Atch 3 - Haz Waste Form.pdf
PDF 192 KB Posted
- Attached to
- SXHT 21-1005 Replace Chiller AHU and Fan Coil Unit Federal contract opportunity
- Solicitation number
- FA252125B0002
About this file
The document is a Forecast of Contractor's Hazardous Waste Generation form for Project SXHT 21-1005, which involves replacing chillers, air handling units, and fan coil units at a facility. The form is designed to help the installation identify and regulate hazardous material usage and waste generation during the construction project. The form requires contractors to document specific details about hazardous materials, including the material's name, process of use, description of potential waste, and estimated waste quantity. Contractors must complete this form if they will be removing materials containing hazardous substances like lead or mercury, or if they are submitting a Material Safety Data Sheet (MSDS) for a hazardous material.
The related federal contract opportunity is a Firm-Fixed-Price Construction Contract for Space Launch Delta 45 at Patrick Space Force Base, Florida, with a solicitation number of FA252125B0002. The project involves comprehensive infrastructure replacement, including a 60-ton TRANE chiller, cooling tower, hot and chilled water pumps, electrical panels, air handling units, and 12 fan coil units. The work requires upgrading controls to PSFB EMCS standards, replacing mechanical room piping, and performing necessary finishing work like touch-up painting and replacing damaged building materials. The period of performance is 180 calendar days, with the Notice to Proceed (NTP) to be issued within 30 days after award. Importantly, the contract is contingent on fund availability, and the government reserves the right to cancel the solicitation.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
PROJECT #: SXHT 21-1005 PROJECT TITLE: REPLACE CHILLER, AHU'S & FAN COIL UNITS, B3659
CONTRACTOR:
POINT OF CONTACT:
PHONE: FAX:
HAZARDOUS MATERIAL: DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL
(INCLUDE METHOD OF APPLICATION)
DESCRIPTION OF
WASTE:
QUANTITY:
CONTRACTOR’S SIGNATURE DATE
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
File details come from the government source that posted it. Updated .