Atch6-HazWasteForm.doc
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- Solicitation number
- FA252120B0006
About this file
This document contains a solicitation for repairing an HVAC system at a youth center on Patrick Air Force Base in Florida. The contractor will be required to provide all labor, equipment, and materials except for a government furnished chiller to replace HVAC system components in Building 3656 and extend the mechanical room to accommodate the new chiller. A pre-bid site visit is scheduled for July 23, 2020 at 10 AM EST at the youth center. Questions regarding the solicitation must be submitted in writing by July 28, 2020 and bids are due by August 17, 2020 at 9 AM EST. The solicitation number is FA252120B0006 and the agency is the Department of the Air Force Space Command.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| SXHT 11-1055 |
| PROJECT TITLE: |
| Repair Lift Station Pumps at Building 650, Building 1497 & Lift Station 943 |
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 .