Attachment_05_-_LC-042_Form_E_Waste_DiversionTable.pdf

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MOD/MODE/US Bypass Canal Repairs
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140R3026R0001
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About this file

This is a Waste Diversion Table form (Form E) used to document and track waste management and recycling activities on a project. The form is designated as SEMS-F004, Revision 5, dated December 24, 2015, and is identified as LC-042.

The form requires project identification information including the project name or title, contact person, and phone number. It provides a table structure with seven columns for recording waste management data: Waste Name/Description (one waste material per row), Total Quantity of Waste Generated, Unit of Measurement (lbs/gal/ton/cf), Quantity of Waste Recycled/Reused, Unit of Measurement for recycled/reused materials, Date Waste Disposed (DD/MM/YYYY format), Date Waste Recycled/Reuse (DD/MM/YYYY format), and Description of the Disposition/Diversion of Material. The form includes a footnote defining "Quantity of Waste Recycled/Reused" as the amount of material or waste that is recycled or re-used. The table contains multiple blank rows to accommodate tracking of various waste streams and their diversion methods, making it suitable for environmental compliance documentation and sustainability reporting on federal or regulated projects.

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Text version

LC-042

Document No.: SEMS-F004 Revision No.: 5 Document Date: 12/24/2015

FORM E

Waste Diversion Table

Project Name or Title: ______________________________________________ Contact:____________ Phone______________ Waste Name/description (One Waste Material per Row)

Total Quantity of Waste Generated

Unit (lbs/ gal/ton/cf)

Quantity of Waste Recycled/Reused1

Unit (lbs/ gal/ton/cf)

Date Waste Disposed

(DD/MM/YYYY)

Date Waste Recycled/Reuse

(DD/MM/YYYY)

Description of the Disposition/Diversion of Material

1 Quantity of Waste Recycled/Reused – The amount of material/waste that is recycled or re-used.

File details come from the government source that posted it. Updated .