Atch 2 AF Form 66.pdf

PDF 93 KB Posted

Attached to
Removal of Underground Storage Tank at Launch Facility E-10 (Laramie County, WY)
Solicitation number
FA461326R0005
Issued by

About this file

This is a Schedule of Material Submittals form for a federal construction contract titled "Removal of UST at LF Echo 10" (Project Number GHLN 26-7127). The form establishes submission requirements and timelines for various materials, documentation, and compliance certifications throughout the project lifecycle.

The contractor must submit seventeen categories of deliverables with specified compliance documentation and approval workflows. Key submittals include: EAL Documentation and Site Access (due 30 days prior to site work); All Permits including NPDES, ROW, and other local/state/federal authorizations (30 days prior); Safety Data Sheets (1 copy per SDS); Hazardous Materials disposal plan; Storage Plan if required (30 days prior with letter of agreement); AF Form 103 Dig Permit (renewable every 14 days); Project Schedule (15 days after award, cradle to grave); As-Built Drawings with photo documentation and red-lines (30 days prior to closeout); Warranty documentation including serial numbers and makes/models; State UST Installer/Personnel Certification; Tank Removal, Disposal, and Closure Plans and Reports with notifications and testing per specifications; Tank Contents Removal and Disposal Plans per ASTM D2435; Spill and discharge plan with SWPP/SPPC documentation; Excavation and Backfill Plan per ASTM D422 with sieve analysis and compaction testing; Joint Sealant specifications; and comprehensive Closeout documentation. The form provides columns for tracking receipt dates, approval/disapproval status, contractor notifications, resubmittals, and remarks, establishing clear administrative oversight of all material submittals throughout the underground storage tank removal project.

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PROJECT NUMBER SOLICITATION/CONTRACT NUMBER

SCHEDULE OF MATERIAL SUBMITTALS

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR

NUMBER OF COPIES REQUIRED

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REMARKS

APPROVED DISAPPROVED

1 EAL Documentation & Site Access x 30 days prior to site work

Personnel, Vehicle

2 All Permits (Local, State, and Federal) NPDES, ROW, or Other x

30 days prior to site work

Local, State, and Federal i.e. NPDES, ROW, or Other

3 Safety Data Sheets x 1 copy per each SDS

4 Hazardous Materials x disposal plan

5 Storage Plan (if required) x 30 days prior to site work letter of agreement, if storing outside of easement

6 AF Form 103 - Dig Permit x renew every 14 days after initial permit received

7 Project Schedule x 15 days after award cradle to grave

8 As-Built Drawings/Photo Documentations x x 30 days prior to close out include red-lines

9 Warranty x x x to include serial numbers, makes/model

10 State UST Installer/Personnel Certification x x copy of certification

11 Tank Removal, Disposal, & Closure Plan & Report(s) x x x x Notificaitons, sampling, analysis, testing, reproting,s erial number/make/model/date of shutdown/date of removal

12 Tank Contents Removal, Disposal Plan & reports x x x x x Notificaitons, soil samplie, examination, testing & analysis, ASTM D2435

13 Spill & discharge plan, site safety & health plan x SWPP/SPPC

15 Excavation & Backfill Plan x x x ASTM D422 to include sieve analysis, testing, and compaction, manufacturer's recommendations

16 Joint Sealant x

17 Close-out x x x x x x x x notificaitons,make/model/size/serial number/date of installation/date of

Removal of UST at LF Echo 10GHLN 26-7127

PROJECT TITLE

Sheet 1

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