B158 Form 66.xlsx
XLSX spreadsheet 84 KB Posted
- Attached to
- B158 Repair LRS Warehouse Offices, Add Restrooms
- Solicitation number
- FA302225R0004
About this file
The document is an AF Form 66 (Schedule of Material Submittals) for Project No. EEPZ239812, which involves repairing LRS Warehouse Offices and adding restrooms at B158, dated 1-Mar-24. The comprehensive submittal form details required documentation across multiple disciplines including General, Environmental, Architectural, Civil, Mechanical, Electrical, Special Systems, and Other/Miscellaneous categories.
Key submission requirements include 35 specific items such as work/construction plans, as-built drawings, progress schedules, hazardous waste and material reports, safety documentation, and detailed product submittals for specific building components. Critical environmental and safety submissions include Storm Water Pollution Prevention Plan, State licensing for workers and supervisors, asbestos-related documentation, and a Hazardous Materials Usage Tracking Form. Contractors must provide detailed documentation on materials like paint colors, kitchenette cabinets, doors, ceiling components, plumbing fixtures, HVAC components, and electrical systems, with each item requiring multiple levels of review and approval.
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Text version
General
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 1 | Work/Construction/phasing Plan | BASIC | X | ||||||||||||||||
| 3 | As-Built Drawings | BASIC | X | ||||||||||||||||
| 4 | Progress Schedule | BASIC | X | ||||||||||||||||
| 5 | Guarantees and Warranties | BASIC | X | ||||||||||||||||
| 6 | Superintendent's Qualifications and Experience | BASIC | X |
AF Form 66 (Substitute) GENERAL Page&Pof&N
SCHEDULE OF MATERIAL SUBMITTALS
Environmental
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 7 | Appropriate SDS | BASIC | X | ||||||||||||||||
| 8 | Hazardous waste report | BASIC | X | ||||||||||||||||
| 9 | Hazardous Material Report (AF Form 3000) | BASIC | X | ||||||||||||||||
| 10 | Recycled Material Report/Construction Debris report | BASIC | X | ||||||||||||||||
| 11 | Storm Water Pollution Prevention Plan with Best Management Practices Identified | BASIC | X | ||||||||||||||||
| 12 | Weekly Inspection Reports for Projects | BASIC | |||||||||||||||||
| 13 | State Licenses for workers and supervisors (Asbestos) | BASIC | |||||||||||||||||
| 14 | State license for the firm (Asbestos) | BASIC | |||||||||||||||||
| 15 | 10 Day Notification (Demolition and Asbestos) | BASIC | |||||||||||||||||
| 16 | Work Plan | BASIC | X | ||||||||||||||||
| 17 | Copy of ACM DisposalManifest | BASIC |
AF Form 66 (Substitute) Environmental Page&Pof &N
SCHEDULE OF MATERIAL SUBMITTALS
Architectural
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 18 | PAINT COLOR | BASIC | X | X | X | X | X | ||||||||||||
| 19 | KITCHENETTE/CABINETS | BASIC | X | X | X | X | |||||||||||||
| 20 | DOORS | BASIC | X | X | X | X | |||||||||||||
| 21 | CEILING GRID | BASIC | X | X | X | X | |||||||||||||
| 22 | CEILING TILES | BASIC | X | X | X | X | |||||||||||||
| 23 | SINK | BASIC | X | X | X | ||||||||||||||
| 24 | FAUCET | BASIC | X | X | X | ||||||||||||||
| 25 | COVE BASE | BASIC | X | X | X | X | X | ||||||||||||
| 26 | COUNTERTOP | BASIC | X | X | X | X | |||||||||||||
| 27 | TILES | BASIC | X | X | X | X | |||||||||||||
| 28 | WINDOWS | BASIC | X | X | X | X | |||||||||||||
| 29 | WATER CLOSETS | BASIC | X | X | X |
AF Form 66 (Substitute) Architectural Page&Pof&N
Civil
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| NONE |
AF Form 66 (Substitute) CIVIL Page&Pof &N
Mechanical
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 30 | DIFFUSERS | BASIC | X | X | X | X | |||||||||||||
