W911SA-20-Q-3088 FM DC - Attachment 6 - Project Report.docx

On Site Project Report – Duct Cleaning Version 1.0; 30 April 2002 Contract number: _____________________ Building Number: _____________________ Date Service Started: __________________ Time Service Started: __________________

Date Service Completed: _______________ Time Service Completed: _______________ HVAC Duct System: ☐Geo Thermal ☐Natural Gas Forced Air Registers, Grilles and Diffusers Firmly Reattached to the Walls, Floors and Ceilings: ☐Yes ☐No Testing Procedures Summary:

Areas of the Duct System Found to be Damaged:

Locations of Newly Created Service Openings Which are Capable of Being Re-Opened for Future Inspection/Remediation:

Contractor Comments or Concerns:

Vendor Employee(s) Name (print): _____________________________________________

Designated Contractor Supervisor Print Name: ________________________________________ Designated Government Inspector Print Name: ________________________________________ This Project Report shall be filled out by the contracted vendor each time the service provider performs services on location. This Project Report 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.