34_3:
US CitizenPerson YNRow34_3:
SSN Last 4Row34_3:
Date of Birth mmddyyyyRow34_3:
AApproved DDenied VCC ONLYRow34_3:
Last Name Name as appears on DLRow35_3:
First Name Name as appears on DLRow35_3:
Drivers License StateNumber CAA1234567Row35_3:
US CitizenPerson YNRow35_3:
SSN Last 4Row35_3:
Date of Birth mmddyyyyRow35_3:
AApproved DDenied VCC ONLYRow35_3:
Last Name Name as appears on DLRow36_3:
First Name Name as appears on DLRow36_3:
Drivers License StateNumber CAA1234567Row36_3:
US CitizenPerson YNRow36_3:
SSN Last 4Row36_3:
Date of Birth mmddyyyyRow36_3:
AApproved DDenied VCC ONLYRow36_3:
Last Name Name as appears on DLRow37_2:
First Name Name as appears on DLRow37_2:
Drivers License StateNumber CAA1234567Row37_2:
US CitizenPerson YNRow37_2:
SSN Last 4Row37_2:
Date of Birth mmddyyyyRow37_2:
AApproved DDenied VCC ONLYRow37_2:
Text1:

File details come from the government source that posted it. Updated .