8 Appendix H.pdf

Version:CFAYEN201709 Environmental Protection Plan

Environmental Protection Plan (EPP)

Project Name

Contract #

Contractor Name

FEAD Project Manager and Phone #

Date Prepared or Revised

Version

Date of Project Commencement

Date of Project Completion

Section 1. General Overview and Purpose

1-1. Project and Site Information (Describe the site and the work to be performed at the site.)

*Attach a map showing the site location to the end of the EPP. The map should point out where each type of work will be performed. It should also point out where hazardous waste, asbestos wastes, solid waste, and recyclables will be stored.

1-2. Environmental Manager

Name: Telephone #: Email Address:

1-3. Environmental Manager Duties (List the duties and the level authority assigned to the environmental manager.)

1.

2.

*Attach a letter, signed by an officer of the firm, appointing the Environmental Manager and stating that he/she is responsible for managing and implementing the Environmental Program as described in this contract, to the end of the EPP. Include the Environmental Manager's responsibility in this letter to ensure environmental compliance.

1-4. Environmental Manager Training (List the training classes/courses the Environmental Manager has taken.)

1.

2.

*Attach training records/certificates to the end of the EPP.

1-5. Training Methods (Describe the communication and training procedures that the Environmental Manager will use to convey environmental requirements to contractor employees and subcontractors.)

1-6. Employee-training Records (List the employee training records that are available for review.)

Appendix H Attachment 1 to Solicitation No. FA520920Q0026

Page 17-1 of 17

Project Name

Contract #

1.

2.

*Attach training records/certificates to the end of the EPP.

Section 2. Management of Natural Resources Not Applicable

2-1. Describe the methods that you will use to protect natural resources on the site. Provide measures for all types of natural resources, including: land resources and landscape features, trees, stream crossings, fish and wildlife resources, drainages, and wetland areas.

1.

2.

3.

Section 3. Protection of Historical and Archaeological Resources Not Applicable

3-1. Describe the methods you will use to protect of historical and/or archeological resources on the site.

1.

2.

Section 4. Air Emissions/Ozone-Depleting Substances (ODS) Not Applicable

4-1. Does the project include removal of any refrigerants containing Ozone Depleting Substance (ODS) listed in Japan Environmental Governing Standards (JEGS) Table C2.T1.?

Yes No

4-2. Describe disposal methods for removal of refrigerants.

Section 5. Drinking Water Not Applicable

5-1. Describe how drinking water is protected from contamination during installation of new water main or repairing existing water mains.

Section 6. Storm Water and Wastewater Not Applicable

Storm Water

6-1. Current Conditions (Describe the ground cover at the site is and if there are erodible soils at the site.)

6-2. Erosion Control Methods (Describe temporary and permanent measures to minimize erosion, including mechanical retardation, revegetation and mulching.)

1.

2.

6-3. Potential Sources of Stormwater Pollution (Identify potential sources of pollution (e.g., sediment/dust, chemicals, etc.) which may be

6-4. Stormwater Best Management Practices (BMPs) (For each potential source of stormwater pollution, describe management procedures or BMPs that you

AppendixH Attachment 1 to Solicitation No. FA520920Q0026 Page 17-2 of 17

Project Name

Contract # expected to affect the quality of storm water discharge from the site.)

will use to prevent stormwater pollution.)

1.

2.

1.

2.

Wastewater

6-5. Types of Wastewater:

(List of all types of wastewater the contractor expects to generate.

Wastewater includes, but is not limited to: wash water, rinse water, soapy water, and oily water.)

Disposal Method:

(Describe how you plan to dispose of the wastewater (e.g., off-base treatment, hazardous waste yard, discharge to the sewer, use of

OWS).)

1.

2.

1.

2.

6-6. Wastewater Sampling

Sampling Analytes:

(List the analytes that the wastewater will be sampled for, e.g., lead, arsenic.)

Laboratory Method:

(List the laboratory method that will be used to sample each analyte.)

Preservation Method:

(Describe the method that will be used to preserve samples, including holding time and container type.)

1.

2.

1.

2.

1.

2.

*Contact CFAY PWD Environmental for on-base discharge criteria.

*Attach a copy of the laboratory’s certificate to the end of the EPP.

Section 7. Hazardous Materials Not Applicable

7-1. Are Hazardous Materials (HAZMAT) to be brought on site for daily use? Yes No

7-2. Have the latest Safety Data Sheet(s) (SDSs) been submitted to CFAY PWD Environmental with Hazardous Material Inventory Sheet?

Yes No

7-3. Types of HAZMAT Anticipated:

(List the types of HAZMAT that you expect to use this project.)

7-4. Daily Average Amount of HAZMAT Expected:

(Provide the approximate weight or volume of each HAZMAT that you expect to use.)

1.

2.

1.

2.

