TAB 1--EAFB fillable borrow Pit Review sheet.doc

Eielson AFB Waste Disposal / Borrow Pit Worksheet

FTQW # / PROJECT TITLE:

Air Force Project Manager / Office Symbol / Telephone Number:

Contractor Project Engineer / Company / Telephone Number:

--PART I (To be completed by the project manager)--

ATTACH AF FORM 332 FOR PROJECT

The proponent must submit an electronic copy of the AF Form 332 with the “Waste Disposal / Borrow Pit Worksheet”.

HISTORICAL: Is this work occurring on the run-way (1131) or at one of the following buildings, note the new building numbers are in parentheses: 1120 (2287), 1121 (2311), 1123 (2339), 1124 (2341), 1125 (2347), 1127 (2355), 1128 (2357), 1132 (2359), 1133 (2383), 1134 (2381), 1135 (2379), 1136 (2377), 1138 (2421), 1140 (2511), 1141 (2509), 1146 (2577), 1183 (2681), 1190 (2685) or 3112 (354)?

Yes or No

REQUIRED SURVEYS:

1. Lead-based paint survey FORMDROPDOWN accomplished. Scan and attach survey, give a brief description and scan and attach the results or state why a survey is not required:

2. Asbestos survey. Scan and attach survey, give a brief description and scan and attach the results or state why a survey is not required:

WASTES TO BE GENERATED:

1. Trees: number, square feet, or acres

2. Trees and brush or hydro-axed vegetation and soil mixture: cubic yards

3. Clean soil: cubic yards - give brief description (percent silt, sand, gravel, etc):

4. Contaminated soil: cubic yards. Type of contaminate(s):

Please Note: Proponent must provide CEVQ a soil sampling site map and copies of the sample results.

5. Concrete: cubic yards

6. Asphalt:

a. Chunk: cubic yards

b. Milled: cubic yards

FTQW # / PROJECT TITLE:

WASTES TO BE GENERATED (continued):

7. Asbestos: cubic yards

8. Lead Based Paint Debris:

Give brief description:

XRF Results:

TCLP Results:

9. Hazardous Wastes:

PCB light ballasts:

Non-PCB light ballasts:

Exit light ballasts:

Non-incandescent lights:

Transformers:

Transformer oil:

Mercury thermostats:

Smoke detectors:

Batteries:

Rags with oil, grease, or solvents:

Used solvents:

Waste paint:

Capacitors and switching gear:

Used spray cans:

Solvent, asbestos removal:

10. Construction / Demolition Wastes (wood, glass, sheetrock, pipe, etc):

a. Give brief description:

b. Items to be salvaged:

c. Items to be recycled:

BORROW PITS: Materials required for the project:

1. Gravel: cubic yards

Please Note: Bailed gravel stored adjacent to an active gravel pit shall become property of the Government on 31 December of year it is bailed. To retain rights to the gravel the following year the Contractor shall provide written coordination prior to 31 December informing 354 CES/CEVN of their gravel needs.

2. Topsoil: cubic yards

FTQW # / PROJECT TITLE:

--PART II (To be completed by 354 CES/CEV)--

INSTRUCTIONS FOR THE DISPOSAL OF WASTES:

1. Tree Protection, Transplanting, Replacement, and Methods:

2. Wastes to be disposed on base:

a. Trees, Soil, Concrete:

b. Hazardous Waste and Asbestos:

3. Wastes to be disposed off base: All construction wastes (except hazardous wastes) not listed for on base disposal shall be disposed off base by the contractor in an approved landfill in accordance with applicable state and federal regulations.

Please Note: Prior to project completion the proponent shall provide CEVQ written sampling result(s) and copy of the disposal tare for debris, e.g., lead painted materials disposed at the Fairbanks North Star Borough Landfill.

BORROW PITS:

1. Borrow pit(s) to be used:

Gravel -

Topsoil -

2. Pit development, rehabilitation, and/or expansion work required for the privilege of using borrow pit(s):

Reviewers:

CEVQ CEVN CEO CEOH CEOMI CEC .

Date of Issue: . This Coordination Review becomes invalid if the project is not awarded within one year from the date of issue.

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