4.2 Facility Experience Questionnaire (Q-16PW).xlsx
XLSX spreadsheet 48 KB Posted
- Solicitation number
- 63-63-KGS1057806
- Issued by
- North Carolina
About this file
The document is a Facility Experience Questionnaire (Q-16PW) template designed for documenting hazardous waste management experience, specifically targeting vendors seeking to provide services to research institutions or universities. The questionnaire requires vendors to demonstrate a minimum of five years of experience in hazardous waste collection, management, and disposal, with detailed documentation for three separate facilities. The template includes comprehensive sections for capturing client information, facility type, service dates, waste collection and transportation methods, packaging and shipping procedures, waste types managed, and on-site service frequency.
The questionnaire is structured to capture granular details about a vendor's capabilities, including specific waste management processes such as collecting waste from generation points, on-site transportation, waste consolidation, DOT and EPA compliance, manifest preparation, and waste tracking. Vendors must provide information about their experience managing different waste types including lab packs, gas cylinders, mercury lamps, bulk liquids and solids, and batteries. The form requires vendors to indicate whether they can be contacted as a reference and provides dropdown and comment fields to elaborate on their specific experiences and service methodologies.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Schedule D-2 Fluorescent Lamp RecyclingDisposal Costs (BT-36SU).xlsx | XLSX spreadsheet | |
| Schedule C Non-Radioactive Wastes Shipping and Handling Costs (BT-18FU).xlsx | XLSX spreadsheet | |
| Schedule A Operational Services Costs (BT-67BK).xlsx | XLSX spreadsheet | |
| Schedule D-1 Hazardous, Non-Hazardous Universal Waste Disposal Costs (BT-03CY).xlsx | XLSX spreadsheet | |
| KGS1057806 Addendum #2.pdf | ||
| Schedule D-3 Cylinders Additional Items (BT-14JK).xlsx | XLSX spreadsheet | |
| KGS1057806 Addendum #1.pdf | ||
| KGS1057896_Appendix 2_General Waste Profiles.pdf | ||
| KGS1057806 Hazardous & Non-Hazardous Waste Collection, Management & Removal Services.pdf | ||
| Schedule D Waste Management Facilities (BT-78KM) (1).xlsx | XLSX spreadsheet | |
| Schedule B Materials Cost (BT-58AH).xlsx | XLSX spreadsheet |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Instructions
| 4.2 Facility Experience Questionnaire (Q-16PW) |
| A minimum of five (5) years’ experience providing collection, management and disposal of hazardous waste, specifically at the stated level of service to research institutions or universities, is required. This form must be completed to report the requisite experience for three (3) facilities. It must be uploaded in the appropriate section on Bonfire. |
| Instructions |
| - The Summary worksheet displays your overall progress for the questionnaire. |
- The worksheets numbered from 1 to N represent question sets.
- For each question set, select a response from the dropdown (if applicable) and enter a response comment for each question in the table.
- If specific instructions have been provided for a given subset, they will appear as a tooltip for a purple cell. Mouse-over to review them.
- When pasting content, please use Paste Special as Text without any formatting.
- You can only submit text based responses, please do not use special characters like emojis.
- Please do not change the structure of any of the worksheets. Changing the structure will invalidate your submission.
- Any additional information outside of the given structure of the worksheets will not be visible to the purchaser.
- Please do not save this file in a different format. Saving this file in a different format will invalidate your submission.
- Please do not use Excel formulas in your responses.
- Please follow the instructions provided along with this file to submit it back to Bonfire.
- If you have any questions regarding the content of this file, please contact the appropriate purchaser.
- If you have any technical problems, please contact Bonfire at Support@GoBonfire.com.
| Additional Instructions | |
| Please answer the following questions for each facility. | |
| ad1c9e925983ea103d516f1e7fa7ff432b4fbd4499a7e6fddc1c5f9500410f9197b0a8206abaedf88e54a4c05a3f0895bac988459737f585c12fe86ff672c060RBE9kM3N6DRTn4Bqd0oYocIEcc/opK5AMw07GHtuq94gfykqmZDLt4oA9+E1GRSU |
Summary
| Summary | |||||||||||||||||||||||||||||||||||||||||||||||||
| Question Set | Questions | Hide Me | % Complete | Progress | |||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| 2 | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 0 | 0 | |||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Question Set 1: Facility 1
| # | Question | Hide Me | Response | Comment | Status | Hide Me | |
| 1468139 | 1.0.1 |
What is the Client's Name?
