W911SA-20-Q-3082 Attachment 3 - Service Ticket.docx

On Site Service Ticket – Pressure Washing Version 1.0; 30 April 2002 Contract number: _____________________ Building Number: _____________________ Date Service Started: __________________ Date Service Completed: ________________

Pressure Washing Exteriors Surfaces (included all): ☐Vinyl ☐Aluminum ☐Brick ☐Steel Siding ☐Soffits ☐Fascia ☐Garage Doors ☐Pedestrian Doors ☐Privacy Fences

Contractor Comments or Concerns:

Vendor Employee(s) Name (print): _____________________________________________

Designated Contractor Supervisor Print Name: ________________________________________ Designated Government Inspector Print Name: ________________________________________ This Service Ticket shall be filled out by the contracted vendor each time the service provider performs services on location. This service ticket does not provide proof of inspection or acceptance of services. The Government reserves the right to fully inspect work performance of all requirements under contract any time or place it deems necessary.