2. AF Form 66.pdf
Air Force Form PDF 107 KB Posted
- Solicitation number
- FA461325R0002
About this file
This is an AF Form 66 Schedule of Material Submittals form for a project to replace UST spill buckets at locations M-02, O-04, O-09, and O-10 (Project GHLN 25-0240). The form details 26 required submittals with their corresponding submission requirements and deadlines.
Key submittals include EAL Documentation Safety Requirements (due when NTP is issued), various permits including AF Form 103-Dig Permit and AF Form 592-Burn Permit (due 3-14 days prior to site NTP), Safety Plan and Material Safety Data Sheets (due 10 days after NTP), and specific equipment requirements such as OPW 1SC-3122D Spill Bucket, Man-way Sump OPW 44CD-PL10, and TLS 350/450 Prob/Sensor Card (all due 10 days after NTP). The form also requires various construction materials submittals including backfill material, asphalt mix formula, concrete specifications, and paint striping details. Final documentation requirements include warranties, as-built drawings, and operations/maintenance documents, which are due 30 days prior to Delivery Order close-out.
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Text version
PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LI
N
E N
U M
B
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ITEM OR DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE OF
SUBMITTAL
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REMARKS
APPROVED DISAPPROVED
1 EAL Documentation Safety Requirements
1 When NTP is issued SOW SECURITY REQUIREMENTS
2 Tempory blocked access 1 21 days prior to interuption
SOW SECURITY REQUIREMENTS item #11
3 AF Form 103-Dig Permit General CSI 01B
14 Days
Prior to site
NTP
SOW CSI 01, Item #9
4 AF Form 592-Burn Permit General CSI 01C
3 Days
Prior to Site
NTP
SOW CSI 01, Item #10
All Permits (Local, State and Federal) NPDES, ROW, or Other
3 Days
Prior to Site
NTP
SOW
6 Safety Plan 4 10 Days after NTP SOW CSI01, Item #13
7 Material Safety Data Sheets 4 10 Days after NTP SOW CSI 01, Items #2-4
Land Owner Release/Agreement (If Required)
3 Days
Prior to Site
NTP
If required per the scope of work ; SOW SECURITY REQUIREMENTS , items #9
9 Hazardous Materials 4 10 Days after NTP SOW CSI 01, Item #12-14
10 Warranties 2 30 Days
Prior to DO Close Out
SOW CSI 01, Items #2, 19
11 Storage Plan (If Required) 4 10 Days after NTP SOW
12 Project Schedule 4 10 Days after NTP SOW CSI 01, Items #2, 19
13 As-Built Drawings For Each Site General
30 Days
Prior to DO Close Out
SOW CSI 01, items 17-18
14 Testing Documentation General
30 Days
Prior to DO Close Out
SOW
Concrete - Type, PSI, Ration, Air
10 Days after
NTP
SOW
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
Replace UST Spill Buckets M-02, O-04, O-09, and O-10
GHLN 25-0240
PROJECT TITLE
PROJECT NUMBER SOLICITATION/CONTRACT NUMBER
SCHEDULE OF MATERIAL SUBMITTALS
TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED
LI
N
E N
U M
B
ER
ITEM OR DESCRIPTION OF ITEM,
CONTRACT REFERENCE, TYPE OF
SUBMITTAL
C
ER
TI
FI
C A
TI
O
N O
F C
O M
PL
IA
N C
E
SH
O
P D
R A
W
IN
G S
SA
M
PL
ES
C O
LO
R
S
EL
EC
TI
O N
M A
N U
FA
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TU
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M
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U R
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D A
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FO
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O W
-U P
DATE CONTRACTOR NOTIFIED
C O
N
TR
A C
TO
ES
U
B M
IT
TA
L
FI
N
A L
A
PP
R O
VA
L
REMARKS
APPROVED DISAPPROVED
16 Spill Bucket - OPW 1SC-3122D 2 2 2 10 Days after NTP
SOW, Drawings
17 Man-way Sump, OPW 44CD-
PL10
2 2 2 10 Days after NTP
SOW, Drawings
18 #18 AWG stranded and shielded Belden 300V wire
2 2 10 Days after NTP
SOW, Drawings
19 PVC Coated Conduit 2 2 10 Days after NTP
SOW, Drawings
20 Prob/Sensor Card - TLS 350/450
2 2 2 2 10 Days after NTP
SOW, Drawings
21 NEMA Weatherproof Enclosure
2 2 2 10 Days after NTP
SOW, Drawings
22 Backfill Material 4 10 Days after NTP
SOW, Drawings
23 Asphalt - Job Mix Formula 4 10 Days after NTP
SOW, Drawings
24 Flowable Mix Concrete (If used)
4 10 Days after NTP
SOW, Drawings
25 Paint Striping 4 10 Days after NTP
SOW, Drawings
26 Operations and Maintenance Docs
30 days prior to DO Close Out
SOW, Drawings
AF Form 66, OCT 89 PREVIOUS EDITION WILL BE USED See Specifications for Frequency
Replace UST Spill Buckets M-02, O-04, O-09, and O-10
GHLN 25-0240
PROJECT TITLE
| Form 66 (GHLN 25-0240 pg 1) |
| Sheet 1 |
| Form 66 (GHLN 25-0240 pg 2) |
| Sheet 1 |
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