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Firewood Bank Grant Equipment Records Sheet
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1. Date
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2. Project Title (Name of Firewood Bank)
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3. Grant ProgramThe Alliance for Green Heat: Firewood Bank Assistance Program
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4. Description of equipment
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Type of equipment (processor, conveyor, splitter etc.)
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Manufacturer and Model (i.e. Timber Wolf 18 ton splitter)
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Serial Number (or other identification number)
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5. Cost $shipping$Total Cost$
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6. Acquisition date or date equipment was received (dd/mo/yyyy)
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7. Federal Interest Share: List the percentage of the USDA Forest Service contribution toward the equipment purchase.%
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8. Location of equipment: (address, city, state, zip)
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9. Describe the condition of equipment
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10. Describe the maintenance planned to keep the equipment in good condition.
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11. Describe what steps have been taken to ensure equipment is not lost, stolen or vandalized.
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12. Contact of Person Filling Out This Form
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A. Name
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B. Title/Role
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C. Email
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D. Phone
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