Attachment 08-CSC-20006 NEPA Review Checklist.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
Project: CSC-20007 Maintenance & Repair Building 22 Federal contract opportunity
Solicitation number
SP4702-21-R-0020
Issued by
Defense Logistics Agency

View the file

Other files for this federal contract opportunity

Other files attached to Project: CSC-20007 Maintenance & Repair Building 22, newest first.
File Type Posted
Amendment 03 Continue sheet SF30.pdf PDF
Amendment 03-SP4702-21-R-0020-SF30.pdf PDF
Questions-Answers for SP4702-21-R-0020.pdf PDF
Amendment 02-SP4702-21-R-0020-SF30.pdf PDF
Amendment 02 Continue sheet SF30.pdf PDF
Amendment 01-SP4702-21-R-0020-SF30 (1).pdf PDF
Continue sheet SF30.pdf PDF
Revised SPEC 20007.pdf PDF
Attachment 02-ENG FORM 93.pdf PDF
Attachment 03-DSCC Excavation Permit.pdf PDF
Attachment 05-Bid forms of CSC-20007.xlsx XLSX spreadsheet
Attachment 01-Wage Rate DOL.pdf PDF
SP4702-21-R-0020.pdf PDF
Attachment 06-Drawings 3-1708 CSC-20007.pdf PDF
Attachment 04-ENG FORM 4025-R.pdf PDF
Attachment 09-Contractor Access Badge Request.xlsx XLSX spreadsheet
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Sheet1 Program Deliverable When Needed X or N/A Received

