ATTACHMENT 3 - Solid Waste Tracking Form.pdf

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Attached to
B101 Boiler replacement
Solicitation number
W50S8S26QA002
Issued by

About this file

The document is a Solid Waste Disposal and Tracking Form for the 180th Fighter Wing (FW), designed to report solid waste metrics in compliance with Executive Order 13834 and DAFMAN 32-7002. Contractors are required to complete and submit this form to the Environmental Management Office at the end of each reporting quarter, tracking waste disposal across five categories: mulched/composted, landfilled, incinerated, waste-to-energy, and diverted/recycled/reused. The form requires detailed documentation including total weight in tons and dollar amounts for landscape waste and construction & debris, with weight tickets to be included as supporting documentation.

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180th FW Solid Waste Disposal and Tracking Form

This form is required for reporting solid waste metrics in accordance with Executive Order (EO) 13834 and DAFMAN 32-7002. This form must be submitted at the end of each reporting quarter during the contract.

Return this form to the Environmental Management Office:

Stymie Doolan stymie.doolan.1@us.af.mil (419-868-4270) Julie McCarthy julie.mccarthy@us.af.mil (419-868-4281)

Fiscal Year:

Project Title and Contract Number: Date:

Contractor Name Company Name:

Reporting Quarter

January - March

April - June

July - September

October - December

**Provide total weight in tons by category during the reporting quarter. Include copies of all weight tickets** Note N/A for "Not applicable" or "0" if the answer is "zero tons", otherwise provide total weight in tons.

Mulched/Composted (total weight in tons and dollar amount)

Landscape waste Construction & Debris

Landfilled (total weight in tons and dollar amount)

Non-hazardous solid waste Construction & Debris

Incinerated (total weight in tons and dollar amount)

Non-hazardous solid waste Construction & Debris

Waste-to-energy (total weight in tons and dollar amount)

Non-hazardous solid waste Construction & Debris

Diverted/Recycled/Reused (total weight in tons and dollar amount)

Non-hazardous solid waste Construction & Debris

fc-int01-generateAppearances:
Construction _ Debris_Hrk0*xm7OOU3J1*42hDNxQ:
Non-hazardous solid waste_OeY4jjI27KnO7PMzQu3mtQ:
Construction _ Debris_H0WqQdt-CiblTfzCJraWuA:
Non-hazardous solid waste_4TkXMehhVOXmbu8m0oqUkA:
Construction _ Debris_0jnd20WFT72GiU6xO6u12Q:
Non-hazardous solid waste_aIL8kacKUTnKun3Ihb17EQ:
Construction _ Debris_WFebNCIT-9G9OkztW5Yfxw:
Non-hazardous solid waste_M5NPwVAZLZzpy307tcqhQA:
Construction _ Debris_*qCMjfkEwN*9xtsMXhPTdQ:
Landscape waste_ti4YFu7J0NOrmwzCYdeQCw:
Reporting Quarter_3_mOvMCoGTPT0-l95KObBZgg: Off
Reporting Quarter_2_mOvMCoGTPT0-l95KObBZgg: Off
Reporting Quarter_1_mOvMCoGTPT0-l95KObBZgg: Off
Reporting Quarter_0_mOvMCoGTPT0-l95KObBZgg: Off
Company Name:_DjkqxF37TaRi6kBL2SLD4g:
Contractor Name_ralSjf4NzwRPUTtKKZTUNw:
Date:_PEntkZH4jNbQPjztlJnm3g:
Project Title and Contract Num_AH29E0yjgQSvFqbWsk*Zbw:
Fiscal Year:_WKVMEI21qZds95K1dII7nA:

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