ATCH 07 Hazardous Waste Form.doc
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- Solicitation number
- FA2521-21-B-0017
About this file
This document contains a hazardous waste forecast form and details of a federal contract opportunity for repairing weather towers at Kennedy Space Center. The hazardous waste form requires contractors to identify any hazardous materials used in the project, describe how each will be applied, and estimate the type and quantity of any resulting waste. The federal contract opportunity is a fixed-price construction contract with a 150-day performance period to repair three weather stations on NASA property. It is designated as a Women-Owned Small Business set-aside with a response deadline of January 15, 2021. The North American Industry Classification code is 237130 and the project value is estimated between $500,000 to $1,000,000. A site visit is scheduled as outlined in Section L, Clause 52.236-27. Funding is not presently available and no award will be made until funds are obligated.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| DBEH 18-1558 |
| PROJECT TITLE: |
| Repair Parking Lot, Facility 56620 |
CONTRACTOR:
POINT OF CONTACT:
PHONE:
FAX:
| HAZARDOUS MATERIAL: |
| DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL |
(INCLUDE METHOD OF APPLICATION)
| DESCRIPTION OF WASTE: |
| QUANTITY: |
Purpose: The Forecast of Contractor’s Hazardous Waste Generation is required to assist the installation to identify processes using hazardous materials and regulate the generation and disposal of hazardous waste.
Instructions: The Forecast of Contractor’s Hazardous Waste Generation form must be completed by any contractor who:
1) Must remove and dispose of paints, building components, or equipment containing hazardous materials (lead, mercury, etc.)
2) Submits an MSDS for approval of use of a material known to be hazardous.
On multi contractor projects, each contractor (sub-contractor) must specify each process requiring the use of hazardous materials and the potential waste to be generated.
1. Project #: Provide installation project number.
2. Project Title: Provide installation project title.
3. Contractor: Enter complete name of contractor performing process.
4. Point of Contact: Provide name of individual knowledgeable on requirements of materials listed.
5. Phone/Fax: Provide phone and fax numbers for point of contact.
6. Hazardous Material: Provide common name of each hazardous material
7. Description of Process(es) Requiring Material: Describe each process in which the material will be used (Thinning paint, cleaning tools, etc.). Describe methods of application where appropriate (applied to rag, sprayed gun, etc.).
8. Description of Waste: Provide description of anticipated waste stream or enter “none” if no waste is anticipated to be generated.
9. Quantity: Estimate quantity of waste to be generated
10. Sign and date each form at bottom
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________
File details come from the government source that posted it. Updated .