Appendix B - DD1348-1A.xls.xls
XLS spreadsheet 116 KB Posted
- Attached to
- Recycling of Spent Light Bulbs Services
- Solicitation number
- M67400-24-Q-0051
- Issued by
-
United States Marine Corps
About this file
This document is an example of a DD Form 1348-1A, which is an Issue Release/Receipt Document used in the federal contracting process. The form provides instructions on how to properly complete the required information when picking up and transporting fluorescent, HID, and incandescent light bulbs from various Marine Corps facilities for recycling.
Key details include the required information to be entered in each block of the form, such as the shipping details, item nomenclature, contract number, national stock number, and signatures from the contractor and environmental representative. The form also specifies the proper shipping name and hazardous material classification for the bulbs being transported. This appendix appears to provide supporting documentation for the federal contract opportunity to provide recycling services for spent light bulbs at Marine Corps facilities.
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Text version
Directions
| How to fill out the attached form (This form must be completed and signed by all parties prior to leaving the camp) | ||
| Step # | ||
| 1 | Block 26. | RIC,UI,QTY, CON CODE, UNIT PRICE |
| Input Building number, weight for each picked up type, cirle the type of bulb from each location. Unit representative shall initial next to the qty. | ||
| 2 | Block 4.6-5.0 Supple-Address | |
| Input M20235 (This is identifier for USMC Butler). | ||
| 3 | Block 2. Ship From | |
| Input Camp name (there will be one 1348-1A for each camp). | ||
| 4 | Block 3. Ship To | |
| Input Company facility name here that the material is destined to be delivered, from USMC bases. | ||
| 5 | Block 5. Date | |
| Input date of pick up/transport in this format (DDMMMYY). Example----03NOV09 | ||
| 6 | Block 16. Freight Classification Nomenclature | |
| Input Proper Shipping Name of pickup ( UN3077, WASTE ENVIRONMENTALLY HAZARDOUS SUBSTANCE SOLID, NOS(MERCURY), 9, PGIII(D009) ). | ||
| 7 | Block 17. Item Nomenclature | |
| Enter FLUORESCENT & ENCANDESCENT BULBS. | ||
| 8 | Block 22 Received By, Block 23 Date | |
| Contractor's Signature that transports and pickup the items. Input Date in this format (DDMMMYY) Example----03NOV09 | ||
| 9 | Block 24 Document Number & Suffix (30-40) | |
| Enter Contract Number for reference. | ||
| 10 | Block 25 National Stock Number & Add (8-22) | |
| Input NSN of product or product description (6240-00-FLOBULB). | ||
| 11 | Block 2.3 U/I | |
| Input total weight of all bulbs picked up from USMC base (weight will represent total of all pick up locations on that camp). | ||
| 12 | Final step -- Camp Environmental release signature & Date | |
| Before leaving USMC Base, have Camp Environmental Representative Sign DD 1348-1A on the bottom right hand side of form. Provide a copy of form to Environmental Representative after signature is obtained. Copies of all 1348-1A for the month must be provided to COR at the beginning of the following month. |
DD1348-1A (Blank)
| 2 | 2 | 2 | 2 | 2 | 2 | 2 | 4 | 4 | 4 | 4 | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | ||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 5 | 6 | 7 | 8 | 9 | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
| DOC | RI | M | U/I | QUANTITY | SUPPLE- | S | F | DIS- | PRO- | P | RDD | A | UNIT PRICE | ||||||||||||||||||||||||||||||||||||
| DOLLARS | CTS | ||||||||||||||||||||||||||||||||||||||||||||||||
| S | E | ADDRESS | G | N | BU- | I | QLT | V | |||||||||||||||||||||||||||||||||||||||||
| R | D | TION | DE | ||||||||||||||||||||||||||||||||||||||||||||||
| KILO | M20233 | $ | 0 | .00 | |||||||||||||||||||||||||||||||||||||||||||||
| 24. DOCUMENT NUMBER & SUFFIX (30-44) | 5. DATE (DDMMMYY) | ||||||||||||||||||||||||||||||||||||||||||||||||
| CONTRACT # M67400-11-D-0014 | 10. QTY. REC'D | ||||||||||||||||||||||||||||||||||||||||||||||||
| BULB RECYCLING | |||||||||||||||||||||||||||||||||||||||||||||||||
| 16. FREIGHT CLASSIFICATION NOMENCLATURE | |||||||||||||||||||||||||||||||||||||||||||||||||
| UN3077, WASTE ENVIRONMENTALLY HAZARDOUS SUBSTANCE SOLID, NOS(MERCURY), 9, PGIII(D009) | |||||||||||||||||||||||||||||||||||||||||||||||||
| 25. NATIONAL STOCK NUMBER & ADD (8-22) | 17. ITEM NOMENCLATURE | ||||||||||||||||||||||||||||||||||||||||||||||||
| FLUORESCENT, HID, & INCANDESCENT BULBS | |||||||||||||||||||||||||||||||||||||||||||||||||
| 18. TYCONT | |||||||||||||||||||||||||||||||||||||||||||||||||
| 6240-00-FLOBULB | |||||||||||||||||||||||||||||||||||||||||||||||||
| 22. RECEIVED BY | |||||||||||||||||||||||||||||||||||||||||||||||||
| PROCESS GENERATING WASTE: EQUIPMENT MAINTENANCE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Contractors signature | |||||||||||||||||||||||||||||||||||||||||||||||||
| 26 | RIC,UI,QTY, CON CODE, UNIT PRICE | circle type | |||||||||||||||||||||||||||||||||||||||||||||||
| Recycled: | Bldg | , | KG (FLUORESCENT, HID, INCANDESCANT) BULBS REMOVED | _________ Unit Rep Initials | |||||||||||||||||||||||||||||||||||||||||||||
| Bldg | , | KG (FLUORESCENT, HID, INCANDESCANT) BULBS REMOVED | _________ Unit Rep Initials | ||||||||||||||||||||||||||||||||||||||||||||||
| Bldg | , | KG (FLUORESCENT, HID, INCANDESCANT) BULBS REMOVED | _________ Unit Rep Initials | ||||||||||||||||||||||||||||||||||||||||||||||
| 27. ADDITIONAL DATA | |||||||||||||||||||||||||||||||||||||||||||||||||
| ERG GUIDE 171, YR2024 | |||||||||||||||||||||||||||||||||||||||||||||||||
| EMERGENCY CONTACT ON BASE 098-911-1911 / OFF BASE 119 | USMC Environmental Representative | ||||||||||||||||||||||||||||||||||||||||||||||||
| DD FORM 1348-1A, JUL 91 | ISSUE RELEASE/RECEIPT DOCUMENT |
Example
Sheet1
Sheet2
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