The file's text, extracted by GovTribe without its formatting.
Waste Diversion Plan
: +christopher.clever@gsa.gov +walter.tersch@gsa.gov
(For consideration as an alternate). Anticipated sections match Actual to the right for 1:1 comparison.
-Jake Begnaud - WPIDBB Fine with either, will defer to +walter.tersch@gsa.gov Seems like it only boils down to estimating method or not.
-Christopher Clever - PCBL That's correct.
| -Jake Begnaud - WPIDBB | Project Waste Management Plan | | Submittal Type: | | Waste Diversion Plan (Anticipated): | FALSE | Waste Diversion Report (Final) : | FALSE |
| The general info in these gray cells replicates onto the Report tabs. | | | | | | | |
| Project Name: | | ECC (estimated construction cost): | | Project Manager: | | ePM/ePMX Project # : | | |
| Project Short Description: | | | | PM email or phone: | | gBUILD Project # : | | |
| Building Number: | | Service Center / Field Office: | | Budget Activity: | (list all applicable) | RWA # : | | |
Anticipated Waste Diversion Plan To be filled out and submitted Pre-Construction, with final Construction Documents (PM or contractor populates this pink section) Actual Waste Diversion Report To be submitted during Project Close-Out (Reports tab figures auto-populate this green section)
| Material* | | | | |
| (see weight conversion factors below) | Diversion Method | | Target Diversion Rate for each material, by weight | | |
| (Change to actual target(s) as needed) | | Diverted (lbs) | Landfilled (lbs) | Total C&D material weight (Diverted + Landfilled) (lbs) | Diversion |
Rate
| Reuse* | Recycle or Compost | Donation | | | | | |
| Asphalt | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Brick, Masonry, and Tile | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Cardboard | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Carpet, including Padding | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Ceiling tile | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Concrete | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Drywall/ sheetrock (unpainted) | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Metals | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Painted wood, drywall, or plywood | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Reusable items | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Roofing | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Soil, Rock, Land Clearing Debris | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Wood (unpainted) | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Other: ____________________ | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Other: ____________________ | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Other: ____________________ | FALSE | FALSE | FALSE | 50% | 0 | 0 | 0 | n/a |
| Total**: | | | | | 0 | 0 | 0 | n/a |
| Reuse is encouraged. Please list any items such as cabinets, doors, shelves, bricks, framing lumber, siding, fill material, misc. millwork, etc. planned for reuse. | | | |
| Item | Reuse Onsite | Reuse Offsite | Off-Site Recipient or Salvage/ Deconstruction Company |
| Volume-to-Weight Conversion Factor Reference Table |
| If a hauler reports materials by volume, this table enables conversion to weight, for reporting actual diversion and disposal. |
| Asphalt paving: 1 cubic yard = 773 lbs | Dirt or sand: 1 cubic yard = 929 lbs |
| Asphalt or composite roof shingles: 1 cubic yard = 731 lbs | Fiberglass insulation, loose: 1 cubic yard = 17 lbs |
| Brick, laid flat: 1 flat square foot = 20 lbs | Mixed (composite) C&D material: 1 cubic yard = 417 lbs |
| Brick, loose: 1 cubic yard = 3,200 lbs. (1 cubic foot = 120 lbs) | Sheetrock (drywall), loose: 1 cubic yard = 393.5 lbs |
| Ceramic tile, scrap, loose: 1 cubic yard = 1,214 lbs | Rock, crushed: 1 cubic yard = 2,570 lbs |
| Concrete: 1 cubic yard = 860 lbs | Wood: 1 cubic yard = 169 lbs |
| *Only non-hazardous materials need to be included in this document. C&D mandates governing GSA exclude hazardous materials such as asbestos or lead-containing paint. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 1
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 2
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 3
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 4
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 5
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 6
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 7
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 8
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 9
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 10
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 11
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
Report 12
| Project Waste Management Report | | |
| Report # | 1 | Report Date |
| Project Name: | 0 | Building # | 0 |
| Service Center / Field Office | 0 | ePM/ePMX Project # | 0 |
| Project Manager | 0 | RWA # | 0 |
If waste from other projects is included in these figures, specify project:
| Actual Waste Diversion Report | | | | | |
| Diverted Waste | | | Waste not Diverted | | Diversion Rate |
| Material | Material destination/ hauling vendor(s)* | Method of Diversion | Diverted (lbs) | Landfill (lbs) | Reason Not Diverted | |
| Asphalt | | N/A | | | | n/a |
| Brick, Masonry, and Tile | | N/A | | | | n/a |
| Cardboard | | N/A | | | | n/a |
| Carpet, including Padding | | N/A | | | | n/a |
| Ceiling tile | | N/A | | | | n/a |
| Concrete | | N/A | | | | n/a |
| Drywall/ sheetrock (unpainted) | | N/A | | | | n/a |
| Metals | | N/A | | | | n/a |
| Painted wood, drywall, or plywood | | N/A | | | | n/a |
| Reusable items | | N/A | | | | n/a |
| Roofing | | N/A | | | | n/a |
| Soil, Rock, Land Clearing Debris | | N/A | | | | n/a |
| Wood (unpainted) | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Other: ____________________ | | N/A | | | | n/a |
| Total**: | | | 0 | 0 | | n/a |
Certification by Firm
I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
| __________________________________________________ | __________________________________________________ |
| Signature | Date |
| __________________________________________________ | __________________________________________________ |
| Title of the Officer or Employee | Name of Company, Firm, or Organization |
| *This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out. |
| **At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics. |
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