| - | 0 | 1 | |
| 1468166 | 1.0.2 |
What is the Client's Address?
| - | 0 | 0 | |
| 1468176 | 1.0.3 |
What type of facility?
| 0 | 1 | ||
| 1468177 | 1.0.4 |
Does the client have a RCRA TSD permit?
| 0 | 0 | ||
| 1468178 | 1.0.5 |
What were the dates of service? (Please be specific)
| - | 0 | 1 | |
| 1468179 | 1.0.6 |
Did you collect waste from points of generation (individual labs, shops, etc.) at this facility?
| 0 | 0 | ||
| 1468180 | 1.0.7 |
Did you provide on-site transportation (vehicle transport to central accumulation area)?
| 0 | 1 | ||
| 1468181 | 1.0.8 |
Did you transport between non-contiguous Client facilities?
| 0 | 0 | ||
| 1468182 | 1.0.9 |
Did you consolidate (pour or otherwise transfer contents of primary containers)?
| 0 | 1 | ||
| 1468183 | 1.0.10 |
Did you package waste in accordance with DOT and EPA requirements, including container selection, marking, and labeling?
| 0 | 0 | ||
| 1468257 | 1.0.11 |
Did you ship waste for off-site treatment or disposal (prepare manifest and related forms, load, placard)?
| 0 | 1 | ||
| 1468258 | 1.0.12 |
Did you manage daily waste identification and tracking information using clients information management system?
If yes, indicate select the type of system client provides that vendor maintains.
| 0 | 0 | ||
| 1468321 | 1.0.13 |
What types of facility management services did you provide?
| 0 | 1 | ||
| 1468322 | 1.0.14 |
What types of wastes did you manage?
| 0 | 0 | ||
| 1468323 | 1.0.15 |
How many days were you on-site per week?
| - | 0 | 1 | |
| 1468324 | 1.0.16 |
May we contact the client as a reference?
| 0 | 0 | |||
| -1 | 0 | 0 |
Question Set 2: Facility 2
| # | Question | Hide Me | Response | Comment | Status | Hide Me | |
| 1470248 | 2.0.1 |
What is the Client's Name?
| - | 0 | 1 | |
| 1470249 | 2.0.2 |
What is the Client's Address?
| - | 0 | 0 | |
| 1470250 | 2.0.3 |
What type of facility?
| 0 | 1 | ||
| 1470251 | 2.0.4 |
Does the client have a RCRA TSD permit?
| 0 | 0 | ||
| 1470252 | 2.0.5 |
What were the dates of service? (Please be specific)
| - | 0 | 1 | |
| 1470253 | 2.0.6 |
Did you collect waste from points of generation (individual labs, shops, etc.) at this facility?
| 0 | 0 | ||
| 1470254 | 2.0.7 |
Did you provide on-site transportation (vehicle transport to central accumulation area)?
| 0 | 1 | ||
| 1470255 | 2.0.8 |
Did you transport between non-contiguous Client facilities?
| 0 | 0 | ||
| 1470256 | 2.0.9 |
Did you consolidate (pour or otherwise transfer contents of primary containers)?
| 0 | 1 | ||
| 1470257 | 2.0.10 |
Did you package waste in accordance with DOT and EPA requirements, including container selection, marking, and labeling?
| 0 | 0 | ||
| 1470258 | 2.0.11 |
Did you ship waste for off-site treatment or disposal (prepare manifest and related forms, load, placard)?
| 0 | 1 | ||
| 1470259 | 2.0.12 |
Did you manage daily waste identification and tracking information using clients information management system?
