Attch_3_AF_Form_66_Schedule_of_Material_Submittals.pdf

PDF 31 KB Posted

Attached to
Maintain Base Interior/Exterior Paint Federal contract opportunity
Solicitation number
FA4613-14-R-0003
Issued by
Department of the Air Force Global Strike Command

About this file

Attachment 3. Material Submittal Schedule

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Text version

Maintain Base Paint

F.E. Warren AFB WY

FA4613-14-R-0003

Attachment 3

PROJECT NUMBER PROJECT TITLE SOLICITATION/CONTRACT NUIMBER

SCHEDULE OF MATERIAL SUBMITTALS GHLN XX-XXXX Basewide Paint IDIQ

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINSTRATOR

NUMBER OF COPIES REQUIRED

L

IN

E N

U M

B E

R

ITEM OR DESCRIPTION OF ITEM,

CONTRACT REFERENCE, TYPE OF

SUBMITTAL

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DATE CONTRACTOR NOTIFIED

C O

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IT

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A L

F

IN

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A P

P R

O V

A L

REMARKS

APPROVED DISAPROVED

1 Colors/Finishes - Section 01000 - (p.5) X

Green Product Determination Form

(GPDF) - Section 01000 - (p.6) X

Employee Asbestos Certification - Section

01010 - (p.35) X

4 Respirator Fit Test - Section 01010 - (p.35) X

Employee Medical Survey - Section 01010 -

(p.35) X

10-Day Notification of Demolition or

Renovation to Wyoming DEQ AQD -

Section 01010 - (p.35)

X

7 Work Plan - Section 01010 - (p.35) X

Signed Manifest Copies - Section 01010 -

(p.35) X

Material Safety Data Sheets (MSDS) -

Section 01010 - (p.38) X

Final Usage Report (for all materials) -

Section 01010 - (p.38) X

Hazardous Material Form - Section 01010 -

(p.38) X

Sampling Results - Section 02 82 33.13 20 -

(p.58) X

Occupational and Environmental

Assessment Data Report - Section 02 82

33.13 20 - (p.58)

X

FA4613-14-R-0003

FA4613-14-R-0003

Attachment 3

PROJECT NUMBER PROJECT TITLE SOLICITATION/CONTRACT NUIMBER

SCHEDULE OF MATERIAL SUBMITTALS GHLN XX-XXXX Basewide Paint IDIQ

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINSTRATOR

NUMBER OF COPIES REQUIRED

L

IN

E N

U M

B E

R

ITEM OR DESCRIPTION OF ITEM,

CONTRACT REFERENCE, TYPE OF

SUBMITTAL

C E

R T

IF

IC

A T

IO

N

M P

L

IA

N C

E

S H

O P

D R

A W

IN

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DATE CONTRACTOR NOTIFIED

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P R

O V

A L

REMARKS

APPROVED DISAPROVED

Qualifications of CP - Section 02 82 33.13

20 - (p.58) X

Occupant Notification - Section 02 82 33.13

20 - (p.58) X

Training Certification of Workers and

Supervisors - Section 02 82 33.13 20 -

(p.58)

X

Notification of the Commencement of LBP

Hazard Abatement - Section 02 82 33.13 20

- (p.58)

X

Third Party Consultant Qualifications -

Section 02 82 33.13 20 - (p.58) X

LBP Work Plan - Section 02 82 33.13 20 -

(p.58) X

Respiratory Protection Plan -

Section 02 82 33.13 20 - (p.58) X

Hazard Communication Program - Section

02 82 33.13 20 - (p.59) X

EPA/State Approved Haz Waste Disposal

Facility for Lead Disposal - Section 02 82

33.13 20 - (p.59)

X

Lead Waste Management Plan - Section 02

82 33.13 20 - (p.59) X

Clearance Certification - Section 02 82

33.13 20 - (p.59) X

Completed Haz-Waste Manifest from

Treatment or Disposal Facility - Section 02

82 33.13 20 - (p.59)

X

Certification of Medical Examinations -

Section 02 82 33.13 20 - (p.59) X

FA4613-14-R-0003

Attachment 3

PROJECT NUMBER PROJECT TITLE SOLICITATION/CONTRACT NUIMBER

SCHEDULE OF MATERIAL SUBMITTALS GHLN XX-XXXX Basewide Paint IDIQ

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINSTRATOR

NUMBER OF COPIES REQUIRED

L

IN

E N

U M

B E

R

ITEM OR DESCRIPTION OF ITEM,

CONTRACT REFERENCE, TYPE OF

SUBMITTAL

C E

R T

IF

IC

A T

IO

N

M P

L

IA

N C

E

S H

O P

D R

A W

IN

G

S

S A

M P

L E

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C O

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IN

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DATE CONTRACTOR NOTIFIED

C O

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C T

S U

B M

IT

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A L

F

IN

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A P

P R

O V

A L

REMARKS

APPROVED DISAPROVED

Employee Training Certification - Section

02 82 33.13 20 - (p.59) X

Waste Turn-in Tickets - Section 02 82

33.13 20 - (p.59) X

Qualifications - Section 02 83 19.00 10 -

(p.77) X

Occupant Protection Plan - Section 02 83

19.00 10 - (p.77) X

Licenses, Permits, and Notifications -

Section 02 83 19.00 10 - (p.77) X

Sampling and Analysis - Section 02 83

19.00 10 - (p.77) X X

Abatement Report - Section 02 83 19.00 10

- (p.77) X

Coating Materials - Section 09 90 00 -

(p.99) X X

35 Color Samples - Section 09 90 00 - (p.99) X X

36 Work Plan - Section 09945 - (p.185) X

37 Materials - Section 09945 - (p.185) X

38 Qualifications - Section 09945 - (p.185) X

Attch 3 AF Form 66 Schedule of Material Submittals
Attch 3 AF Form 66 Schedule pg 2
Attch 3 AF Form 66 page 3

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