Attach 4 - Hazardous Waste Generation Form.doc

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Attached to
Replace HVAC at Facility 85125, CCSFS Project DBEH 16-1577 Federal contract opportunity
Solicitation number
FA252121B0014
Issued by
Department of the Air Force Space Command

About this file

This federal solicitation requests bids to replace HVAC systems at Facility 85125 for the Space Launch Delta 45 at Cape Canaveral Space Force Station. The project includes replacing two 180-ton package chillers, chilled water pumps, 64 VAV boxes, and installing new controls compatible with the existing EMCS server. The relocation of an outside air intake is also required. The firm-fixed price construction contract has a period of performance of 330 calendar days from notice to proceed and has a total value between $1,000,000 to $5,000,000. The acquisition is set aside for service-disabled veteran-owned small businesses. Offerors must meet these criteria to be eligible for award. Certified funds are not presently available and no award will be made until funding is obligated. The government reserves the right to cancel the solicitation before or after closing.

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Text version

FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION

PROJECT #:
DBEH 16-1577
PROJECT TITLE:
Replace HVAC 45 SW Headquarters, Facility 85125

CONTRACTOR:

CONTRACT #

POINT OF CONTACT:

FA2521- - -

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 equiptment 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 knowledgable 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 .