Appendix D - Response Facility Information.docx

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Attached to
Region 3 HAZMAT Removal and Disposal Services
Solicitation number
15DDHQ20R00000014
Issued by

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This document contains information on response facilities, transfer stations, and disposal facilities for hazardous material removal and disposal services. The contractor must list all locations from which response personnel and equipment will be stationed, including street address, city, state, zip code, EPA ID number, DOT transporter number, and GPS coordinates. Transfer station information for up to two transporters, including name, address, and permit numbers, must also be provided. Finally, the contractor must list up to two EPA/state-approved disposal facilities for final disposal, with name, address, permit numbers, and GPS coordinates for each, as well as applicable final disposal methods.

The related federal contract opportunity is a request for proposals for chemical and hazardous waste collection, transportation, disposal, and destruction services for Region 3 of the United States, covering 12 states split into four areas. Three areas are unrestricted while one set-aside for small businesses covers Ohio and Michigan. The Department of Justice Drug Enforcement Administration will award one or more IDIQ contracts for these services in accordance with the terms and conditions of the solicitation.

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Appendix D Contract Service Area: _____________

RESPONSE FACILITY INFORMATION

Contractor shall list all locations from which response personnel and/or response equipment will be stationed. (Use additional sheets as necessary.)

Contractor / Sub-contractor: (Circle One) Street:

City/State/ZIP:

EPA ID Number: _______________________________________ DOT Transporter Number: _______________________________________ GPS Coordinates: (If available) Longitude____________ Latitude____________

24/7 Emergency Telephone Number:

Number of response personnel and vehicle:

Personnel ( ) Vehicle(s) ( )

TRANSFER FACILITY/TRANSFER STATION INFORMATION

Contractor shall list all locations that will be used as transfer facilities/transfer stations, if not listed as a Response Facility. (Use additional sheets as necessary.)

Transporter 1: ___________________________________ Street:

City/State/ZIP: ___________________________________ EPA ID Number: ________________________________________ DOT Transporter Number: ________________________________________ GPS Coordinates: (If available) Longitude____________ Latitude_____________

Transporter 2: ___________________________________ Street:

City/State/ZIP: ___________________________________ EPA ID Number: ________________________________________ DOT Transporter Number: ________________________________________ GPS Coordinates: (If available) Longitude____________ Latitude_____________

EPA/STATE DISPOSAL FACILITY

Contractor shall list all disposal facilities where final disposal will occur. (Use additional sheets as necessary.)

Disposal Facility:

Street:

City/State/ZIP: _____________________________________ EPA ID Number: _______________________________________ Part B Permit Number: _______________________________________ GPS Coordinates:

Longitude_____________ Latitude___________

Indicate applicable disposal method provided by the Disposal Facility
Final Disposal Method:_______________________

Final Disposal Method:_______________________

Disposal Facility:

Street:

City/State/ZIP: _____________________________________ EPA ID Number: _______________________________________ Part B Permit Number: _______________________________________ GPS Coordinates:

Longitude_____________ Latitude___________

Indicate applicable disposal method provided by the Disposal Facility
Final Disposal Method:_____________________

Final Disposal Method:_______________________

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