If yes, indicate select the type of system client provides that vendor maintains.
| 0 | 0 | ||
| 1470260 | 2.0.13 |
What types of facility management services did you provide?
| 0 | 1 | ||
| 1470261 | 2.0.14 |
What types of wastes did you manage?
| 0 | 0 | ||
| 1470262 | 2.0.15 |
How many days were you on-site per week?
| - | 0 | 1 | |
| 1470263 | 2.0.16 |
May we contact the client as a reference?
| 0 | 0 | |||
| -1 | 0 | 0 |
Question Set 3: Facility 3
| # | Question | Hide Me | Response | Comment | Status | Hide Me | |
| 1470265 | 3.0.1 |
What is the Client's Name?
| - | 0 | 1 | |
| 1470266 | 3.0.2 |
What is the Client's Address?
| - | 0 | 0 | |
| 1470267 | 3.0.3 |
What type of facility?
| 0 | 1 | ||
| 1470268 | 3.0.4 |
Does the client have a RCRA TSD permit?
| 0 | 0 | ||
| 1470269 | 3.0.5 |
What were the dates of service? (Please be specific)
| - | 0 | 1 | |
| 1470270 | 3.0.6 |
Did you collect waste from points of generation (individual labs, shops, etc.) at this facility?
| 0 | 0 | ||
| 1470271 | 3.0.7 |
Did you provide on-site transportation (vehicle transport to central accumulation area)?
| 0 | 1 | ||
| 1470272 | 3.0.8 |
Did you transport between non-contiguous Client facilities?
| 0 | 0 | ||
| 1470273 | 3.0.9 |
Did you consolidate (pour or otherwise transfer contents of primary containers)?
| 0 | 1 | ||
| 1470274 | 3.0.10 |
Did you package waste in accordance with DOT and EPA requirements, including container selection, marking, and labeling?
| 0 | 0 | ||
| 1470275 | 3.0.11 |
Did you ship waste for off-site treatment or disposal (prepare manifest and related forms, load, placard)?
| 0 | 1 | ||
| 1470276 | 3.0.12 |
Did you manage daily waste identification and tracking information using clients information management system?
If yes, indicate select the type of system client provides that vendor maintains.
| 0 | 0 | ||
| 1470277 | 3.0.13 |
What types of facility management services did you provide?
| 0 | 1 | ||
| 1470278 | 3.0.14 |
What types of wastes did you manage?
| 0 | 0 | ||
| 1470279 | 3.0.15 |
How many days were you on-site per week?
| - | 0 | 1 | |
| 1470280 | 3.0.16 |
May we contact the client as a reference?
| 0 | 0 | |||
| -1 | 0 | 0 |
Response Options (hidden)
| University | 0 | 0 | Yes | 0 | 0 | No | 0 | 0 | Inspection (containers and/or secondary containment and/or general security). | 0 | 0 | A. Labpack | 0 | 0 | Yes (Please provide the client contact name & phone number/email address) | 0 | 0 |
| Research & Development | 0 | 0 | No | 0 | 0 | Client’s system is paper only. | 0 | 0 | Housekeeping (basic cleaning of waste storage areas and/or spill cleanup). | 0 | 0 | B. Gas Cylinders | 0 | 0 | No | 0 | 0 |
| Other (please specify) | 0 | 0 | Yes, No | Client has own tracking/management software. | 0 | 0 | Both | 0 | 0 | C. Mercury Lamps | 0 | 0 | Yes (Please provide the client contact name & phone number/email address), No | ||||
| University, Research & Development, Other (please specify) | Client uses vendor’s tracking/management software. | 0 | 0 | N/A | 0 | 0 | D. “Bulk” liquids (5-55 gallon drums) | 0 | 0 | ||||||||
| No, Client’s system is paper only., Client has own tracking/management software., Client uses vendor’s tracking/management software. | Inspection (containers and/or secondary containment and/or general security)., Housekeeping (basic cleaning of waste storage areas and/or spill cleanup)., Both, N/A | E. “Bulk” solids (5-55 gallon drums) | 0 | 0 | |||||||||||||
| F. Batteries | 0 | 0 | |||||||||||||||
| All of the Above | 0 | 0 | |||||||||||||||
| Other (please specify indicating "A-F") | 0 | 0 | |||||||||||||||
| A. Labpack, B. Gas Cylinders, C. Mercury Lamps, D. “Bulk” liquids (5-55 gallon drums), E. “Bulk” solids (5-55 gallon drums), F. Batteries, All of the Above, Other (please specify indicating "A-F") |
7c0f8792020055bf77a8faf40fba3bc1.jpg
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .