5.0 Attachment 05 - Example of a Certificate of Recycling.docx

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SP450022R0002: AEC HAZARDOUS WASTE REMOVAL DISPOSAL AND MANAGEMENT SERVICES AT BARSTOW
Solicitation number
SP450022R0002
Issued by

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This document provides an example of a Certificate of Recycling for hazardous waste removal and disposal services. The certificate verifies that a company has completed the recycling of hazardous waste generated by a federal agency under a Defense Logistics Agency contract. It requires the signature of a company officer, as well as details of the generator, contract line item number, manifest number, and weight of waste recycled.

The related federal contract opportunity is solicitation number SP450022R0002 for hazardous waste removal, disposal, and management services at Barstow. Work will consist of removing, transporting, and disposing of RCRA hazardous wastes, non-RCRA wastes, state-regulated wastes, universal wastes, compressed gases, and PCBs located within 50 miles of military installations in California and Nevada. The Defense Logistics Agency is the contracting agency.

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RFP No. SP4430-06-R-0001

SP4500-21-R-0014

Barstow / China Lake HW

ATTACHMENT 05

Example of a Certificate of Recycling

CERTIFICATE OF RECYCLING

Contract Number:

Company Name:

EPA I.D. Number:

Delivery Order Number:

Date:

This document is to certify that
(Company Name)
has completed the

recycling of your hazardous waste.

Under civil and criminal penalties of law for the making or submission of false or fraudulent statement or representations (18 U.S.C. 1001 and 15 U.S. C. 2615), I certify that the information contained in or accompanying this document is true, accurate, and complete.

I certify as the company official having supervisory responsibility for the persons who acting under my direct instruction made the verification that this information is true, accurate, and complete.

Company Officer’s Signature

Date

Title

Generator:

CLIN:

Manifest Number(s):

Weight:

Approved by:

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