Copy of NASCC Guest Sponsorship for FPI at CCAD.xls

XLS spreadsheet 34 KB Posted

Attached to
Solicitation for Fluorescence Penetrant Inspection (FPI) System
Solicitation number
W912NW23Q0042
Issued by

About this file

This document contains a guest sponsorship request form for access to Naval Air Station Corpus Christi in support of a solicitation for a Fluorescence Penetrant Inspection (FPI) System. The guest sponsorship form includes details on the individual being sponsored, including name, dates of access needed, and number of guests. It notes the event is a site visit from 9-11am on July 20, 2023 in support of the FPI solicitation. The related federal contract opportunity is solicitation number W912NW23Q0042 issued by the Department of the Army Materiel Command Contracting Command Redstone Arsenal for an FPI System. No further details are provided on the requirements, response date, or award date in the solicitation.

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FRONTPAGE

NAS CORPUS CHRISTI
GUEST SPONSORSHIP REQUEST
PLEASE CHECK THE APPROPRIATE BOXES TO INDICATE YOUR AFFILIATION TO THE BASEACTIVERESERVEDEPENDENTRETIREDCIVILIAN
SPONSOR: LAST NAME, FIRST NAME Flores, Davidx
TO: SECURITY OFFICER, NASCCDATES OF EVENTHOME NUMBER
20 July 202320 July 2023
TYPE OF FUNCTION:HOURS OF EVENT
Site Visit in support of Flourescent Penetrant Inspection System (FPI)9:00 am11:00 pmCELL NUMBER
NUMBER OF GUESTS361-438-3984
LOCATION
Corpus Christi Army DepotWORK NUMBER:
361-961-7101
NAMEFULL SSN #DRIVER LICENSE & STATE OF LICENSEDATE OF BIRTHHOME/CELL PHONE
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Guest sponsors are responsible for any abuse that may arise from the guest's use of their credentials to access this installation. The guest sponsorship request takes (3 )working days to process. You should feel confident that a guest will honor and use this privilege in a responsible manner. Please take the time to communicate all of the policies that you observe while on this installation with each guest. Please be advised that your guest sponsorship privileges can be revoked if a guest is found in violation of base policies or federal statutes.
Sponsor's Signature X__________________________________________
SIGNATURE OF APPROVAL: Martin Wheeler
BY DIRECTION OF SECURITY OFFICER
X__________________________________________DATE:
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE - Any misuse or unauthorized disclosure can result in both civil and criminal penalties. PRIVACY ACT STATEMENT AUTHORITY: Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act. PRINCIPAL PURPOSE: To record names, signatures, and Social Security Numbers for the purpose of validating the trustworthiness of

Individuals requesting access to Department of Defense (DoD) systems and information. NOTE: Records will be maintained in paper form. ROUTINE USES: None. DISCLOSURE : Disclosure of this information is voluntary; however, failure to provide the requested information may impede, delay or prevent further processing of this request.

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