6.0 Attachment 06 - Example of a Certificate of Destruction.doc

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Attached to
SP450022R0011 Oklahoma City HW Removal and Disposal
Solicitation number
SP450022R0011
Issued by

About this file

This solicitation is for a hazardous waste removal and disposal contract. The Defense Logistics Agency is seeking a contractor to remove, transport, and dispose of various hazardous wastes located within a 50-mile radius of Oklahoma and Arkansas military installations over a 30-month base period and a subsequent 30-month option period. Work will involve RCRA hazardous wastes, non-RCRA wastes, state-regulated wastes, universal wastes, compressed gases, and PCBs. The contractor must be capable of performing all required services in accordance with applicable laws and regulations and must provide certificates of destruction documenting proper treatment and disposal of wastes rendered unusable.

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Text version

SP4500-22-R-0011

OklahomaCity HW

Disposal Facility Name

Address

Contact Information

CERTIFICATE OF DESTRUCTION

Certificate No.:

Pickup Date:

Task Order #:

Date Received:

Manifest Number:

CLIN#

Treatment Disposal Date

Method

I certify, to the best of my knowledge, the above listed items were treated/disposed of as indicated in accordance with applicable laws and regulations at this permitted treatment, storage and disposal facility and have been rendered unusable and unrecoverable.

Print Name

Signature

Date

Print Title

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