7-5. Describe how to temporary store HAZMAT on site.

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Project Name

Contract #

When a HAZMAT is used, follow the guidance below.

1) A SDS information should be maintained on site.

2) HAZMAT should be properly used and stored in accordance with SDS/MSDS.

3) Dispensing areas must be properly maintained.

4) Dispensing areas must be located away from catch basins and floor/storm drains.

5) Containers must not be leaking.

6) Contents must be clearly marked on a container.

7) Drip pans/absorbent materials must be placed under containers to prevent spills.

8) When a HAZMAT is stored, follow the appropriate requirements.

9) Flammable HAZMAT and corrosive HAZMAT are stored separately in appropriate lockers, and acids are stored separately from alkali.

Section 8. Solid Waste, Industrial Waste, and Recyclable Waste Not Applicable

8-1. Types of Solid Waste and Industrial Wastes Anticipated (List the types of solid waste that you expect to generate during this project.)

8-2. Disposal Method for Solid Waste and Industrial Waste (Describe the proposed method for disposal for each type of the solid waste listed (i.e. land-filled, treated, incinerated, off-site processing, etc.). Include the name, location, and phone number of each disposal/processing site.)

1.

2.

1.

2.

*Attach a copy of all applicable transportation and disposal permits, certifications, and licenses to the end of the EPP.

8-3. Types of Recyclable Material Anticipated (List the types of recyclable material that you expect to generate during this project.)

8-4. Recycling Facility (List where the recyclable materials will be recycled, at the CFAY PWD QRP (Bldg 4856) or recycled via a Japan Government approved off-site recycling facility. If the materials cannot be recycled at the CFAY PWD QRP, explain why not. Also explain whether the material can be used in its current form.)

A legible copy of Waste Disposal Manifest (a copy of receipt"E") with the completion date of landfill, and CFAY Solid Waste Tonnage Report MUST BE submitted Solid Waste Manager, CFAY PWD Environmental. The CFAY Solid Waste Tonnage Report must include the totals of, 1) the accurate weight unit (Kg), 2) monetary unit (Both Dollar and Yen with the timely exchange rate).

1.

2.

1.

2.

*Contact CFAY PWD Environmental for a list of materials that MUST BE recycled through Bldg 4856 CFAY Qualified Recycling Program (QRP). Justification for off-base recycling is required to be submitted and approved by CFAY QRP before recycling off-base.

Section 9. Hazardous Waste Not Applicable Note 1: Wastes generated from non-government furnished materials must be disposed of properly by the contractor.

Note 2: Complete Section 10 for Asbestos Containing Material (ACM) wastes and section 11 for Polychlorinated Biphenyl (PCB) wastes.

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Project Name

Contract #

9-1. List all hazardous wastes (HWs) that you expect to generate, provide the approximate weight or volume of each HW that you expect to generate, list who transports each HW to a disposal facility, and provide the name and location (city and prefecture) of the permitted/licensed facility where each HW will be disposed of.

Hazardous Waste Expected:

Amount/volume Expected:

Transporter (name): Disposal Facility (name, city and prefecture):

1.

2.

3.

*Attach copies of the laboratory certifications and laboratory results and copies of the HW transportation and disposal permits and licenses at the end of this EPP. When HWs will be turned into the Hazardous Waste Storage Area (HWSA) at Bldg. 1822, disposal permits and licenses are not required.

9.2. Hazardous Waste Accumulation and Management Methods

(Explain a) where HW will be accumulated, b) how it will be accumulated and managed, including but are not limited to types of containers, labeling and marking, secondary containment system, and security on site, and c) how long it will be accumulated until removal for disposal.)

9-3. Hazardous Waste Accumulation Point (HWAP)

Will any HW be accumulated on site overnight? Yes No (Skip to 9-4)

HWAP Establishment Date Completed/Anticipated

a. Read and acknowledge Contractor HWAP documentation for requirements

b. Submit the following to the CFAY PWD Environmental via the Contracting Office:

1) Completed Contractor HWAP Documentation Form with a location map of proposed HWAP

2) ECATTS Training certificates of the following modules (note: * indicates when applicable):

• Asbestos for Contractors *

• Hazardous Waste for Contractors

• PCBs Management for Contractors *

• Pollution Prevention

• Spill Response for Contractors

• Waste Management Guidelines for Contractors

*A site visit inspection will be performed, and the requested HWAP must be approved prior to its use.

Plan accordingly because this process may take a few weeks or more depending on the quality of submittals from the contractor.

9-4. Hazardous Waste Transportation Methods (Explain how HW will be transported to disposal facility (the HWSA or off-base disposal facility).)

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Project Name

Contract #

9-5. Hazardous Waste On-Base Disposal Job Order Number (JON) (Provide assigned JON for on-base disposal at the HWSA. State “NA” for off-base disposal and complete Section 9-6.)

