36E77619R0091-006.pdf
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- Attached to
- Abate Asbestos Crawlspace 523-19-123 Federal contract opportunity
- Solicitation number
- 36E77619R0091
About this file
This document outlines requirements for asbestos abatement documentation related to federal contract 36E77619R0091. The Department of Veterans Affairs Headquarters seeks abatement of asbestos crawlspace 523-19-123. Required documentation includes delineation of abatement areas, methods, materials removed, permits, licenses, notifications, waste records, descriptions of controls, inspection reports, and clearance documentation. Upon completion, revised drawings and a record of response action must be submitted.
36E77619R0091 ATTACHMENT 5 - VABHS ACM Abatement Documention Checklist.pdf
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Text version
VABHS ACM Abatement Documentation Checklist
Delineated abatement area (Building, Room, Area)
Method of abatement
Type of asbestos removed
Amount of asbestos removed
PO number
Manifest number
Start date and completion date of activity
Asbestos abatement contractor's name
Copy of asbestos abatement contractor’s license
Copy of asbestos abatement worker’s licenses
Copy of asbestos abatement supervisor’s log
Copies of regulatory notifications
Waste shipment records, including asbestos waste manifests
Service/Work Order Authorization documentation.
Written descriptions of engineering controls, work practice controls and personal protective equipment (PPE) implemented during asbestos abatement activities.
Written descriptions of site visits to observe and evaluate work practices implemented during asbestos work activities.
ACM removal documentation (e.g., work specifications, abatement designs, asbestos-containing material removal permits, final inspection reports, clearance air sampling data, and laboratory analytical results for all clearance air samples collected).
Revised PDF Drawings and Summary Tables to indicate areas that have been abated.
Record of Response Action – see Appendix A for sample form.
Signature__________________________ Date Completed__________
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