Attach-5 CAFB HAZMAT Usage Worksheet.pdf
PDF 3 MB Posted
- Attached to
- Waste Water Treatment Plant CAFB Federal contract opportunity
- Solicitation number
- FA4855-20-R-0006
About this file
This solicitation is for waste water treatment plant services at CAFB. The Department of the Air Force Special Operations Command is seeking proposals for operation and maintenance of the waste water treatment plant at Cannon Air Force Base in response to Solicitation FA4855-20-R-0006. The NAICS code for this small business set-aside project is 221320 with a size standard of $20.5 million. Offerors should review the solicitation cover letter and attached performance work statement, wage determination, pricing worksheet, customer guide, and provisions and clauses for response instructions and requirements. Proposals are due by the date specified in the solicitation. The contractor will be responsible for operation and maintenance of the waste water treatment plant to ensure compliance with environmental regulations.
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Text version
ATTACHMENT 4
CAFB & MAFR Contractor HAZMAT Usage
Worksheet
1. Project Information
Contractor Name:
Contract Number: Project Number:
Project Location: Shop Code (if known):
Project Start Date: This worksheet is required monthly on the 5th for project is >60 days, and projects <60 Days, once at the projects end.
Project Est. End Date:
2. Reporting Information
Reporting Date:
Name:
3. Material Usage
HAZMAT Name (SDS) MSN Container Size
(w/ Unit of Measure) Containers Used
This Period
| Contractor Name: |
| Contract Number: |
| Project Number: |
| Project Location: |
| Shop Code: |
| Project Start Date: |
| Project Est End Date: |
| Reporting Date: |
| Name: |
| HAZMAT Name SDSRow1: |
| MSNRow1: |
| Container Size w Unit of MeasureRow1: |
| Containers Used This PeriodRow1: |
| HAZMAT Name SDSRow2: |
| MSNRow2: |
| Container Size w Unit of MeasureRow2: |
| Containers Used This PeriodRow2: |
| HAZMAT Name SDSRow3: |
| MSNRow3: |
| Container Size w Unit of MeasureRow3: |
| Containers Used This PeriodRow3: |
| HAZMAT Name SDSRow4: |
| MSNRow4: |
| Container Size w Unit of MeasureRow4: |
| Containers Used This PeriodRow4: |
| HAZMAT Name SDSRow5: |
| MSNRow5: |
| Container Size w Unit of MeasureRow5: |
| Containers Used This PeriodRow5: |
| HAZMAT Name SDSRow6: |
| MSNRow6: |
| Container Size w Unit of MeasureRow6: |
| Containers Used This PeriodRow6: |
| HAZMAT Name SDSRow7: |
| MSNRow7: |
| Container Size w Unit of MeasureRow7: |
| Containers Used This PeriodRow7: |
| HAZMAT Name SDSRow8: |
| MSNRow8: |
| Container Size w Unit of MeasureRow8: |
| Containers Used This PeriodRow8: |
| HAZMAT Name SDSRow9: |
| MSNRow9: |
| Container Size w Unit of MeasureRow9: |
| Containers Used This PeriodRow9: |
| HAZMAT Name SDSRow10: |
| MSNRow10: |
| Container Size w Unit of MeasureRow10: |
| Containers Used This PeriodRow10: |
| HAZMAT Name SDSRow11: |
| MSNRow11: |
| Container Size w Unit of MeasureRow11: |
| Containers Used This PeriodRow11: |
| HAZMAT Name SDSRow12: |
| MSNRow12: |
| Container Size w Unit of MeasureRow12: |
| Containers Used This PeriodRow12: |
| HAZMAT Name SDSRow13: |
| MSNRow13: |
| Container Size w Unit of MeasureRow13: |
| Containers Used This PeriodRow13: |
| HAZMAT Name SDSRow14: |
| MSNRow14: |
| Container Size w Unit of MeasureRow14: |
| Containers Used This PeriodRow14: |
| HAZMAT Name SDSRow15: |
| MSNRow15: |
| Container Size w Unit of MeasureRow15: |
| Containers Used This PeriodRow15: |
| HAZMAT Name SDSRow16: |
| MSNRow16: |
| Container Size w Unit of MeasureRow16: |
| Containers Used This PeriodRow16: |
| HAZMAT Name SDSRow17: |
| MSNRow17: |
| Container Size w Unit of MeasureRow17: |
| Containers Used This PeriodRow17: |
| HAZMAT Name SDSRow18: |
| MSNRow18: |
| Container Size w Unit of MeasureRow18: |
| Containers Used This PeriodRow18: |
| HAZMAT Name SDSRow19: |
| MSNRow19: |
| Container Size w Unit of MeasureRow19: |
| Containers Used This PeriodRow19: |
| HAZMAT Name SDSRow20: |
| MSNRow20: |
| Container Size w Unit of MeasureRow20: |
| Containers Used This PeriodRow20: |
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