Atch 14 - HAZMAT Usage Worksheet.pdf

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Attached to
B9992-Doc Stewart Playgrounds [AMENDED INVITATION FOR BID] Federal contract opportunity
Solicitation number
FA485522B0005
Issued by
Department of the Air Force Special Operations Command

About this file

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This document contains a federal contract opportunity solicitation for playground installation and a related hazardous materials worksheet. The solicitation seeks bids to remove and install one toddler and one youth playground structure for the 27th Special Operations Civil Engineer Squadron at Cannon Air Force Base in New Mexico. The scope of work includes operation of heavy machinery, fencing of workspaces, hazard mitigation, demolition, concrete work, playground installation, grading, rubber mulching, and adherence to current policies and procedures. Bids are due by the date specified in the amended invitation for bid, which is open to all responsible sources. The hazardous materials worksheet requires contractors to report monthly on hazardous material usage for any project lasting over 60 days to ensure environmental compliance.

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B9992-Playgrounds AMENDED.zip ZIP file
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ATTACHMENT 2

CAFB & MAFR Contractor HAZMAT Usage

Worksheet

1. Project Information

Contractor Name:

Contract Number: Project Number:

Project Location: Shop Code (if known):

Project Start Date: This worksheet is required monthly on the 5th for project is >60 days, and projects <60 Days, once at the projects end.

Project Est. End Date:

2. Reporting Information

Reporting Date:

Name:

3. Material Usage

HAZMAT Name (SDS) MSN Container Size

(w/ Unit of Measure) Containers Used

This Period

Contractor Name:
Contract Number:
Project Number:
Project Location:
Project Start Date:
Project Est End Date:
Reporting Date:
Name:
HAZMAT Name SDSRow1:
MSNRow1:
Container Size w Unit of MeasureRow1:
Containers Used This PeriodRow1:
HAZMAT Name SDSRow2:
MSNRow2:
Container Size w Unit of MeasureRow2:
Containers Used This PeriodRow2:
HAZMAT Name SDSRow3:
MSNRow3:
Container Size w Unit of MeasureRow3:
Containers Used This PeriodRow3:
HAZMAT Name SDSRow4:
MSNRow4:
Container Size w Unit of MeasureRow4:
Containers Used This PeriodRow4:
HAZMAT Name SDSRow5:
MSNRow5:
Container Size w Unit of MeasureRow5:
Containers Used This PeriodRow5:
HAZMAT Name SDSRow6:
MSNRow6:
Container Size w Unit of MeasureRow6:
Containers Used This PeriodRow6:
HAZMAT Name SDSRow7:
MSNRow7:
Container Size w Unit of MeasureRow7:
Containers Used This PeriodRow7:
HAZMAT Name SDSRow8:
MSNRow8:
Container Size w Unit of MeasureRow8:
Containers Used This PeriodRow8:
HAZMAT Name SDSRow9:
MSNRow9:
Container Size w Unit of MeasureRow9:
Containers Used This PeriodRow9:
HAZMAT Name SDSRow10:
MSNRow10:
Container Size w Unit of MeasureRow10:
Containers Used This PeriodRow10:
HAZMAT Name SDSRow11:
MSNRow11:
Container Size w Unit of MeasureRow11:
Containers Used This PeriodRow11:
HAZMAT Name SDSRow12:
MSNRow12:
Container Size w Unit of MeasureRow12:
Containers Used This PeriodRow12:
HAZMAT Name SDSRow13:
MSNRow13:
Container Size w Unit of MeasureRow13:
Containers Used This PeriodRow13:
HAZMAT Name SDSRow14:
MSNRow14:
Container Size w Unit of MeasureRow14:
Containers Used This PeriodRow14:
HAZMAT Name SDSRow15:
MSNRow15:
Container Size w Unit of MeasureRow15:
Containers Used This PeriodRow15:
HAZMAT Name SDSRow16:
MSNRow16:
Container Size w Unit of MeasureRow16:
Containers Used This PeriodRow16:
HAZMAT Name SDSRow17:
MSNRow17:
Container Size w Unit of MeasureRow17:
Containers Used This PeriodRow17:
HAZMAT Name SDSRow18:
MSNRow18:
Container Size w Unit of MeasureRow18:
Containers Used This PeriodRow18:
HAZMAT Name SDSRow19:
MSNRow19:
Container Size w Unit of MeasureRow19:
Containers Used This PeriodRow19:
HAZMAT Name SDSRow20:
MSNRow20:
Container Size w Unit of MeasureRow20:
Containers Used This PeriodRow20:
Shop Code:

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