B08 Attachment 0005 Appendix D Non Hazardous Construction and Demolition Debris Submittal Form.pdf

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Repair Roof - Building 350
Solicitation number
W52P1J-22-R-5006
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This document contains a template for reporting non-hazardous construction and demolition debris from a project. The template requires contractors to estimate the total weight of various construction materials that will be generated from a project. Contractors must further estimate what percentage of each material by weight will be landfilled, recycled, or otherwise diverted from the landfill. The template collects this data to submit with the project title and number, contractor name, and contracting officer's representative.

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Estimated Weight Estimated Percent to be Landfilled

Estimated Percent to be Recycled

Estimated Percent to be Diverted TOTAL Weight Weight landfilled Landfill Weight recycled Recycler Weight

Diverted Diversion Weight tickets received

(pounds) (%) (%) (%) (pounds) (pounds) (vendor/ company name) (pounds) (vendor/ company name) (pounds) (vendor/ company name) Y or N

CIVIL

Asphalt Concrete Gravel Soil Structural Steel Structural Wood Other Wood Other Steel/Metal Top Soil Sub Soil Trees Crushed Stone/Base

ARCHITECTURAL

Aluminum Brick Carpet Ceiling Tile

CMU

Copper Doors Drywall Glass Insulation Materials Iron Metal Studs Misc Metal Paper Plastic Roofing Materials Sheet Metal Stone Vinyl Base Vinyl Flooring Windows Wood Studs

ELECTRICAL

Ballasts Light Fixtures Transformers Wire Conduit

MECHANICAL

Cast Iron Pipe Copper Pipe Steel Pipe HVAC Equipment White Goods Plumbing Fixtures

RPZ/DCD

Insulation

PHASE II:C&D Report Data

Material

Non-Hazardous Construction and Demolition Debris Submittal Project Title:

Project Number:

Contractor Name:

Contracting Officer's Representative:

PHASE I:C&D Plan Data

File details come from the government source that posted it. Updated .