Attachment 5 - HazWasteForm.doc
DOC document 41 KB Posted
- Attached to
- Repair Cable and Splices in Feeder from North Substation, Cape Canaveral Space Force Station, FL
- Solicitation number
- FA252122B0003
About this file
This document contains a hazardous waste forecast form and details of a federal contract solicitation for cable repair work. The hazardous waste forecast form is to be completed by any contractor performing work that involves hazardous materials or generates hazardous waste. It requires the contractor's contact information and descriptions of hazardous materials used, processes involving those materials, anticipated waste streams, and estimated waste quantities.
The federal contract solicitation is for repairing and replacing cables and installing new sectionalizing cabinets along a 15kV feeder line at Cape Canaveral Space Force Station in Florida. The firm-fixed-price construction contract valued between $1-5 million is set aside for women-owned small businesses. The solicitation notes that funding is contingent upon appropriation and availability, and the government may cancel the solicitation before or after the closing date without obligation.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| DBEH 19-1517 |
| PROJECT TITLE: |
| Repair Cable and Splices in Feeder 7N from North Substation, Cape Canaveral Space Force Station |
CONTRACTOR:
POINT OF CONTACT:
PHONE:
FAX:
| HAZARDOUS MATERIAL: |
| DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL |
(INCLUDE METHOD OF APPLICATION)
| DESCRIPTION OF WASTE: |
| QUANTITY: |
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
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________
File details come from the government source that posted it. Updated .