JA-4_AF_Form_66.pdf

U.S. GPO 1987-188-148

PROJECT NUMBER PROJECT TITLE REPLACE COAL SOLICITATION/CONTRACT NO.

SCHEDULE OF MATERIAL SUBMITTALS FTQW 17-1011 FEEDERS, BOILER #6 FA5004-17-Q-C002

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR

NO. OF COPIES REQUIRED

L

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N

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B

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ITEM OR DESCRIPTION

OF ITEM, CONTRACT

REFERENCE, TYPE OF

SUBMITTAL

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REQUIRED

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MISSION

DATE

DATE

RECEIVED

IN CON-

TRACTING

DATE TO

CIVIL

ENGINEER-

ING

RETURN

SUSPENSE

DATE

FOLLOW-UP

DATE

CONTRACTOR

NOTIFIED

CONTRAC-

TOR RE-

SUBMIT-

TAL

FINAL APPROVAL REMARKS

APPROVED

DIS-

APPROVED

01 01 00-1.10.A. Work

Clearnace Request, AF Form

1 day before on-site work begins For Information Only

01 14 00-1.7. Construction

Operation & Safety Plan

7 days prior to work start

01 14 00-1.11, Ionizing

Radiation Permit Request

4 weeks prior to need

For Information Only.

Submit only if applicable

01 14 00-1.12, Laser Permit

Request

4 weeks prior to need

For Information Only.

Submit only if applicable

01 14 00 - 1.13, Radioactive

Material Permit Request

4 weeks prior to need

For Information Only.

Submit only if applicable

01 14 00-1.14, Radio

Frequency Radiation Permit

Request

4 weeks prior to need

For Information Only.

Submit only if applicable

01 14 00-1.15, Ultraviolet

Radiation Permit Request

4 weeks prior to need

For Information Only.

Submit only if applicable

01 14 00-1.19, Environmental

Protection Plan

7 days prior to work start

01 14 00-1.20.A, Initial

Hazardous Material Inventory

7 days prior to work start

01 14 00-1.20.A, Final

Hazardous Material Inventory

1 wk after completion of on-site work

01 14 00-1.21.C, Hazardous

Waste Accumulation Log

1 wk after completion of on-site work

01 14 00-1.21.D, Haz Waste

Test Results

Prior to disposing

Haz Waste

Submit only if applicable

S E

R V

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AF Form 66, Sep 86

FA5004-17-Q-C002

EIELSON AFB, AK

ATTACHMENT JA-4

AF FORM 66

U.S. GPO 1987-188-148

PROJECT NUMBER PROJECT TITLE REPLACE COAL SOLICITATION/CONTRACT NO.

SCHEDULE OF MATERIAL SUBMITTALS FTQW 17-1011 FEEDERS, BOILER #6 FA5004-17-Q-C002

TO BE COMPLETED BY PROJECT ENGINEER TO BE COMPLETED BY CONTRACT ADMINISTRATOR

NO. OF COPIES REQUIRED

L

I

E

U

M

B

E

R

ITEM OR DESCRIPTION

OF ITEM, CONTRACT

REFERENCE, TYPE OF

SUBMITTAL

S H

O P

D R

A W

IN

G

S

S A

M P

L E

S

C O

L O

R S

E L

E C

T

IO

N

C A

T A

L O

G

D

A T

A

O P

E R

A T

IN

G

I N

S T

R U

C T

IO

N

S

O T

H E

R

REQUIRED

SUB-

MISSION

DATE

DATE

RECEIVED

IN CON-

TRACTING

DATE TO

CIVIL

ENGINEER-

ING

RETURN

SUSPENSE

DATE

FOLLOW-UP

DATE

CONTRACTOR

NOTIFIED

CONTRAC-

TOR RE-

SUBMIT-

TAL

FINAL APPROVAL REMARKS

APPROVED

DIS-

APPROVEDS

E

R V

IC

E

S

IZ

E

A

P P

L

IC

A T

IO

N

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H E

D U

L E

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N U

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'S R

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O M

M E

N D

A T

IO

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N U

F A

C T

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E R

'S W

A R

R A

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C E

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IF

IC

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01 40 00-1.7, Construction

Photographs

Submit w/ each

Progress Report

01 70 00-1.4.I, Project Record

Docs

Prior to requesting final payment

41 13 99-1.2.A, Refractory &

Insulation

7 days prior to work start

41 13 99-1.2.B, Other Mat'ls 3

7 days prior to work start Submit only if applicable

41 13 99-1.2.C, Proposed

Locked Conveyor Motor

Detection

7 days prior to work start

41 13 99-1.2.D, Start-up &

Adjustmant Plan

7 days prior to work start

41 13 99-1.2.E, Proposed

Deviations

7 days prior to work start Submit only if applicable

41 13 99-1.2.F, Updated

Controls Program CD prior to final payment

41 13 99-1.2.G, controls

Discussion Sign-in Form prior to final payment

AF Form 66, Sep 86

FA5004-17-Q-C002

EIELSON AFB, AK

ATTACHMENT JA-4

AF FORM 66