ATTACHMENT_5_-Site_Visitor_Information_Sheet_20_jULY_17.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Repairs for Fire Station Crew Rest Facilities Federal contract opportunity
Solicitation number
W911S6-17-B-0006
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Dugway Proving Ground

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ATTACHMENT 5 -Site Visitor Information Sheet 20 jULY 17

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Sheet1

NAME (as it appears on photo identification)(mm/dd/yyyy)Drivers LicenseCommon Access Card(mm/dd/yyyy)(mm/dd/yyyy)
FIRST and MIDDLE INITIALLASTGender (Male / Female)Date of BirthStateNunbereMail AddressCAC Card (Y or N)ORGANIZATION OR COMPANY THE VISITOR REPRESENTSEXPECTED ARRIVAL DATEEXPECTED DEPARTURE DATECITIZENSHIP (USA)¹ REASON FOR VISIT² AREA TO BE VISITING
John JDoeMale1/1/1965UT123456789john.j.doe.ctr@mail.milNAny Power Co., Inc.30/02/201631/11/2016USASITE VISITWD
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
¹ REASON FOR VISIT:• Meeting• New Hire• Dependent
• Sales Call• Social Visit• Testing
• TDY• DPG Employee• Site Visit
• Contractor• Job Interview• Dependent Social Visit
• Delivery• Training
² AREA(S) TO BE VISITING - must specifically mention where you are going to:
• EV - English Village, to include landfill, buildings or address with three digits or less or is a 5000 series facility, e.g., 5330, 5222, 256A West Knight
• WD - Ditto or areas west,except Baker area, buildings or address is NOT a 2000 or 5000 series facility, e.g., 4015, 3036, 8663, etc.
• WDL - Baker Area, to include LSTF, buildings or address2000 series facility, e.g., 2028, 2032, etc.

Sheet2

Sheet3

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