Attach 4 Hazardous Waste Form.doc
DOC document 39 KB Posted
- Attached to
- Construct Utilities Flight Control Road, Cape Canaveral SFS, FL Federal contract opportunity
- Solicitation number
- FA252121B0004
About this file
This document contains a hazardous waste forecast form and details of a federal contract opportunity to construct utilities and flight control road infrastructure at Cape Canaveral Space Force Station in Florida. The contract opportunity involves excavation work for utility installation preparation and associated water mains, with a period of performance not to exceed 180 days from notice to proceed. The requirement's North American Industry Classification Systems code is 236220, with a size standard of $39.5 million. This firm-fixed-price construction contract has a magnitude between $1,000,000 and $5,000,000. The acquisition is a total small business set-aside, and non-small business offerors will be deemed non-responsive and ineligible for award. Proposed costs and prices must remain valid until January 15, 2022. The contracting agency is the Department of the Air Force Space Command. The hazardous waste forecast form requires contractors to identify hazardous materials used, waste generation processes, and estimated waste quantities to assist the installation in regulating hazardous waste.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| DBEH 20-1515 |
| PROJECT TITLE: |
| Construct Utilities Flight Control Road |
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 .