Attach 12 - KTR Hazardous Waste Generation Form.doc

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Attached to
ER STARS Relocation, CCAFS, FL Federal contract opportunity
Solicitation number
FA252120B0005
Issued by
Department of the Air Force Space Command

About this file

This document contains a hazardous waste generation form and details of a federal contract opportunity for relocating offices at Cape Canaveral Air Force Station in Florida. The hazardous waste generation form requires contractors to forecast any hazardous materials used and wastes generated for a project. Contractors must describe each process using hazardous materials and the related waste streams. The federal contract opportunity is solicited by the Department of the Air Force Space Command to relocate equipment and personnel offices between two facilities on base. The work includes architectural, interiors, mechanical, fire protection and electrical services to complete the office relocation per project drawings and specifications.

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Text version

FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION

PROJECT #:
DBEH 18-1690
PROJECT TITLE:
ER STARS Relocation, CCAFS, FL

CONTRACTOR:

CONTRACT #

POINT OF CONTACT:

FA2521- - -

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 equiptment 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 knowledgable 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 .