Attachment__8_Port_Latrine_Request_Form.pdf

Attachment #8

REQUEST FOR ISSUE OF PORTABLE LATRINES

AFZB –

MEMORANDUM FOR PWBC, Contract Management Branch (BLDG 846)

SUBJECT: Request for Field Latrines

1. Request this activity/unit be issued ____________ field latrines.

2. Number of personnel to be supported _______

3. Dates required: _______ through ___________

4. Training Areas and Grid Coordinates where each latrine will be located (by dates if to be moved)

5. Dates when pumping required (guide must be provided IAW CAM REG 420-14)

6. POC (Name, rank, and phone):

Unit

7. Latrine shall be located 10 feet from a hard surface (gravel-improved) orads so that latriens can by pumped (IAW CAM REG 420-14)

Typed Name, Rank and Title Signature of Major Unit S4

Your Request is (approved) / (disapproved) Date:

Signature of Approval Authority

PWBC, Contract Management Branch

Received ____________ portable latrine(s) which were clean and in good repair.

Latrine Number (s):

Date Signature

Unit Unit Phone No.

Returned ____________portable latrine (s) which were clean and in good repair.

Latrine Number (s)

Date Signature:

FC Form Letter 1344-E (REV)