CDRL - F005-Hazardous Waste Report.docx

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Commercial Industrial Services (CIS) PIPE LAGGING
Solicitation number
N5523623R0003
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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
0002
F
TDP
TM _____
OTHER MGMT
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
PIPE LAGGING SERVICES
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

F005
HAZARDOUS WASTE (HW) REPORT
N/A
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MGMT-80899
SEE BLK 16
SWRMC CODE 300AB AND 106B
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
LT
REQUIRED
ASREQ
SEE BLK 16
a. ADDRESSEE
b. COPIES
8. APP CODE
D*
11. AS OF DATE
13. DATE IF SUBSEQUENT SUBM.
Draft
Final

N/A

SEE BLK 16
SEE BLK 16
Reg
Repro
16. REMARKS
SWRMC CODE 106B
0
1
0

BLOCK 5: PARAGRAPHS C.1.1, C.3.9, C.3.15, C.3.18, C.3.24, C.14.2, C.14.4, AND C.16.1

BLOCK 7: ELECTRONIC COPIES SHALL BE DELIVERED VIA E-MAIL AND HARD COPIES SHALL BE DELIVERED IN PERSON.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL USE) (22 MAY 2013). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, SOUTHWEST REGIONAL MAINTENANCE CENTER CODE 400, NAVAL BASE SAN DIEGO, 3755 BRINSER STREET SUITE 1, SAN DIEGO CA 92136.

BLOCKS 10, 11, 12, AND 13: ONE (1) ELECTRONIC COPY OF THE HAZARDOUS WASTE REPORT SHALL BE SUBMITTED TO THE SBS AND THE SWRMC ENVIRONMENTAL DEPARTMENT CODE 106B UPON COMPLETION OF EACH DELIVERY ORDER. ONE (1) HARD COPY AND ONE (1) ELECTRONIC COPY OF THE HAZARDOUS WASTE REPORT SHALL BE SUBMITTED TO THE SBS AT THE TIME OF BILLING/INVOICING.

BLOCK 14: MEDIA REQUIREMENT: THE HAZARDOUS WASTE REPORT SHALL BE PRESENTED IN A MICROSOFT OFFICE SUITE, VERSION 2007 OR NEWER, OR ADOBE ACROBAT (PDF) AND DELIVERED AS AN E-MAIL ATTACHMENT TO ALL ADDRESSEES:

CURRENT SWRMC CODE 300AB SHIP BUILDING SPECIALIST (SBS)

CURRENT SWRMC CODE 106B ENVIRONMENTAL DEPARTMENT

E-MAIL ADDRESSES SHALL BE PROVIDED UPON AWARD OF THE CONTRACT

SWRMC CODE 300AB
0
2
0
15. TOTAL ▬▬▬▬►
0
3
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

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