Attachment 4 - CTR Hazardous Waste Form.docx
DOCX document 17 KB Posted
- Attached to
- Replace HVAC Controls Facilities 1068 & 60680 Federal contract opportunity
- Solicitation number
- FA252122B0012
About this file
This document includes an attachment for hazardous waste forecasting and the related federal contract opportunity solicitation. The hazardous waste form attachment requires contractors bidding on the Replace HVAC Controls project at Patrick Space Force Base to disclose any hazardous materials that will be used and the resulting waste that will be generated.
The federal contract opportunity is a firm-fixed-price solicitation between $100,000 to $250,000 issued by the Department of the Air Force Space Command to replace controls and connect existing facilities to a new EMCS server. This acquisition is set aside for Service-Disabled Veteran Owned Small Businesses. The solicitation number is FA252122B0012 and offers are due by Replace HVAC Controls Facilities 1068 & 60680 at Cape Canaveral Space Force Station, Florida. Funds are not presently available and the government's obligation is contingent upon appropriation.
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Text version
PROJECT #:
| DBEH 22-1582 |
| PROJECT TITLE: |
| Replace HVAC Controls Facilities 1068 & 60680, Patrick Space Force Base |
CONTRACTOR:
POINT OF CONTACT:
PHONE:
FAX:
| HAZARDOUS MATERIAL: |
| DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL |
(INCLUDE METHOD OF APPLICATION)
| DESCRIPTION OF WASTE: |
| QUANTITY: |
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________ Purpose: The Forecast of Contractor’s Hazardous Waste Generation is required to assist the installation to identify processes using hazardous materials and regulate the generation and disposal of hazardous waste.
Instructions: The Forecast of Contractor’s Hazardous Waste Generation form must be completed by any contractor who:
| 1) Must remove and dispose of paints, building components, or equipment containing hazardous materials (lead, mercury, etc.) |
| 2) Submits an MSDS for approval of use of a material known to be hazardous. |
On multi contractor projects, each contractor (sub-contractor) must specify each process requiring the use of hazardous materials and the potential waste to be generated.
1. Project #: Provide installation project number.
2. Project Title: Provide installation project title.
3. Contractor: Enter complete name of contractor performing process.
4. Point of Contact: Provide name of individual knowledgeable on requirements of materials listed.
5. Phone/Fax: Provide phone and fax numbers for point of contact.
6. Hazardous Material: Provide common name of each hazardous material
7. Description of Process(es) Requiring Material: Describe each process in which the material will be used (Thinning paint, cleaning tools, etc.). Describe methods of application where appropriate (applied to rag, sprayed gun, etc.).
8. Description of Waste: Provide description of anticipated waste stream or enter “none” if no waste is anticipated to be generated.
9. Quantity: Estimate quantity of waste to be generated
10. Sign and date each form at bottom
Attachment 5
File details come from the government source that posted it. Updated .