Attachment_05_-_LC-045_Form_E_WasteDiversionTable.pdf

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MOD/MODE/US BYPASS CANAL REPAIRS
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140RR027R0009
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About this file

This document is a Waste Diversion Table template (Form E) used to track and report waste management activities for federal construction or demolition projects.

The form requires project-specific information including the project name/title, contact person, and phone number. It provides a structured table with columns for documenting each waste stream generated during a project. Required data fields include: waste name/description, total quantity of waste generated with unit of measurement (lbs, gallons, tons, or cubic feet), quantity of waste recycled or reused with corresponding unit, date waste was disposed (DD/MM/YYYY format), date waste was recycled/reused (DD/MM/YYYY format), and a description of the material's disposition or diversion method. The form allows multiple waste materials to be recorded in separate rows and is designed to demonstrate waste diversion efforts and compliance with federal sustainability or environmental requirements. The document is identified as LC-042, Document No. SEMS-F004, Revision 5, dated December 24, 2015.

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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/ton/cf)

Quantity of Waste Recycled/Reused1

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.

File details come from the government source that posted it. Updated .