Attachment 7_5 C_D_Waste_Mgmt_Plan___Reporting_Template.xlsx

XLSX spreadsheet 350 KB Posted Jun 21, 2024

Attached to: NARA Replace Roof on Bays F&G Federal contract opportunity
Solicitation number: 47PL0124R0030
Issued by: General Services Administration Public Buildings Service Region 10

About this file

Written by GovTribe AI · Jun 21, 2024

This document is an Excel template for a Waste Diversion Plan and Report for a federal construction project. The template includes sections for the contractor to estimate anticipated waste diversion and to report the actual waste diversion achieved during the project. The template tracks the diversion of various construction and demolition materials such as concrete, drywall, and metals. The contractor must report the final waste diversion metrics via the ePMXpress project tracking system at project completion. The template also includes a volume-to-weight conversion reference table and instructions for retaining waste diversion documentation.

The related federal contract opportunity is for the replacement of the roofing assembly on Bays F&G of an existing NARA facility. The contract has a period of performance of 290 calendar days, with 260 days for substantial completion and 30 days for final completion. A pre-proposal site visit is scheduled for June 28, 2024. The solicitation is being issued by the General Services Administration (GSA) Public Buildings Service, Region 10.

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Other files for this federal contract opportunity

Other files attached to NARA Replace Roof on Bays F&G, newest first.
File	Type	Posted
Solicitation Amendment 47PL0124R0030_0002.pdf	PDF	Jul 18, 2024
Solicitation Amendment 47PL0124R0030_0001.pdf	PDF	Jul 16, 2024
Reps and Certs GC May 2024.docx	DOCX document	Jun 21, 2024
Agreement - NARA Roof Repair.pdf	PDF	Jun 21, 2024
Attachment 7_6 R10 NCMMS Asset ImpExp Template.xlsx	XLSX spreadsheet	Jun 21, 2024
Exhibit 3 Past Performance Questionnaire.docx	DOCX document	Jun 21, 2024
47PL0124R0030 SF1442.pdf	PDF	Jun 21, 2024
Solicitation - 47PL0124R0030 NARA Roof Repair.pdf	PDF	Jun 21, 2024
SOW GSA NARA Roof Repairs 9 Apr 24.docx	DOCX document	Jun 21, 2024
Attachment 7_1 Vendor Security Training_6_2021 .pptx	PPTX presentation	Jun 21, 2024
Exhibit 1 - Project Experience Form.pdf	PDF	Jun 21, 2024
Attachment 7_4 Controlled Unclassified Information CUI 3490 3 (1).pdf	PDF	Jun 21, 2024
Attachment 7_3 Project Management Information System.docx	DOCX document	Jun 21, 2024
WD WA20240108 2024 05 24.pdf	PDF	Jun 21, 2024
Exhibit 2 - Key Personnel Resume Format.pdf	PDF	Jun 21, 2024
Attachment 7_7 Electrical and Telecommunications Design and Construction.docx	DOCX document	Jun 21, 2024
Attachment 7_8 ROCAL - Current Version - Rev 5-17.xlsx	XLSX spreadsheet	Jun 21, 2024
Attachment 7_2 Submittal Transmittal Form - 1.pdf	PDF	Jun 21, 2024

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Waste Diversion Plan

: +christopher.clever@gsa.gov +walter.tersch@gsa.gov

(For consideration as an alternate). Anticipated sections match Actual to the right for 1:1 comparison.

-Jake Begnaud - WPIDBB Fine with either, will defer to +walter.tersch@gsa.gov Seems like it only boils down to estimating method or not.

-Christopher Clever - PCBL That's correct.

-Jake Begnaud - WPIDBB	Project Waste Management Plan		Submittal Type:		Waste Diversion Plan (Anticipated):	FALSE	Waste Diversion Report (Final) :	FALSE
	The general info in these gray cells replicates onto the Report tabs.
Project Name:		ECC (estimated construction cost):		Project Manager:		ePM/ePMX Project # :
Project Short Description:				PM email or phone:		gBUILD Project # :
Building Number:		Service Center / Field Office:		Budget Activity:	(list all applicable)	RWA # :

Anticipated Waste Diversion Plan To be filled out and submitted Pre-Construction, with final Construction Documents (PM or contractor populates this pink section) Actual Waste Diversion Report To be submitted during Project Close-Out (Reports tab figures auto-populate this green section)

	Material*
(see weight conversion factors below)	Diversion Method		Target Diversion Rate for each material, by weight
(Change to actual target(s) as needed)		Diverted (lbs)	Landfilled (lbs)	Total C&D material weight (Diverted + Landfilled) (lbs)	Diversion

Rate

	Reuse*	Recycle or Compost	Donation
Asphalt	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Brick, Masonry, and Tile	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Cardboard	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Carpet, including Padding	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Ceiling tile	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Concrete	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Drywall/ sheetrock (unpainted)	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Metals	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Painted wood, drywall, or plywood	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Reusable items	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Roofing	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Soil, Rock, Land Clearing Debris	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Wood (unpainted)	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Total**:					0	0	0	n/a

Reuse is encouraged. Please list any items such as cabinets, doors, shelves, bricks, framing lumber, siding, fill material, misc. millwork, etc. planned for reuse.
Item	Reuse Onsite	Reuse Offsite	Off-Site Recipient or Salvage/ Deconstruction Company

Volume-to-Weight Conversion Factor Reference Table

If a hauler reports materials by volume, this table enables conversion to weight, for reporting actual diversion and disposal.

Asphalt paving: 1 cubic yard = 773 lbs	Dirt or sand: 1 cubic yard = 929 lbs
Asphalt or composite roof shingles: 1 cubic yard = 731 lbs	Fiberglass insulation, loose: 1 cubic yard = 17 lbs
Brick, laid flat: 1 flat square foot = 20 lbs	Mixed (composite) C&D material: 1 cubic yard = 417 lbs
Brick, loose: 1 cubic yard = 3,200 lbs. (1 cubic foot = 120 lbs)	Sheetrock (drywall), loose: 1 cubic yard = 393.5 lbs
Ceramic tile, scrap, loose: 1 cubic yard = 1,214 lbs	Rock, crushed: 1 cubic yard = 2,570 lbs
Concrete: 1 cubic yard = 860 lbs	Wood: 1 cubic yard = 169 lbs

*Only non-hazardous materials need to be included in this document. C&D mandates governing GSA exclude hazardous materials such as asbestos or lead-containing paint.

**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 1

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

I, _________________________________ [name of certifier], am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 2

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 3

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 4

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 5

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 6

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 7

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 8

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 9

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 10

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 11

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

Report 12

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

If waste from other projects is included in these figures, specify project:

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name of Company, Firm, or Organization

*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.

ESRI_MAPINFO_SHEET

DO NOT EDIT

For Esri use only

File details come from the government source that posted it. Updated Jun 21, 2024.