Attachement 5-HazWasteForm.doc
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- Attached to
- Repair Transformer Various (Project SXHT 11-1031), PSFB, FL Federal contract opportunity
- Solicitation number
- FA252121B0001
About this file
This document contains a hazardous waste forecast form and details of a federal contract opportunity for replacing electric transformers and related infrastructure at various facilities on a military installation. The hazardous waste forecast form requires contractors to identify any hazardous materials that will be used in the project, the related processes, anticipated waste streams and quantities. The federal contract opportunity is to provide labor, equipment and materials to replace open-wire pole-mount and live-front transformers with new pad-mounted transformers, install new high and low-voltage cables, demolish electrical vaults, and set up new distribution panels at eight specified facilities on an Air Force base. The solicitation number and awarding agency are provided.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| SXHT 11-1031 |
| PROJECT TITLE: |
| Replace Electric Tranformers/Various |
Facilities include buildings 429, 546, 720, 806, 905, 972, 985, and 986
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
Attachment 5
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________
File details come from the government source that posted it. Updated .