Solicitation_GS-01P-13-BZ-D-0003_Attachment_M_Construction_and_Demolition_Waste_Management_Report_1-23-13.xls

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Solicitation GS-01P-13-BZ-D-0003 GSA New England Region Boston Construction IDIQ FY2013
Solicitation number
GSA_Boston_Construction_IDIQ_FY2013
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Attachment M

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Sheet1

Construction and Demolition Waste Management Report
Project Name:
Project Location:
DateWaste DescriptionHauler of Waste MaterialName and Location of Waste Processing FacilityTotal Weight (tons) of Waste MaterialMethod of Waste Material Disposal or Diversion (Salvage, Reuse, Recycle, Incinerate, or Landfill)Reason Why Waste Not Diverted
Total Weight Of Waste Materials For Entire Project (tons):
Total Weight Of Waste Materials For Entire Project Reused, Recycled, or Salvaged (tons):
Percentage Of Waste Materials For Entire Project Reused, Recycled, or Salvaged (%):
Certification by Firm
I, _________________________________ (name of certifier), am an officer or employee responsible for the performance of this contract and hereby certify that the waste amounts and total percentage stated on this report are true and correct to the best of my knowledge.
__________________________________________________
[Signature of the Officer or Employee]
__________________________________________________
[Typed Name of the Officer or Employee]
__________________________________________________
[Title]
__________________________________________________
[Name of Company, Firm, or Organization]
__________________________________________________
[Date]

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