Door 2019 Attachment 5 - Work Certificate PM mod 20191017.pdf
PDF 30 KB Posted
- Attached to
- M&R Safety Inspection of Doors
- Solicitation number
- W912PB20Q3004
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT 5 - Work Certificate Preventive Maintenance (Name Contractor)
Work Certificate - Preventive Maintenance
Inventur Nr. / Inventory No.
Standort / Community
Kunde / Customer Adresse Geb./ Address Bldg.
Gerät Typ / Equipment Type Hersteller / Manufacturer
Modell / Model Baujahr / Year of Manufactured
CLIN Nr. Datum Beginn Datum Ende Technician Wartung Intervall Menge Einzelpreis Gesamtpreis
CLIN No. Date Start Date Finish Techniker Maint. Frequency Quantity Single Price Total Price
Material / Used Maintenance Parts:
Anlagenzustand / Condition of Equipment:
Safety Inspection Label attached: Yes No
Datum, Unterschrift (Kunde) / Date, Signature (Customer) Gesamt Preis / Total Price EURO
Datum, Unterschrift (Techniker) / Date, Signature (Technician) Datum, Unterschrift (Inspektor / COR) / Date, Signature (Inspector COR)
File details come from the government source that posted it. Updated .