IB

Waste Diversion and Disposal - FORM

WASTE DIVERSION:

EXECUTIVE ORDER 13514 PROVIDES A GOAL TO ACHIEVE AT LEAST A 50% DIVERSION OF CONSTRUCTION DEBRIS BY 2015. WE ENCOURAGE THE CONTRACTOR ON THIS ORDER TO MAKE A GOOD FAITH EFFORT TO DIVERT ANY NON-HAZARDOUS DEBRIS SO THAT CAN BE RE-USED, RE-CYCLED, OR DIVERTED FROM LANDFILL DISPOSAL. THE CONTRACTOR IS ENCOURAGED, BUT NOT CONTRACTUALLY REQUIRED, TO DIVERT THE CONSTRUCTION WASTE AND TO REPORT TO THE COR THE EXPECTED AMOUNT OF WASTE THAT WAS DIVERTED AND WHAT WAS ACTUALLY SUCCESSFULLY DIVERTED. IF DIVERTING TO A CHARITY, IT SHOULD BE ONE RECOGNIZED BY THE U.S. INTERNAL REVENUE SERVICE AND THERE SHOULD BE A RECEIPT GIVEN TO THE COR TO SUPPORT THE TRANSFER OF THE ITEM TO A CHARITY.

Date Issued: _____________________________ Issued by: ______________________________

Property Identify the building relevant to this input. (Note: The GSA building number is preferred where applicable. Example of this number type is TX0101 etc.)

Project Manager or Property Manager First & last name

Project Title & Description Replace two Chillers Fritz G. Lanham Federal Office Building, Fort Worth, TX

Project Number It is preferred that the GSA “Project Tracker” number be used.

Construction and Demolition Waste Diverted This section is for small (IDIQ) and large (capital) C&D waste.

All weight shall be reported in "tons" (2,000 lbs) with decimal fractions thereof to the second place. For example, a reported 3.78 tons would equate to 2000 lbs X 3.75 units = 7,560 lbs. A reporting of the minimum 0.01 tons would equate to 20 lbs. Reporting diverted waste abides the goal of EO13514 (being 50% waste diverted by 2015). Report items only once and in the box or on the line you determine most applicable. Where a box or line area is not used indicate N/A.

Carpet (indicate tonnage) Rolled or tiles

Architectural Salvage (indicate tonnage) Doors, windows, frames, millwork

Ferrous Metals (indicate tonnage) Iron & steel such as: structural steel, studs, rebar, ducting, ceiling tees and other misc steel & iron

Non-Ferrous Metals (indicate tonnage) Copper, aluminum, lead & brass such as: electric wire, aluminum conduit, copper or brass pipe, lead flashing etc.

Aggregate (indicate tonnage) Concrete, brick, concrete block, gravel fill

Plumbing Fixtures (indicate tonnage) Sinks, toilets, urinals

Ceiling/Wall Finishes (indicate tonnage) Acoustic ceiling tiles, gypsum wallboard

Roofing (indicate tonnage) Shingles, roofing paper, commercial membrane

Reuse (indicate tonnage) Describe any other materials from federal owned property that was donated, spared, returned, reused or recycled.

Other (indicate tonnage) Indicate other products/materials was collected and either diverted or properly disposed of according to federal, state, and local laws.

Landfill – Non-diverted (indicate tonnage) Materials that was disposed of in the landfill. These items were neither reused nor recycled.

Landfill Waste

Date this form was completed: _______________________ Completed by: _____________________________

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