Attachment 1 - PWS - Appendix C-1 - Environmental Guide Forms.pdf
PDF 3 MB Posted
- Attached to
- ROC Dry-Type Transformer Testing/Inspection Federal contract opportunity
- Solicitation number
- FA4855
About this file
This document outlines requirements for transformer testing and inspection services at Cannon Air Force Base. The solicitation seeks quotations for testing and inspecting dry-type transformers located in Building 848 in accordance with provided specifications. Quotes are due by February 18, 2021 with work expected to commence shortly after award. The contractor will be required to complete inspections on a monthly basis for projects lasting over 60 days utilizing the included environmental and safety forms.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Request for Quote FA485521Q0007 Amendment 2.pdf | ||
| Request for Quote FA485521Q0007 Amendment 1.pdf | ||
| Request for Quote FA485521Q0007.pdf | ||
| Attachment 1 - PWS Bldg 848 Transformer Inspection--18 Feb 21.pdf | ||
| Attachment 1 - PWS -Appendix B - Transformers List.pdf | ||
| Attachment 3 - Clauses and Provisions.pdf | ||
| Attachment 1 - PWS -Appendix C - CAFB-MAFR Contractor Guide_2018.pdf | ||
| Attachment 2 - Wage Determination.pdf | ||
| Attachment 1 - PWS -Appendix A - UFC_3_501_01_2015_c1.pdf |
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Text version
ATTACHMENT 1
CAFB & MAFR Contractor
HAZMAT Worksheet
1. Contractor Information
Contractor Name:
Contract Number:
Project Number:
Estimated Start Date:
Estimated Completion Date:
Assigned Shop Code, if known:
2. Material Information
Material Name (from SDS):
Material Stock No. (MSN), or National Stock No.
(NSN), or Local Stock No. (LSN), enter if known:
Container Type (check one):
Box
Bag Tube
Bottle Can
Drum
Container Volume or Weight (check one):
Weight Oz. GramsPounds Tons
Quarts
Gallons
Other(Specify):
Total No. of Containers: Container Size: Total HAZMAT
Quantity:
3. Process Information
Process Type:
Process Description:
4. Engine ering
Describe process engineering controls:
5. Personal Protective Equipment (PPE)
Describe process PPE:
6. Location Information
Process will be performed on/at (check all that apply):
Existing Facility Aircraft Outdoors
E quipment New Facility
Other (Specify):
Physical location of process:
Staging location of HAZMAT:
Other (Specify)
Kilograms Fluid Oz Pints
Cartridge
ATTACHMENT A-1
Cannon AFB & Melrose AFR
Contractor HAZMAT
IAW FAR 52.223-3/AFI 32-7086 3.4.1; All HAZMAT brought onto an installation for use shall be authorized via the process described in this section.
NOTE: Manufacturer’s Safety Data Sheet (SDS) is required for every worksheet
The information submitted is complete. The HAZMAT noted above may enter Cannon AFB and/or Melrose AFR
The information submitted is incomplete and/or erroneous. Please follow the instruction below and resubmit.
7. Additional Information
Will a hazardous waste be generated (circle one)?
Yes No TBD Describe method(s) of waste management, transport, and disposal:
8. Contractor Signature Block
Title Phone Number
Printed Name Date
Signature
9. Environmental Approval Signature Block
Title Phone Number
Printed Name Date
Signature
ATTACHMENT 2
CAFB & MAFR Contractor HAZMAT Usage
Worksheet
1. Project Information
Contractor Name:
Contract Number: Project Number:
Project Location: Shop Code (if known):
Project Start Date: This worksheet is required monthly on the 5th for project is >60 days, and projects <60 Days, once at the projects end.
