Get Property Survey Report Dgs Form

STATE OF CALIFORNIA RETURN TO PROPERTY SURVEY REPORT REPORTING DEPARTMENT/AGENCY AGENCY DOCUMENT DGS DOCUMENT NUMBER ADDRESS LOCATION OF PROPERTY BILLING CODE CITY ZIP CODE DATE TELEPHONE NUMBER PAGE STD. 152 REV. 6/2009 Record as of disposition data lost stolen or destroyed property record as of the date such determination was made. Authority is requested to dispose of the following State Property. Identify chosen disposition code number here ITEM DETAILED DESCRIPTION MODEL YEAR / MANUFACTURER / MAKE SERIAL NUMBER CONTACT PERSON E-MAIL ADDRESS QUANTITY DELIVERED STATE IDENTIFICATION TAG NUMBER 1 YEAR PURCHASED ORIGINAL COST IF KNOWN PRESENT CONDITION CODE TRADE-IN PRICE OFFERED 2 PRICE RECEIVED RECEIPT NUMBER 1 PROPERTY TAG NUMBER OR E NUMBER FOR VEHICLE 2 DO NOT OBTAIN BIDS ON TRADE-INS* ESTIMATE PRICE OFFERED 3 AMOUNT ALLOWED IF TRADED IN OR SOLD PRESENT CONDITION CODES E EXCELLENT OR NEW N NON WORKING G GOOD F FAIR P POOR J JUNK OR BROKEN O OTHER EXPLAIN DISPOSITION CODES IF LOST STOLEN OR DESTROYED DGS REVIEW IS NOT REQUIRED EXPLANATION REASONS FOR PROPOSED DISPOSITION OF EACH ITEM TRADE-IN SHOW TRADE-IN PRICE OFFERED SALE SEE SAM SECTION 3520 VALUELESS UNABLE TO BE RECYCLED TO BE LEGALLY/SAFELY DISPOSED OF LOST STOLEN OR DESTROYED REFER TO SAM SECTION 8643 FOR INSTRUCTIONS TO BE CANABALIZED SALVAGED FOR PARTS SHIPPED TO SCRAP / SALVAGE DEALER TO BE RECYCLED NOTE FOR E-WASTE USE 10 DONATION TO AN ELIGIBLE PUBLIC SCHOOL PUBLIC SCHOOL DISTRICT OR ELIGIBLE ORGANIZATION SEE SAM SECTION 3520. 5 8. SHIP TO PROPERTY REUSE PROGRAM NO POOR OR JUNK MATERIAL 9. DONATION OF COMPUTERS FOR SCHOOLS PROGRAM 10. UNIVERSAL WASTE SALVAGE DEALER RECYCLER E-WASTE DO NOT DISPOSE OF ANY ELECTRONIC EQUIPMENT IN A LANDFILL Donations made to a non-profit organization must be from the Surplus Property County Listings. For appointments to deliver property to the Property Reuse Program call 916 928-5813 Sacramento. APPROVED BY PROPERTY DISPOSITION BOARD FOR DGS REVIEW TRANSMIT TO The above statements regarding state property are true and correct culpable negligence check appropriate box was REVIEWED BY DEPT. OF GENERAL SERVICES CERTIFICATION OF DISPOSITION A minimum of two approving names required The above described property was disposed of as follows was not involved in loss theft or damage the disposition proposed is best for the public intrest. NAME SIGNATURE MUST BE ON FILE WITH AGENCY FOR ALL VEHICLES AND/OR MOBILE EQUIPMENT SEND TO Department of General Services Office of Fleet and Asset Managment 1700 National Drive Sacramento CA 95834 DISPOSAL DATE MM/DD/YYYY NAME Officer Supervising Disposal of the Property APPROVAL TITLE State Agency for Surplus Property 916 928-5800. 152 REV. 6/2009 Record as of disposition data lost stolen or destroyed property record as of the date such determination was made. Authority is requested to dispose of the following State Property. Identify chosen disposition code number here ITEM DETAILED DESCRIPTION MODEL YEAR / MANUFACTURER / MAKE SERIAL NUMBER CONTACT PERSON E-MAIL ADDRESS QUANTITY DELIVERED STATE IDENTIFICATION TAG NUMBER 1 YEAR PURCHASED ORIGINAL COST IF KNOWN PRESENT CONDITION CODE TRADE-IN PRICE OFFERED 2 PRICE RECEIVED RECEIPT NUMBER 1 PROPERTY TAG NUMBER OR E NUMBER FOR VEHICLE 2 DO NOT OBTAIN BIDS ON TRADE-INS* ESTIMATE PRICE OFFERED 3 AMOUNT ALLOWED IF TRADED IN OR SOLD PRESENT CONDITION CODES E EXCELLENT OR NEW N NON WORKING G GOOD F FAIR P POOR J JUNK OR BROKEN O OTHER EXPLAIN DISPOSITION CODES IF LOST STOLEN OR DESTROYED DGS REVIEW IS NOT REQUIRED EXPLANATION REASONS FOR PROPOSED DISPOSITION OF EACH ITEM TRADE-IN SHOW TRADE-IN PRICE OFFERED SALE SEE SAM SECTION 3520 VALUELESS UNABLE TO BE RECYCLED TO BE LEGALLY/SAFELY DISPOSED OF LOST STOLEN OR DESTROYED REFER TO SAM SECTION 8643 FOR INSTRUCTIONS TO BE CANABALIZED SALVAGED FOR PARTS SHIPPED TO SCRAP / SALVAGE DEALER TO BE RECYCLED NOTE FOR E-WASTE USE 10 DONATION TO AN ELIGIBLE PUBLIC SCHOOL PUBLIC SCHOOL DISTRICT OR ELIGIBLE ORGANIZATION SEE SAM SECTION 3520.