ATTACH 6 -DEMO IDIQ Haz Waste Generation Form.pdf
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- Solicitation number
- FA252126B0003
About this file
This is a federal contracting form template for documenting hazardous waste generation forecasts by contractors on federal projects.
The form requires contractors to identify and report all hazardous materials and processes involved in project work, specifically those involving removal and disposal of paints, building components, or equipment containing hazardous substances (such as lead or mercury), as well as materials submitted for approval via Material Safety Data Sheets (MSDS). Contractors must complete the form by providing the installation project number and title, contractor name, point of contact information (name, phone, fax), identification of each hazardous material by common name, detailed description of processes involving each material including application methods, description of resulting waste streams, and estimated quantities of waste to be generated. On multi-contractor projects, each prime contractor and subcontractor must submit a separate form for every process requiring hazardous materials. The completed form must be signed and dated by the contractor. The purpose of this documentation is to enable the installation to identify hazardous material processes and properly regulate the generation and disposal of resulting hazardous waste in compliance with applicable environmental requirements.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________
PROJECT #: PROJECT TITLE:
CONTRACTOR:
POINT OF CONTACT:
PHONE: FAX:
HAZARDOUS MATERIAL: DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL
(INCLUDE METHOD OF APPLICATION)
DESCRIPTION OF
WASTE:
QUANTITY:
DBEH 11-1638 Demo Heavy Equip Shop B49800
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 Processes 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; and
10. Sign and date each form at bottom.
File details come from the government source that posted it. Updated .