9-6. Hazardous Waste Off-Base Disposal Methods (Explain how HW will be disposed of at the off-base disposal facility. State “NA” for turn-in to the

HWSA.)

*Legible copies of Waste Disposal Manifest (“A” and "E") with appropriate stamp or signature and date must be submitted to CFAY PWD Environmental via the Contracting Office upon completion of disposal.

Section 10. Asbestos Containing Material (ACM) Not Applicable

10-1. Have Asbestos abatement plan been submitted to CFAY PWD Environmental? Yes No

10-2. List all ACM wastes that you expect to generate; provide the approximate weight or volume of each ACM waste that you expect to generate; name Type I or Type II for each ACM waste, list who transports each ACM waste to a disposal facility, and provide the name and location (city and prefecture) of the permitted/licensed facility where each ACM waste will be disposed of.

ACM Waste Expected:

Amount/volume Expected:

Type (I or II): Transporter (name): Disposal Facility (name, city and prefecture):

1.

2.

3.

*Attach copies of the laboratory certifications and laboratory results and copies of ACM waste transportation and disposal permits and licenses at to the end of this EPP.

10-3. ACM Waste Accumulation and Management Methods (Explain a) where ACM waste will be accumulated, b) how it will be accumulated and managed, including but are not limited to types of containers, labeling and marking, secondary containment system, and security on site, and c) how long it will be accumulated until removal for disposal.)

10-4. Hazardous Waste Accumulation Point

Will any ACM waste be accumulated on site overnight? Yes (Complete 9-3) No

10-5. ACM Waste Transportation Methods (Explain how ACM waste will be transported to disposal facility (the HWSA or off-base disposal facility).)

10-6. ACM Waste On-Base Disposal Job Order Number (JON) (Provide assigned JON for on-base disposal at the HWSA. State “NA” for off-base disposal and complete Section 10-7.)

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Project Name

Contract #

10-7. ACM Waste Off-Base Disposal Methods (Explain how ACM waste will be disposed of at the off-base disposal facility. State “NA” for turn-in to the

HWSA.)

*Legible copies of Waste Disposal Manifest (“A” and "E") with appropriate stamp or signature and date must be submitted to CFAY PWD Environmental via the Contracting Office upon completion of disposal.

Section 11. Lead Based Paint (LBP) Not Applicable

11-1. Have LBP abatement plan been submitted to CFAY PWD Environmental? Yes No

11-2. For disposal of LBP (contaminated) wastes, complete Section 9, Hazardous Waste.

Section 12. Polychlorinated Biphenyl (PCB) Not Applicable

12-1. Newly Procured Transformer and Equipment Containing Dielectric or Hydraulic Fluid (List all applicable transformers and equipment containing dielectric or hydraulic fluid including fluorescent light ballasts. State “NA” when 12-1 is not applicable.)

1.

2.

*Attach 1) a manufacturer’s certification that the transformer/equipment contains no detectable PCBs at the time of shipment and 2) a copy of permanent label(s) affixed the transformer/equipment stating it is PCB-free (no detectable PCBs).

12-2. Will any PCB waste be generated? Yes (Complete the rest) No (Skip to next section)

List all PCB wastes that you expect to generate and provide the approximate weight or volume of each PCB waste that you expect to generate.

PCB Waste Expected: Amount/volume Expected:

1. 1.

2. 2.

*Attach copies of the laboratory certifications and laboratory results to the end of this EPP.

12-3. PCB Waste Accumulation and Management Methods (Explain a) where PCB waste will be accumulated, b) how it will be accumulated and managed, including but are not limited to types of containers, labeling and marking, secondary containment system, and security on site, and c) how long it will be accumulated until removal for disposal.)

12-4. Hazardous Waste Accumulation Point

Will any PCB waste be accumulated on site overnight? Yes (Complete 9-3) No

12-5. PCB Waste Transportation Methods (Explain how PCB waste will be transported to disposal facility (the HWSA or off-base disposal facility).)

AppendixH

Page 17-7 of 17

Project Name

Contract #

12-6. PCB Waste On-Base Disposal Job Order Number (JON) (Provide assigned JON for on-base disposal at the HWSA. State “NA” for off-base disposal and complete Section 12-7.)

12-7. PCB Waste Off-Base Disposal Methods (Explain how PCB waste will be disposed of at the off-base disposal facility and provide the name and location (city and prefecture) of the permitted/licensed facility where each PCB waste will be disposed

of. State “NA” for turn-in to the HWSA.)

*Attach copies of PCB waste transportation and disposal permits and licenses at the end of this EPP.

Legible copies of Waste Disposal Manifest (“A” and "E") with appropriate stamp or signature and date must be submitted to CFAY PWD Environmental via the Contracting Office upon completion of disposal.

