DD Form 1423-1 SWI-023 Hazardous Waste.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

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17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER x

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A023

2. TITLE OF DATA ITEM

Hazardous Waste Disposal

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

MSC SWI-23

6. REQUIRING OFFICE

PM_CM_/N10

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

See Blk 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final Reg Repro

16. REMARKS

Abstract:

7.3.2 Upon vessel arrival at the contractor’s facility, the contractor shall survey all ship spaces, areas, equipment, lockers, and storerooms in the presence of the MSCREP to identify material requiring disposal which may be characterized as hazardous waste. The nature of the potentially hazardous waste shall be determined through the testing requirements of this work item listed in 6.1. The survey results shall be tabulated in a spreadsheet format per Enclosure 2.2.2 of this work item.

7.3.3 Following the arrival survey, if potentially hazardous wastes are discovered through any work associated with a work item in this work package, the contractor is required to notify the MSCREP in writing. Each notification shall be in accordance with Enclosure

2.2.2.

7.3.9 The contractor shall submit weekly reports itemizing all materials being handled as hazardous waste up to that time. This report shall be submitted whether hazardous wastes have been handled or not.

7.4.2 All applicable documentation, including hard copy invoices and proof of disposal at an authorized hazardous waste disposal site and signed by an authorized representative of the authorized disposal facility shall be required for reimbursement.

7.4.4 Submit hard copy Uniform Hazardous Waste Manifest Forms to the MSCREP when disposing of hazardous waste complete with the contractor’s EPA generator number.

7.6 The contractor must submit the following in order to receive compensation under this work item. If any of the items listed in 7.6.1 through 7.6.5 are not provided, the contractor shall not receive compensation until such time as they are provided:

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ACO 1

PPE 1

MSC Tech Library 1

15. TOTAL 0 3 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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DD FORM 1423-1, FEB 2001 Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT

C. CATEGORY:

x TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

Abstract:

7.6.1 Shipyard’s hard copy invoice for the waste disposal. The invoice shall cover the pass through charge from the waste disposal facility and the shipyard’s pro-rata charge for the management and handling fees.

7.6.2 A PDF document identifying the regulatory reference and method utilized under section 6.1 to determine the material was hazardous waste.

When analytical testing is utilized, test results shall be included.

7.6.3 Hard copies of the outgoing Uniform Hazardous Waste Manifests.

7.6.4 Hard copies of the return Uniform Hazardous Waste Manifests

7.6.5 Hard copies of invoices from the hazardous waste transfer and disposal facilties submitted for the transportation and disposal of the hazardous wastes. This invoice must be the invoice the shipyard receives from the transfer and disposal facility and show the amount the shipyard was charged for the hazardous waste disposal.

7.7 Upon completion of the work package, submit a Final Hazardous Waste Removal Summary Report to the MSCREP. The report shall provide an itemized list of the hazardous wastes removed by type, quantity, unit price, extended price, analysis method used, regulatory cite that determined the material hazardous waste, work item that generated the waste, generator assignment along with the applicable manifests for each item, and any third party chemical analysis conducted in accordance with Paragraph 6.1.

7.7.1 An electronic copy of the Final Hazardous Waste Removal Summary Report shall be sent to:

a. The MSCREP (PPE)

b. The MSC Administrative Contracting Officer (ACO)

c. The MSC Technical Library at email address MSCTECHLIBRARY@navy.mil

MSC Technical Document Mailing Address:

MSC Technical Library - USNS COMFORT (T-AH 20)

9276 3rd Ave., Bldg LP-26

Norfolk, VA 23511

Tel: (757) 443-2595

MSCTECHLIBRARY@navy.mil mailto:MSCTECHLIBRARY@navy.mil mailto:MSCTECHLIBRARY@navy.mil

DD FORM 1423-1 (BACK), FEB 2001

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort

(production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.