AsbestosAmount to be removed/abatedPrior to start workN/A
New Product Asbestos-Free CertificationsPrior to start workN/A
Review asbestos NESHAP requirements and applicabilityPrior to the start of workN/A
Ohio EPA Notification (OAC 3745-20) and Fees (OAC 3745-11(G))At least 10 days Prior to start workN/A
Abatement PlanPrior to start workN/A
Sampling ResultsPrior to start workN/A
Manifest (signed by DSCC Air Program Manager & Transporter)Prior to final paymentN/A
Receipt Manifest from TSDFPrior to final paymentN/A
Hazardous WasteReview and Sign Manifest and LDR as applicable (5 working days prior)Prior to disposalN/A
Receipt Manifest from TSDFPrior to final paymentN/A
Disposal at Quality Facility Listing (Disp Services Website)N/A
PCB WasteAbatement PlanPrior to start workN/A
Sampling ResultsPrior to start workN/A
Manifest and LDRPrior to final paymentN/A
Receipt Manifest from TSDFPrior to final paymentN/A
Certificate of Destruction provided to ESOH officePrior to final paymentN/A
Universal WasteReview and Sign Manifest and LDR as applicable (5 working days prior)Prior to disposalN/A
Receipt Manifest from TSDFPrior to final paymentN/A
Certificate of RecyclingPrior to final paymentN/A
Disposal at Quality Facility Listing (Disp Services Website)N/A
Lead & Cadmium PaintAbatement Plan (Has to meet OAC 3742 Standards)Prior to start workN/A
Sampling ResultsPrior to start workN/A
Manifest and LDRPrior to final paymentN/A
Receipt Manifest from TSDFPrior to final paymentN/A
Review NESHAP requirements for applicabilityPrior to final paymentN/A
Non-Hazardous Solid WasteWeight in lbs recycled, composted, repurposedPrior to final paymentN/A
Weight in lbs sent to landfillPrior to final paymentN/A
Storm Water Sediment and Erosion PreventionBMP Erosion ControlX
BMP Sediment ControlX
Concrete washoutX
Storm water - 1 acre or largerNOIPrior to start workN/A
SWPPPPrior to start workN/A
NOTPrior to final paymentN/A
OEPA Receipt Of NOIPrior to start workN/A
CalculationsPrior to start workN/A
BMPsPrior to start workN/A
Signature for Receipt of TrainingPrior to start workN/A
EISA 438 - 5000 sq ft or greaterCalculationsPrior to start workN/A
BMPsPrior to start workN/A
Green Procurement - All ProjectsProcure materials in compliance with: https://sftool.gov/greenprocurement/green-products/3/building-finishes/0Prior to start workX
Waiver if ApplicablePrior to start workN/A
EMS - All ProjectsSignature for Receipt of Training MaterialsPrior to start workX
Will be included as an aspect?Prior to start workN/A
Pest Management - if pesticides/herbicides are appliedFormOn a monthly basisN/A
MSDSPrior to start workN/A
Product LabelsPrior to start workN/A
Current Certification for ALL ApplicatorsPrior to start workN/A
Hazardous MaterialsMSDS for each materialPrior to start workX
Quantity (lbs) for each materialPrior to start workX
Location of MaterialPrior to start workN/A
RefrigerantCertification for ALL HandlersPrior to start workN/A
Name and address of contracted actually company doing the workPrior to start workN/A
Refrigerant FormOn a monthly basisN/A
Requirement that all R-22 be placed with DSCC-provided storage cylinder.Prior to start of workN/A
Certificate of Disposition (if applicable)Prior to final paymentN/A
GeneratorsOhio EPA Permit-By-Rule must be obtainedPrior to installation of generatorN/A
Fuel tank capacity (gallons of fuel)Prior to installation of generatorN/A
Check for SPCC compliancePrior to installation of generatorN/A
Engine Make/Engine Model/Engine Serial Number /Engine EPA Emissions Certification Tier Level/Hourly Fuel Usage (gal. per hr.)/Generator Make/Generator Model/Generator Serial Number/Generator KW Nameplate Capacity/Number of Cylinders/Cylinder Configuration/Engine Displacement in liters/Engine Year of Manufacture/Generator Year of ManufactureAt least 14 working days prior to pre-constructionN/A
Proposed Estimated Generator Nameplate Capacity (kW)Prior to start of workN/A
Proposed Engine EPA Emissions Tier LevelPrior to start of workN/A
Proposed Generator Usage Classification (Emergency or Non-Emergency)Prior to start of workN/A
Proposed Generator Estimated Annual Hours of OperationPrior to start of workN/A
Documentation must be provided which demonstrates that the generator has been assigned a DPAS/EMACS equipment identification number and a maintenance plan which, at a minimum, meets manufacturer recommendations in regard to periodicity and required actions.Prior to the generator initially being placed in service for emergency response/non-emergency operationsN/A
Documentation that the generator will be installed according to manufacturer recommendationsPrior to the start of workN/A
Documentation that the generator has been installed according to manufacturer recommendationsPrior to initial startupN/A
Documentation that the generator will be started up according to the manufacturer-recommended startup procedure(s). If no manufacturer recommendations exist, a signed statement that no recommendations exist and a step-by-step explanation of the startup procedure which is to take place.Prior to initial startupN/A
Documentation that the generator was started up according to the manufacturer-recommended startup procedure(s). If no manufacturer recommendations exist, a signed statement that the startup procedure was executed according to the step-by-step explanation provided prior to the initial startup, noting any exceptions and dictating reasoning.After initial startup and/or prior to the transfer of ownership to the U.S. GovernmentN/A
Boilers and Residential FurnacesProposed Make/Model/Type (steam, or hot water)/Heat input Rating (MMBtu)/Efficiency/Maximum Efficiency Rating/Emission Control Technologies (e.g. flue gas recirculation, or low Nox burners)Prior to start of workN/A
Proposed Boiler emission data to include the following pollutants (measured shall be provided in both ppm and lb/MMBtu standards of measure): CO, NOx, SOx, HC/VOCs, PM 2.5, Total PMPrior to start of workN/A
Make/Model/Serial Number/Type (steam, or hot water)/Heat input Rating (MMBtu)/Efficiency/Maximum Efficiency Rating/Emission Control Technologies (e.g. flue gas recirculation, or low Nox burners) for boiler to be installedAt least 14 working days prior to pre-constructionN/A
Boiler emission data to include the following pollutants (measured shall be provided in both ppm and lb/MMBtu standards of measure): CO, NOx, SOx, HC/VOCs, PM 2.5, Total PM for the boiler to be installedAt least 14 working days prior to pre-constructionN/A
Chillers and Air-Conditioning UnitsProposed refrigerant type/refrigerant charge/make/model/manufacturer/purge valve specifications/will there be a cooling tower? If yes, provide specifications.Prior to start of workN/A
Actual refrigerant type/refrigerant charge/make/model/manufacturer/purge valve specifications of unit(s) to actually be installed. Will there be a cooling tower? If yes, provide specifications.At least 14 working days prior to pre-constructionN/A
All refrigerant requirements listed, aboveAccording to their respective schedules withint the "Refrigerant" scetion, aboveN/A
Containers which hold 55g or greater of fuel or hazardous liquidgallons of fuel30 days prior to bringing container on centerN/A
location30 days prior to bringing container on centerN/A
SPCC training30 days prior to bringing container on centerN/A
Secondary Containment RequiredAt time of eventN/A
AirGeneral Conformity - All projects Provide info to complete if applicableIf applicable, provide info to complete prior to the start of workN/A
Does it have a Boiler? Chiller? Air-Conditioning Unit? Generator? Residential Furnace?If so, see Nick DossN/A
Painting? If so, what type of paint? (NSN, Name, Color, Manufacturer) How Much paint? (FT3 and how many cans/how many FT3/can of coverage) We need the SDS for the paint also. VOC content of paint?Prior to start of workN/A
Adhesives? If so, what type of adhesive? (NSN, Name, Color, Manufacturer) How much adhesive? (FT3 and how many tubes/how many FT3/tube of coverage) We need the SDS for the adhesive also. VOC content of adhesive? Should also be language limiting the VOC content to 10% by volume.Prior to start of workN/A
Abrasive Blasting? Welding? Fugitive Dust?If so, see Nick DossN/A
IPRSoil / GW contamination IssueN/A
Cultural resourcesBldg 318 onlyN/A

&"Georgia,Bold"&14PROJECT NUMBER: _______________________ &"Georgia,Bold"&14DSCC ENVIRONMENTAL NEPA CHECKLIST&"Georgia,Regular"

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