Attachment 08 DLA Form 2505.pdf
DLA Form PDF 163 KB Posted
- Solicitation number
- SP450024R0014Scrap
- Issued by
-
Defense Logistics Agency
About this file
This document is an attachment to a federal contract opportunity solicitation. It appears to be DLA Form 2505, which is used to track hazardous item disposal, transportation, and documentation. The form includes detailed instructions on how to complete each section, including line item number, document number, hazardous item number, quantity disposed, manifest numbers, disposal facility information, and disposal dates. This form is required to be completed for any hazardous items disposed of under the contract. The related federal contract opportunity is for scrap removal and recycling services around Iwakuni, Misawa, and Sagami, Japan. The contract has a base period of 18 months from September 2024 to March 2026, with two 18-month option periods. Proposals are due by July 24, 2024 and will be evaluated without discussions, though the government reserves the right to conduct discussions. The contract is a full and open competition under NAICS code 562219 with a $47M small business size standard.
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Who attaches DLA Form 2505
| Agency | Files |
|---|---|
| Defense Logistics Agency | 43 |
| Defense Logistics Agency Disposition Services | 13 |
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Text version
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Line Item # Document # HIN # P/U Qty P/U
Mnfst # Mnfst Pg/Li Qty Disposed or
Received Interim/Disp Manifest #
Interim/ Disposal Facility EPA ID # Interim/ Disposal MMC
TSDF Accept Dates/ PCB Dates
(DD/MMM/YY)
Invoice Prescribe by: FAR 32.9/DLAM 4140.15 Sponsor: Disposition Services
COMPANY NAME: CONTRACT #: TO #: INVOICE AMOUNT ($): DATE:
"I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THIS CONTRACT PERFORMANCE SUPPORTING DATA IS ACCURATE, COMPLETE AND MEETS ALL REQUIREMENTS SET FORTH IN
THE CONTRACT."
NAME: Signature:
2505 04/2021 (Draft Revision) 1
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Line Item # Document # HIN # P/U Qty P/U
Mnfst # Mnfst Pg/Li Qty Disposed or
Received Interim/Disp Manifest #
Interim/ Disposal Facility EPA ID # Interim/ Disposal MMC
TSDF Accept Dates/ PCB Dates
(DD/MMM/YY)
PDF (DLA)DLA Form 2505, FEB 2022 Page 1 of 2
2505 04/2021 (Draft Revision) 2
INSTRUCTIONS
NOTE 1: For special service and supply items, complete only blocks 1, 2, 3 and 7.
NOTE 2: For foreign contract disposal lines, complete all columns.
NOTE 3: For US contracts, complete all columns only when the task order contains line(s) requiring a Certification of Destruction (CD) or Certification of Recycling (CR) or contains HIN 650300. Complete only columns 1 thru 7 and 11 when the task order DOES NOT contain line(s) requiring a certificate of destruction (CD) or a certificate of recycling (CR) or HIN 650300.
Column 1: Line Item # - DD Form 1155 or SF30 line-item number for the supply or service ordered. (Four digits - e.g.: 0001)
Column 2: Document # - Document number as it appears on DD Form 1155 or SF30 (External PR) (Eight digits - e.g., ABCD1234)
Column 3: Hazardous Item Number (HIN) # - HIN Number as it appears on DD Form 1155 or SF30 (Six characters -e.g.: NR04C7)
Column 4: Picked Up (P/U) QTY - Actual quantity picked up.
Column 5: P/U Mnfstr # - Manifest document number assigned to each manifest or shipping paper used to ship the waste to the initial TSDF (5 or 12 characters - e.g.: 02034; 123456789GBF)
Column 6: Manifest Page/Line- Identify the page and manifest line number that the document number has been placed on from manifest block 9a, 27a, etc…. (Does not apply for foreign contracts.)
Column 7: Final QTY Disposed or Received – Actual quantity of item disposed or service/supply performed/delivered.
Column 8: Interim/ Disposal Manifest # - Manifest document number assigned to each manifest or shipping paper used to ship all, or parts of the waste to other TSDFs, including all interims and finals, after receipt at initial TSDF. EXCEPTION: If final treatment/ disposal is accomplished by the initial TSDF, insert "Same as # 5 or SAC5" in column 8.
Column 9: Interim/Disposal Facility EPA# - EPA Identification number (or DLA Disposition Services "MOCK" number) assigned to each facility involved in the treatment, storage, and final disposal. (As defined in section 5.0 of the contract) of the item. Use additional lines as necessary. (Twelve digits - e.g.: PAD456123912) NOTE: If final disposal did not occur at the initial facility, then the initial facility is considered an interim facility for tracking purposes. In those instances, the initial facility's EPA ID number should be included in Column 9 when information is submitted.
Column 10: Final Disposal MMC Codes - List the appropriate Management method code(s) listed in the Hazardous Waste Report Instructions and Forms online (https://www.epa.gov/sites/production/files/2015-06/documents/codes.pdf). (40 CFR 264, Appendix 1, Table 2 no longer applies), performed by any final disposal facilities. Note: Include any treatment and/or handling performed at initial TSDF, which was NOT identified in initial facility.
Column 11: Interim/Disposal TSDF Accept Date and Disposal Date (and CD/CR required lines when applicable) - Actual date listed on the shipping paper next to the signature of the representative of each and every interim and final TSDF's accepting, treating, and/or disposing of the waste (dd/mmm/yy). NOTE - Date of actual final disposal of CD/CR required lines item (dd/mmm/yy).
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