Atch5-HazWasteForm.doc
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- Attached to
- Repair Lift Station Pumps Bldgs. 650 and 1497 & Replace Lift Station Bldg. 943, Patrick AFB, FL
- Solicitation number
- FA252120B0001
About this file
This document contains a hazardous waste forecast form and solicitation for repair and replacement of lift station pumps and buildings at Patrick Air Force Base in Florida. The hazardous waste forecast form requires contractors to identify any hazardous materials used and waste generated for the project. Contractors must describe each process using hazardous materials and the anticipated waste stream. The solicitation seeks bids to repair pumps at Buildings 650 and 1497 and replace the lift station at Building 943. A pre-bid site visit will be held on January 7, 2020, with questions due by January 14, 2020. Bids are due by January 22, 2020 at 9:00 AM EST and shall be submitted to the primary and alternate points of contact provided. Funds have not been obligated for this effort and the Air Force reserves the right to cancel the solicitation.
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Text version
FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION
| PROJECT #: |
| SXHT 11-1055 |
| PROJECT TITLE: |
| Repair Lift Station Pumps at Building 650, Building 1497 & Lift Station 943 |
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
CONTRACTOR’S SIGNATURE ______________________________________ DATE ________________
File details come from the government source that posted it. Updated .