Section 13. Contaminated Soil & Sludge Not Applicable

13-1. Temporary Storage Methods of Excavated Soil/Sludge (Describe the methods on how the project stores excess soil/sludge during the temporary storing of excavated soil until off base disposal or backfill. Provide location of the temporary laydown area and erosion control measures for the grubbing, excavation, grading and other land work that will disturb the soil and create the potential soil run-off at the project sites.)

13-2. Where will be final location of the excavated soil /sludge at the end of the project?

Back to the original location (Skip to next section)

Off-Base Disposal Facilities (Complete the rest)

13-3. Have Soil/Sludge Sampling Plan been submitted to CFAY PWD Environmental? Yes No

*Soil/Sludge Sampling Plan shall include sampling methods, sampling equipment and container, number of samples to be tested, sample volumes (minimum quantity required per container), preservation techniques, holding times, and chain of custody (COC) to CFAY PWD Environmental Soil Program Manager at (243-5180) prior to sampling even if excess soil will be off base disposal.

13-4. Excess Soil/Sludge From The Excavation Disposal and Ditches (Describe how the project disposes of excess soil from the excavation and ditches.)

13-5. Contaminated Soil/Sludge Treatment/Disposal Method And Location (List the name and location of the permitted facility(ies) where the contaminated soil will be treated and disposed.)

*Attach a copy of the treatment/disposal facility’s certification(s) at the end of the EPP.

Section 14. Aboveground Storage Tanks and Underground Storage Tanks Not Applicable

AppendixH

Page 17-8 of 17

Project Name

Contract #

14-1. Aboveground Storage Tank (AST) Containing Fuel (Provide information in below table if any ASTs are involving in the project.)

Tank ID Location Tank Capacity (GAL) Contents Type of Work (Installation, Demolition, Repair or Tank Cleaning etc.)

14-2. Newly-installed AST

14-2-1. Secondary Containment System (Describe what types of secondary containment system to be installed.)

14-2-2. Sign Board

14-3. Underground Storage Tanks (USTs) (Provide information in below table if any USTs are involving in the project.)

Tank ID Location Tank Capacity (GAL) Contents Type of Work (Installation, Demolition, Repair or Tank Cleaning etc.)

14-4. POL USTs To Be Newly Installed

14-4-1. Explain how each tank is protected from corrosion.

14-4-2. Describe spill/overfill prevention system.

14-4-3. Provide leak detection to be equipped if all pressurized piping or suction piping appeared in each tank.

14-5 Explain how the exposed free product and/or obviously contaminated soil in the immediate vicinity of the tank are appropriately removed and managed.

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Project Name

Contract #

14-6. USTs To Be Modified/Constructed/Relocated/Replaced/Closed/Removed (Explain (1) how the all of the product and sludge in the tank are appropriately removed and managed,

(2) how the tank is emptied and cleaned if the product stored in the tank is changed, and (3) how the corrosion protection and leak detection systems are operated and maintained if tank is temporarily closed.)

Section 15. Pesticides and Herbicides Not Applicable

15-1. Have Contractor’s Work Plan been submitted to NAVFAC FE Pest Management Consultant via PWD Environmental Pest Management Coordinator?

Yes No

15-2. Complete Section.7 to provide information for all pesticides and herbicides to be brought on site.

Section 16. Spill Prevention and Control Not Applicable

16-1. Spill Prevention and Control Equipment (Describe equipment that will be used to prevent and control any spills/releases to the environment.

Equipment may include, but are not limited to, on-site spill equipment, absorbent mats, secondary containment, drip pans, etc.)

1.

2.

16-2. Spill Prevention Methods (Describe procedures to prevent any spills/releases to the environment.)

16-3. Spill Control Methods When Responding (Describe procedures to control any spills/releases to the environment when responding.)

16-4. Spill Notification Procedure (Describe who and how you notify the government in the event of a spill/release to the environment.)

Include all relevant attachments at the end of the EPP, including:

• Letter designating the Environmental Manager

• Work site map(s)

• Transportation and disposal permits/licenses for Solid Waste

• Transportation and disposal permits/licenses for Industrial Waste

• Transportation and disposal permits/licenses for Hazardous Waste

• Transportation and disposal permits/licenses for ACM waste

• Transportation and disposal permits/licenses for PCB waste

• Transportation and disposal permits/licenses for Contaminated Soil

• HWAP establishment request form with required documents (when ready)

• Laboratory certifications and analysis results for hazardous waste, ACM wastes, PCB wastes, and/or wastewater

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• Manufacturer’s certification that the equipment contains no detectable PCBs at the time of shipment and a copy of permanent label(s) affixed the transformer/equipment stating they are PCB-free (no detectable PCBs).

• Certification/roster sheet of the latest CFAY EMS (Environmental Management System) Awareness Training

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