A5,_Form_E,_1_page.pdf

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Attached to
Canal Lining Repair and Replacement, IDIQ; Yuma, A Federal contract opportunity
Solicitation number
140R3019B0002
Issued by
Department of the Interior Bureau of Reclamation

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Attachment 5 Form E Waste Diversion Table

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Text version

LC-042

Document No.: SEMS-F004 Revision No.: 5 Document Date: 12/24/2015

FORM E

Waste Diversion Table

Project Name or Title: ______________________________________________ Contact:____________ Phone______________ Waste Name/description (One Waste Material per Row)

Total Quantity of Waste Generated

Unit (lbs/ gal/to n/cf)

Quantity of Waste Recycled/Reus ed1

Unit (lbs/gal /ton/cf)

Date Waste Disposed

(DD/MM/YYYY)

Date Waste Recycled/Reuse

(DD/MM/YYYY)

Description of the Disposition/Diversion of Material

1 Quantity of Waste Recycled/Reused – The amount of material/waste that is recycled or re-used.

140R3019B0002 Attachment (5)

A6, Form E-Waste Diversion Table, 2 pages

Project Name or Title:
Contact:
Phone:
Waste Namedescription One Waste Material per RowRow1:
Total Quantity of Waste GeneratedRow1:
Unit lbs galto ncfRow1:
Quantity of Waste RecycledReus ed1Row1:
Unit lbsgal toncfRow1:
Date Waste Disposed DDMMYYYYRow1:
Date Waste RecycledReuse DDMMYYYYRow1:
Description of the DispositionDiversion of MaterialRow1:
Waste Namedescription One Waste Material per RowRow2:
Total Quantity of Waste GeneratedRow2:
Unit lbs galto ncfRow2:
Quantity of Waste RecycledReus ed1Row2:
Unit lbsgal toncfRow2:
Date Waste Disposed DDMMYYYYRow2:
Date Waste RecycledReuse DDMMYYYYRow2:
Description of the DispositionDiversion of MaterialRow2:
Waste Namedescription One Waste Material per RowRow3:
Total Quantity of Waste GeneratedRow3:
Unit lbs galto ncfRow3:
Quantity of Waste RecycledReus ed1Row3:
Unit lbsgal toncfRow3:
Date Waste Disposed DDMMYYYYRow3:
Date Waste RecycledReuse DDMMYYYYRow3:
Description of the DispositionDiversion of MaterialRow3:
Waste Namedescription One Waste Material per RowRow4:
Total Quantity of Waste GeneratedRow4:
Unit lbs galto ncfRow4:
Quantity of Waste RecycledReus ed1Row4:
Unit lbsgal toncfRow4:
Date Waste Disposed DDMMYYYYRow4:
Date Waste RecycledReuse DDMMYYYYRow4:
Description of the DispositionDiversion of MaterialRow4:
Waste Namedescription One Waste Material per RowRow5:
Total Quantity of Waste GeneratedRow5:
Unit lbs galto ncfRow5:
Quantity of Waste RecycledReus ed1Row5:
Unit lbsgal toncfRow5:
Date Waste Disposed DDMMYYYYRow5:
Date Waste RecycledReuse DDMMYYYYRow5:
Description of the DispositionDiversion of MaterialRow5:
Waste Namedescription One Waste Material per RowRow6:
Total Quantity of Waste GeneratedRow6:
Unit lbs galto ncfRow6:
Quantity of Waste RecycledReus ed1Row6:
Unit lbsgal toncfRow6:
Date Waste Disposed DDMMYYYYRow6:
Date Waste RecycledReuse DDMMYYYYRow6:
Description of the DispositionDiversion of MaterialRow6:
Waste Namedescription One Waste Material per RowRow7:
Total Quantity of Waste GeneratedRow7:
Unit lbs galto ncfRow7:
Quantity of Waste RecycledReus ed1Row7:
Unit lbsgal toncfRow7:
Date Waste Disposed DDMMYYYYRow7:
Date Waste RecycledReuse DDMMYYYYRow7:
Description of the DispositionDiversion of MaterialRow7:
Waste Namedescription One Waste Material per RowRow8:
Total Quantity of Waste GeneratedRow8:
Unit lbs galto ncfRow8:
Quantity of Waste RecycledReus ed1Row8:
Unit lbsgal toncfRow8:
Date Waste Disposed DDMMYYYYRow8:
Date Waste RecycledReuse DDMMYYYYRow8:
Description of the DispositionDiversion of MaterialRow8:
Waste Namedescription One Waste Material per RowRow9:
Total Quantity of Waste GeneratedRow9:
Unit lbs galto ncfRow9:
Quantity of Waste RecycledReus ed1Row9:
Unit lbsgal toncfRow9:
Date Waste Disposed DDMMYYYYRow9:
Date Waste RecycledReuse DDMMYYYYRow9:
Description of the DispositionDiversion of MaterialRow9:

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