| 31 | GRILLS | BASIC | X | X | X | X | |||||||||||||
| 32 | PIPING | BASIC | X | X | X |
AF Form 66 (Substitute) Mechanical Page&Pof&N
Electrical
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 33 | MINI SPLIT | BASIC | X | X | X |
AF Form 66 (Substitute) Electrical Page&Pof &N
Special Systems
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| NONE |
AF Form 66 (Substitute) Special Systems Page&Pof &N
Other&Misc
| Project No: | Project Title: | Date: | |||||||||||||||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | 1-Mar-24 | |||||||||||||||||
| LINE NO. | ITEM DESCRIPTION | SPEC REF | NUMBER OF COPIES REQUIRED | DATE KTR REQUIRES APPROVAL | DATE RECEIVED KTR | DATE TO CIVIL ENG | DATE RECEIVED FROM CE | DATE CONTRACTOR NOTIFIED APR DISAPR | CONTRACT RESUBMIT DUE | CONTRACT RESUBMITTAL RECEIVED | FINAL APPROVAL RCVD KTR NOTIFIED | ||||||||
| Certificate of Compliance | Shop Drawings | Samples | Color Selction | Manufacturer's Recommendations | Manufacturer's Warranty | Catalog Data | Operating Instructions | Other | |||||||||||
| GENERAL | |||||||||||||||||||
| 34 | Airfield Waiver | ||||||||||||||||||
| Prepared by CE but contractor must supply: | |||||||||||||||||||
| 1. Site Plan/Area of Work | |||||||||||||||||||
| 2. Type of Equipment to be used | |||||||||||||||||||
| 3. Maximum height of equipment | |||||||||||||||||||
| 4. Work Hours (24/7, nights, non-flying, etc). | |||||||||||||||||||
| 5. Work Schedule |
35 Height of equipment on the airfield
AF Form 66 (Substitute) Other and Misc Page&Pof &N
HAZMAT Tracking Sheet
| Contractor Hazardous Materials Usage Tracking Form | |||||
| Return this form to Contracting/Project Manager with Manufacturers original SDS | |||||
| EEPZ239812 | Repair LRS Warehouse Offices, Add Restrooms, B158 | Contract # | |||
| Start Date: | End Date: | Cotractor: | |||
| Product Name as seen on SDS | |||||
| Process (How is material used) | Part # | Manufacturer | Type of | ||
| Container | Size of Container | Total |
Quantity
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Example and Instructions
| WORKSHEET INSTRUCTIONS | ||
| BLOCK | DESCRIPTION | INFORMATION REQUIRED |
| A | Project Number | Project number or Opportunity number assigned to the project by Civil Engineering. |
| B | Project Title | The title of the project. |
| C | Contract Number | The contract number or delivery order assigned by contracting. |
| D | Product Name | The name of the product as listed on the SDS. |
| E | Process | A Brief description of the work performed with each material. |
| F | Part # | The part number as listed on the SDS. |
| G | Manufacturer | The name of the Manufacturer of the product (not the distributor) |
| H | Type of Container | The type of container that the product comes in. Example: can, barrel, bottle, container, cylinder, drum, etc… |
| I | Size of Container | Size as listed on container. Example: oz, lbs, Liter, Quart, Gallon, etc… |
| J | Total Quantity Used | This will be the amount that you anticipate using for the first submission. At the conclusion of the project you will need to provide a final list with updated quantities. |
| K | EESOH MSN | This is the Material Stock Number assigned for EESOH-MIS tracking. (The Air Force Hazardous Materials Manager will provide this number) |
NOTE: Complete the HAZMAT Tracking Sheet located on the first TAB of this Excel spreadsheet with all hazardous materials to be used during the duration of the construction project. Once completed, save the sheet as a .pdf file and submit to the contracting officer with an AF Form 3000 Submittal form. This data will need to be submitted prior to construction start. When construction is complete, you will submit a final revised report with updated quanties.
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