Project Est. End Date:
2. Reporting Information
Reporting Date:
Name:
3. Material Usage
HAZMAT Name (SDS) MSN Container Size
(w/ Unit of Measure) Containers Used
This Period
| Estimated Start Date: |
| Estimated Completion Date: |
| Assigned Shop Code if known: |
| Material Name from SDS: |
| Material Stock No MSN or National Stock No NSN or Local Stock No LSN enter if known: |
| Weight Oz Pounds Tons Grams Kilograms Fluid Oz Pints Quarts Gallons Other SpecifyTotal No of Containers: |
| Container Size: |
| Total HAZMAT Quantity: |
| Process Type: |
| Process Description: |
| Describe process engineering controls: |
| Describe process PPE: |
| Other Specify: |
| Describe methods of waste management transport and disposal: |
| Title: |
| Phone Number: |
| Printed Name: |
| Date: |
| Title_2: |
| Phone Number_2: |
| Printed Name_2: |
| Date_2: |
| Specify: |
| Location: |
| Staging location of HAZMAT: |
| Group11: Off |
| Group12: Off |
| Group13: Off |
| Clear Form: |
| Group4: Off |
| Check Box1: Off |
| Dropdown9: [N/A] |
| Text10: |
| Check Box11: Off |
| Contractor Name: |
| Contract Number: |
| Project Number: |
| Project Location: |
| Shop Code: |
| Project Start Date: |
| Project Est End Date: |
| Reporting Date: |
| Name: |
| HAZMAT Name SDSRow1: |
| MSNRow1: |
| Container Size w Unit of MeasureRow1: |
| Containers Used This PeriodRow1: |
| HAZMAT Name SDSRow2: |
| MSNRow2: |
| Container Size w Unit of MeasureRow2: |
| Containers Used This PeriodRow2: |
| HAZMAT Name SDSRow3: |
| MSNRow3: |
| Container Size w Unit of MeasureRow3: |
| Containers Used This PeriodRow3: |
| HAZMAT Name SDSRow4: |
| MSNRow4: |
| Container Size w Unit of MeasureRow4: |
| Containers Used This PeriodRow4: |
| HAZMAT Name SDSRow5: |
| MSNRow5: |
| Container Size w Unit of MeasureRow5: |
| Containers Used This PeriodRow5: |
| HAZMAT Name SDSRow6: |
| MSNRow6: |
| Container Size w Unit of MeasureRow6: |
| Containers Used This PeriodRow6: |
| HAZMAT Name SDSRow7: |
| MSNRow7: |
| Container Size w Unit of MeasureRow7: |
| Containers Used This PeriodRow7: |
| HAZMAT Name SDSRow8: |
| MSNRow8: |
| Container Size w Unit of MeasureRow8: |
| Containers Used This PeriodRow8: |
| HAZMAT Name SDSRow9: |
| MSNRow9: |
| Container Size w Unit of MeasureRow9: |
| Containers Used This PeriodRow9: |
| HAZMAT Name SDSRow10: |
| MSNRow10: |
| Container Size w Unit of MeasureRow10: |
| Containers Used This PeriodRow10: |
| HAZMAT Name SDSRow11: |
| MSNRow11: |
| Container Size w Unit of MeasureRow11: |
| Containers Used This PeriodRow11: |
| HAZMAT Name SDSRow12: |
| MSNRow12: |
| Container Size w Unit of MeasureRow12: |
| Containers Used This PeriodRow12: |
| HAZMAT Name SDSRow13: |
| MSNRow13: |
| Container Size w Unit of MeasureRow13: |
| Containers Used This PeriodRow13: |
| HAZMAT Name SDSRow14: |
| MSNRow14: |
| Container Size w Unit of MeasureRow14: |
| Containers Used This PeriodRow14: |
| HAZMAT Name SDSRow15: |
| MSNRow15: |
| Container Size w Unit of MeasureRow15: |
| Containers Used This PeriodRow15: |
| HAZMAT Name SDSRow16: |
| MSNRow16: |
| Container Size w Unit of MeasureRow16: |
| Containers Used This PeriodRow16: |
| HAZMAT Name SDSRow17: |
| MSNRow17: |
| Container Size w Unit of MeasureRow17: |
| Containers Used This PeriodRow17: |
| HAZMAT Name SDSRow18: |
| MSNRow18: |
| Container Size w Unit of MeasureRow18: |
| Containers Used This PeriodRow18: |
| HAZMAT Name SDSRow19: |
| MSNRow19: |
| Container Size w Unit of MeasureRow19: |
| Containers Used This PeriodRow19: |
| HAZMAT Name SDSRow20: |
| MSNRow20: |
| Container Size w Unit of MeasureRow20: |
| Containers Used This PeriodRow20: |
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