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Section J Attachment 10 - GSA Form 139

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A PDF document (1015 KB) attached to AMENDMENT 0003 Sol 70FBR427R00000001 Level II Armed Guard Security Services, from the Federal Emergency Management Agency. Due Nov 4, 2026, 2:30 PM (UTC-5).

File name: Section_J_Attachment 10 - GSA Form 139.pdf

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RECORD OF TIME OF ARRIVAL AND DEPARTURE

FROM BUILDINGS (DURING SECURITY HOURS)

DATE

(a)

PRINT NAME

(Last - First - Initial)
(b)

SIGNATURE

(c)

BUILDING

AGENCY OR FIRM

(d)

YEAR

MONTH

SEE

ROOM

PURPOSE OF VISIT FOOTNOTE*

NUMBER

(f)
(g)
(e)

TIME OF

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GENERAL SERVICES ADMINISTRATION

(Continue on reverse)

GSA 139 (REV. 12/2006)

DATE

(a)

PRINT NAME

(Last - First - Initial)
(b)

SIGNATURE

(c)

AGENCY OR FIRM

(d)

SEE

ROOM

PURPOSE OF VISIT FOOTNOTE*

NUMBER

(f)
(g)
(e)

TIME OF

ARRIVAL

(h)

DEPARTURE

(i)

* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.

GSA 139 (REV. 12/2006) BACK

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