ATTACHMENT_0004_-_Fuel_Delivery_Incident_Report.pdf
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ATTACHMENT 0004 - Fuel Delivery Incident Report
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FUEL DELIVERY INCIDENT REPORT
The purpose of this form is to document fuel delivery incidents, to include fuel rejections or other incidents between the Afghan National Defense Security Forces (ANDSF) and the Bulk Fuel Contractors that may have negatively impacted the performance of the contractor in supplying fuels.
Contractor: Contract Number: Delivery Order:
Ordering Period: Order #:
Fuel Type:
Diesel MoGas Propane Aviation
ANDSF Delivery
Ministry of Interior Ministry of Defense
AAF/SMW
ANASOC
Quantity: Date:
Location: Province: Unit: Unit POC
Fuel Rejected? Yes No
Description of Incident:
Contractor Remedy (if applicable):
This form should be submitted to the Contracting Office or Ordering Officer who was responsible for placing the order and who was listed as the applicable Point of Contact on the RDD.
| fc-int01-generateAppearances: |
| Contractor Remedy (if applicab_4PQkzvaFMw3Gcma1FhqEcA: |
| Description of Incident:_vYi2PD0VXGDcnxqCw*vrww: |
| Fuel Rejected?_o33D0349A8YIgLK7trLrHQ: Off |
| Unit POC_VjertmwtAwKYQdmvrVL3Pg: |
| Unit:_MHARqckc*S1TB0*R76XJiQ: |
| Province:_9WJczNRZEuDNGXsCfLuLBQ: [] |
| Location:_CUW2xdLg8cjE2bn*0Q8wqg: |
| Date:_j8vkDeol9kmMQcGytkqhJQ: |
| Quantity:_B60fn9sfzVKPQLTHpVFQHQ: |
| ANDSF Delivery_fzQBE8RGZ79nJSyCPg*Ryw: Off |
| Fuel Type:_hjn*qyZisiRV4yjPLOwCiQ: Off |
| Order #:_BVL6zEjfrTg6wwl*34oFhg: |
| Ordering Period:_gUfwA90pyXbQV85WEUDGOw: |
| Delivery Order:_V-R30t04rHhZu17ADyiNPA: |
| Contract Number:_5OlwhKzRLTrtxcOceXsbKQ: |
| Contractor:_uKn4JGeOBbwb8AjgV9CjRQ: [] |
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