Attachment A Base Access Memo
Updated
A PDF document (161 KB) attached to P210 Electric Power Plant and Electrical Distribution System at Chabelley Airfield, Djibouti, from the Department of the Navy. Due Nov 16, 2026, 2:00 PM (UTC-5).
File name: Attachment_A_Base Access Memo.pdf
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BASE ACCESS REQUEST
Sponsor Name:
LCDR Adam Smith
Phone #:
Email:
Organization:
NAVFAC ROICC Camp Lemonnier
Start
Contract Number:
N6247027R0001
Expires
Request Number:
Hours
TO BE COMPLETED BY CONTRACTOR
No.
Purpose of Base
Access Request
DATE (DDMMMYY)
Name
GOV
DOB
ID of Passport #
DDMMMYY
Bio-Enrollment
Required
Site visit for P210 (CADJ 21001) Power Plant and Electrical Distribution System
(Requester) TYPE OR PRINT NAME AND GRADE
TO: (Sponsor) TYPE OR PRINT NAME AND GRADE
TO: (OSI) TYPE OR PRINT NAME AND GRADE
Signature
FOR GOVERNMENT USE ONLY
Signature
Signature
DATE (DDMMMYY)
DATE (DDMMMYY)
OSI EDET 2505 conducted a review of the Identity Intelligence Analytical Resource (12AR) database for the above listed individuals; no derogatory material was found. Upon initial entry to CADJ, the individuals will be required to complete biometric enrollment, if so directed.
TO: (SQ/CC) TYPE OR PRINT NAME AND GRADE
Signature
DATE (DDMMMYY)
Per ACI 3203.15A, Enclosure 2, para. I.a., I authorize the above listed individuals access to CADJ. They must be escorted by a military member at all times while on the base. Please facilitate the entry and exit of these individuals during this period.
BASE ACCESS REQUEST
Sponsor Name:
Phone #:
Email:
Organization:
Contract Number:
Request Number:
No.
Name
ID #
DOB
DDMMMYY
ADDITIONAL NOTES
Bio-Enrollment
Required
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