JA-4_AF_Form_66.pdf
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- Attached to
- Lightning and Surge Protection Federal contract opportunity
- Solicitation number
- FA5004-17-B-C001
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JA-4 AF Form 66
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| FA5004-17-B-C001-0002.pdf | ||
| JA-5_Site_Map_and_Drawings.pdf | ||
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| JA-5_Site_Map_and_Drawings.pdf | ||
| JA-6_Asbestos_Surveys.pdf | ||
| FA5004-17-B-C001-0001.pdf | ||
| JA-4_AF_Form_66.pdf | ||
| JA-5_Site_Map_and_Drawings.pdf | ||
| JA-2_Specifications.pdf | ||
| JA-1_Other_Contract_Requirements.pdf | ||
| FA5004-17-B-C001.pdf | ||
| JA-6_Asbestos_Surveys.pdf | ||
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ITEMS OR DESCRIPTION
OF ITEM, CONTRACT REFERENCE,
TYPE OF
SUBMITTAL
APPROVED DIS-APPROVED
01030 SAFETY, ENVIRONMENTAL PROTECTION,
REGULATIONS, AND CODES
1 Construction Operation and Safety Plan 01030 Part 2, A.1, 1.6 3
2 Safety and Health Program 01030 Part 2, A.2, 1.8 3
3 Request for Use of Ionizing Radiation (if required) 01030 Part 2, A.3, 1.10.A 3
4 Request for Use of Lasers (if required) 01030 Part 2, A.4, 1.11.A 3
5 Request for Use of Radioactive Materials (if required) 01030 Part 2, A.5, 1.12.A 3
6 Request for Use of Radio Frequency Radiation (if required) 01030 Part 2, A.6, 1.13.A 3
7 Request for Use of Ultraviolet Radiation (if required) 01030 Part 2, A.7, 1.14.A 3
8 Environmental Protection Plan 01030 Part 2, A.8, 1.20 3
9 Hazardous Materials Inventory (Initial, quarterly & final) 01030 Part 2, A.9, 1.21.A 3
10 Hazardous Waste Accumulation Log (Initial, quarterly & final) 01030 Part 2, A.10, 1.22.C 3
11 Laboratory Test Results (as applicable) 01030 Part 2, A.11, 1.23.A 3
12 NOI for Asbestos Abatement (if required) 01030 Part 2, A.12, 1.26.B 3
13 Contaminated Soil Sampling and Analysis Plan (if required) 01030 Part 2, A.13, 1.31-1.33 3
Contaminated Soil Sampling and Analysis Field Report (if required) 01030 Part 2, A.14, 1.34
Signed Certificate of Compliance with Land Use Controls (if required) 01030 Part 2, A.15, 1.19.B
16 ADEC Approval to Transport Contaminated Soil (if applicable)
01030 Part 2, A.16, 1.29.C 3
ADEC Approved Disposal Facility Weight and/or Acceptance Ticket for Contaminated Soil (if applicable) 01030 Part 2, A.17, 1.29.C
ADEC Approved Disposal Facility Certificate of Thermal Incineration or Disposal of Contaminated Soil along with Confirmatory Sample Results (if applicable) 01030 Part 2, A.18, 1.29.C
19 Completed Checklist for Quarry Hill C&D Landfill (if applicable) 01030 Part 2, A.19, 1.19.D 3
20 Storm Water Pollution Prevention Plan (if required) 01030 Part 2, A.20, 1.35 3
21 Copy of APDES NOI and ADEC Approval (if required) 01030 Part 2, A.21, 1.35.E 3
22 Copy of APDES NOT to ADEC (if applicable) 01030 Part 2, A.22, 1.35.H 3
23 Evidence of Delivery of SWPPP to ADEC (if required) 01030 Part 2, A.23, 1.35.E 3
24 Wetlands Permit (if Contractor obtained) 01030 Part 2, A.24 3
SCHEDULE OF MATERIAL SUBMITTALS
PROJECT NUMBER PROJECT TITLE SOLICITATION/ CONTRACT NUMBER
Lightning and Surge Protection Systems ImprovementsFTQW 06-1002A
TO BE COMPLETED BY PROJECT ENGINEER
TO BE COMPLETED BY CONTRACT ADMINISTRATOR
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OF ITEM, CONTRACT REFERENCE,
TYPE OF
SUBMITTAL
APPROVED DIS-APPROVED
SCHEDULE OF MATERIAL SUBMITTALS
PROJECT NUMBER PROJECT TITLE SOLICITATION/ CONTRACT NUMBER
Lightning and Surge Protection Systems ImprovementsFTQW 06-1002A
TO BE COMPLETED BY PROJECT ENGINEER
TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED =
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Phase I Environmental Assessment Certificate for Imported Borrow Materials (if required) 01030 Part 2, A.25, 1.36.B
FAA Form 7460-1 Notice of Proposed Construction or Alteration (if applicable) 01030 Part 2, A.26, 1.37.A
01045 CUTTING AND PATCHING
1 Written Request: Cutting or Alteration 01045 1.2.A 3
01400 QUALITY CONTROL
1 Testing Laboratory Information 01400 1.3.A,B,C,D,E 3
01700 CONTRACT CLOSEOUT
Architectural Materials and Finishes Operation and Maintenance Data 01700 1.5.A.1
2 Electrical Equipment Operation and Maintenance Data
01700 1.5.A.2 3
26 05 35 PULL AND JUNCTION BOXES
1 Pull Boxes 26 05 35 1.4, 1.2 3
2 Junction Boxes 26 05 35 1.4, 1.3 3
26 41 00 Lightning Protection System
1 Air Terminals 26 41 00 1.4.A, 2.4 3
2 Conductors 26 41 00 1.4.A, 2.5
3 Roof Penetrations 26 41 00 1.4.A, 2.6 3
4 Ground Electrodes 26 41 00 1.4.A, 2.7 3
5 Connections and Terminations 26 41 00 1.4.A, 2.8 3
6 Shop Drawings 26 41 00 1.4.B 3
7 Lightning Protection and Grounding System Test Plan 26 41 00 1.4.C.1 3
8 Lightning Protection and Grounding System Test Results 26 41 00 1.4.C.2 3
9 Lightning Protection System Installers Documentation 26 41 00 1.4.D.1 3
OF ITEM, CONTRACT REFERENCE,
TYPE OF
SUBMITTAL
APPROVED DIS-APPROVED
SCHEDULE OF MATERIAL SUBMITTALS
PROJECT NUMBER PROJECT TITLE SOLICITATION/ CONTRACT NUMBER
Lightning and Surge Protection Systems ImprovementsFTQW 06-1002A
TO BE COMPLETED BY PROJECT ENGINEER
TO BE COMPLETED BY CONTRACT ADMINISTRATOR
NUMBER OF COPIES REQUIRED =
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Proof of Compliance that Components are UL Listed and Labeled 26 41 00 1.4.D.2
11 Lightning Protection System Inspection Certificate
26 41 00 1.4.D.3 3 12 Roof Manufacturer's Warranty
26 41 00 1.4.D.4 3
Schedule of Material Submittals, MAR 05 (SAF/AQCP) / PREVIOUS FORM IS OBSOLETE
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