1. PLANT CLEARANCE CASE NO.
2. DATE (YYYYMMDD)
DISPOSAL DETERMINATION APPROVAL
4. INVENTORY SCHEDULE
3. TYPE OF CONTRACT (X one)
5. TYPE OF INVENTORY (X one)
NO. (Attach copy)
a. FIXED PRICE
d. LEASE
a. TERMINATION
d. EXCESS GFP
b. COST TYPE
e. BAILMENT
b. RESIDUAL TO CONTRACT
e. PRODUCTION EQUIPMENT
c. FACILITY
c. CHANGE ORDER
6.a. NAME OF PRIME CONTRACTOR
7.a. NAME OF SUBCONTRACTOR
b. ADDRESS OF PRIME CONTRACTOR (Include ZIP code)
b. ADDRESS OF SUBCONTRACTOR (Include ZIP code)
c. PROCUREMENT INSTRUMENT ID NUMBER
c. SUBCONTRACT NUMBER
8. DISPOSAL RATIONALE CODES (Select alpha and numeric codes that apply and insert in the "Code(s)" column below.)
CATEGORY C
CATEGORY A
CATEGORY B
Rationale For Sale Without Competitive Bids
Rationale For Scrap or Salvage
Rationale For Abandonment
(Enter sale price)
1. Beyond economical repair/estimated cost
1. No commercial value.
1. Sale price equals (or exceeds) current
of repair in excess of 65% of acquisition.
market value.
2. Donation is not feasible.
2. Without value except for basic content.
2. Sale price is fair and reasonable based on
3. Estimated cost of continued care and
(a) test of market or (b) recent sale price of
3. Obsolete.
handling exceeds estimated proceeds of sale.
similar property.
4. Specialized design.
4. Offered for sale and no bids received.
3. Sale price equals (or exceeds) that which
could be realized through competitive sale,
5. Incomplete condition.
5. Value so little and cost of continued care
cost of sale, and/or additional storage costs;
and handling so great advertising for sale not
would more than offset any potential
6. No reasonable prospect of sale or use as
justified.
increased return.
serviceable property without major repairs
or alterations.
6. Abandonment required by considerations of
4. Other
(Specify).
health, safety, or security.
7. Other
(Specify).
7. Other
(Specify).
CATEGORY D
Other Disposal Action(s) Requiring
Documentation
(Attach rationale)
CODE(S)
ITEM NUMBER(S)
ACQUISITION COST
CODE(S)
ITEM NUMBER(S)
ACQUISITION COST
a.
b.
c.
a.
b.
c.
d. SUBTOTAL (This column)
d. SUBTOTAL (This column)
$0.00
$0.00
e. TOTAL COST
$0.00
10. REVIEW BOARD CHAIRMAN APPROVAL (If required)
9. PLANT CLEARANCE OFFICER
a. TYPED NAME (Last, First, Middle Initial)
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
b. SIGNATURE
c. DATE SIGNED (YYYYMMDD)
DD FORM 1641, APR 2000
PREVIOUS EDITION MAY BE USED.
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