Technical Exhibit #4 Work Request.docx

DOCX document 19 KB Posted

Attached to
Oil Water Separator/Wash Rack Sediment Catchment System Services
Solicitation number
W912CN-20-Q-0004
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Technical Exhibit #3 OWS Operation and Service Log.docx DOCX document
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Attachment 1- Work Experience.docx DOCX document
20-Q-0004.pdf PDF

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Maintenance/Repair Report

1. From: COR To: Contractor Request For Diagnosis/Estimate

Name:
Phone:
Email/Fax:

Location:

Project Title:
Contract Number:

Equipment:

Problem:

Notes/Comments:

COR Signature:

Date and Time Notified:

EMAIL

Work Request Number:

2. From: Contractor To: COR Diagnosis Report

Contractor Name:

POC:
Phone:
Fax:
Contractor Signature:
Date and Time Diagnosis Completed:

3. From Contractor To: COR Repair And Cost Estimate

Estimated Man Hours & cost:
Estimated Cost of Materials:

Estimated Time to Complete Job:

Estimated Total Cost of Job:

Contractor Signature:
Date and Time Cost Estimate Submitted:

4. From Contracting Officer To: Contractor Repair Approval

Notes/Comments:

Signature:

Date and Time:

5. From Contractor To: COR/AI Repair Completion

Notes/Comments:

Contractor Signature:

Date and Time:

6. From: COR/AI To: Contractor Repair Inspected

Notes/Comments:__________________________________________________________________________________________________________________________________________

COR/AI Signature:

Date and Time:

Technical Exhibit #4

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