Attachment 4 Environmental.pdf
PDF 656 KB Posted
- Attached to
- CE Sewer Cleaning and Inspection Federal contract opportunity
- Solicitation number
- FA462020Q0006
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 20Q0006 Amendment 0001.pdf | ||
| Attachment 1 PWS.pdf | ||
| Attachment 3 OPSEC.pdf | ||
| Attachment 5 Past Performance Questionnaire (PPQ).pdf | ||
| FA462020Q0006 Combo RFQ Sewer Cleaning and Inspection.pdf | ||
| Attachment 2 WD 15-5537 (Rev 9).pdf |
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Text version
CONTRACTOR HAZARDOUS MATERIAL AUTHORIZATION AND USE1
1. PRIME CONTRACTOR/ORGANIZATION: 2. E-MAIL 3. PHONE 4. FAX 5. DATE
6. PRIME COTR/POC 7. PHONE 8. FAX 9. CONTRACT NUMBER
10. CONTRACTOR/ORGANIZATION POC 11. WORKPLACE/BLDG 12. SUB-CONTRACTOR 13. DELIVERY ORDER
14. CONTRACTING OFFICER/FAFB OPR 15. CONTRACTING OFFICER SIGNATURE 16. PHONE 17. FAX 18. DATE
19. OFFICE REQUESTING CONTRACT/OPR 20. SIGNATURE 21. PHONE 22. FAX 23. DATE
24. EXPECTED START DATE 25. EXPECTED END DATE 26. PROJECT/TASK DESCRIPTION
27. Will Air Force or Civil Service Personnel be exposed to these chemicals?
Product Name/Part Number Material Manufacturer2 Solid, Liquid or Gas
Amount & Unit of
Issue4
Contai ner
Type
Max Amount Onsite at any Time 5
Est.
Amount Used for Project
Actual Amount Used6
Process Type7
Remarks/Notes8
FOOTNOTES:
1. This form is used for initial approval of hazardous materials and to report subsequent usage.
Include all materials, which contain an EHS, TRI, CERCLA hazardous substance, toxic chemical, generates a hazardous waste after use, and/or requires a Material Safety Data Sheet.
2. Attach copy of MSDS for each line item.
3. Identify National Stock Number if known. If unknown, leave blank, and HMMP will complete.
4. Identify amount in container & the units item is measured in, i.e. gallon, ounces, lbs, etc.
5. Identify maximum amount present (stored and used) at any one time on Fairhcild AFB.
6. Report actual quantities used at the end of the project, by January if project extends beyond
Calendar Year, and/or when directed on reporting schedule on reverse (Block 27)
7. See Table 1—Process Types for appropriate codes.
8. Use the Remarks/Notes section to indicate specific process/product information, e.g. weight of each component in a kit, mix rations, disposal info, etc.) Government will also use this section to indicate authorization status.
FAIRCHILD AIR FORCE BASE DESIGN STANDARDS
DIVISION 01-GENERAL REQUIREMENTS
SECTION 013543
ATTACHMENT
Environmental
FA462020Q0006
Attachment 4
CONTRACTOR HAZARDOUS MATERIAL AUTHORIZATION AND USE1
Product Name/Part Number Material Manufacturer2 Solid, Liquid, or Gas
Amount & Unit of Issue4
Contai ner
Type
Max Amount Onsite at any Time 5
Est.
Amount Used for Project
Actual Amount Used6
Process Type7
Remarks/Notes8
28. Usage Reporting Schedule TABLE 1—PROCESS TYPES
CODE PROCESS DESCRIPTION CODE PROCESS DESCRIPTION
A Asbestos removal and disposal R Fiberglass or composite applications
B Asphalt paving S Renovation, specify process
C Abrasive blasting; specify substrate, blast media and surface area cleaned
T Stationary internal combustion engines, gasoline; specify size, gallons of fuel burned, & hours of operation
D Adhesives U Stationary internal combustion engines, diesel; specify size, gallons of fuel burned, & hours of operation
E Brazing V Sanding, specify substrate and surface area sanded
F Chemical or physical analysis W Surface coating, brush or roller applications
G Cutting, oxy-fuel; specify substrate X Surface coating, spray applications in filtered enclosures
H Cutting, plasma arc; specify substrate Y Surface coating, HVLP spray applications in filtered enclosures
I Cutting, mechanical process, specify substrate Z Surface coating, airless spray applications in filtered enclosures
J Construction, specify process AA Surface coating, electrostatic spray applications in filtered enclosures
K Demolition, specify process BB Surface coating, thermal spray applications n filtered enclosures
L Degreasing operations using solvents CC Surface coating, spray applications outdoors
M Fuel combustion DD Surface coating, HVLP spray applications outdoors
N Grinding, specify substrate and surface area EE Surface coating, airless spray applications outdoors
O Industrial boiler operations FF Welding, oxy-fuel; specify substrate and filler material
P Natural gas combustion GG Welding, electric arc; specify substrate and filler material
Q Paint stripping, chemical HH Soldering, specify substrate and filler material
Monthly End of Contract
COMMENTS:
FAIRCHILD AIR FORCE BASE DESIGN STANDARDS 30 April 2018
DIVISION 01-GENERAL REQUIREMENTS
SECTION 013543
ATTACHMENT
Environmental
FA462020Q0006
Attachment 4
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