PWS Appendices D-H - W912DR21R0042.pdf

PWS

Section

Media Installation Plan or Permit Description Usage

2.1.7 Hazardous Waste JBMDL HWMP

For reference. Annual review and complete updates are due in 2022 and 2025.

2.1.7 Hazardous Waste HANSCOM HWMP

For reference. Annual review and complete updates are due in 2022 and 2025.

2.1.7 Hazardous Waste ROME HWMP

For reference. Annual review and complete updates are due in 2022 and 2025.

2.1.1.4 Hazardous Waste

JBMDL -

MCGUIRE

HWCP For reference. Annual update, if needed.

2.1.1.4 Hazardous Waste JBMDL-DIX HWCP For reference. Annual update, if needed.

2.1.1.4 Hazardous Waste

JBMDL-

LAKEHURST

HWCP For reference. Annual update, if needed.

2.1.1.4 Hazardous Waste HANSCOM HWCP For reference. Annual update, if needed.

2.1.4 Hazardous Waste JBMDL-DIX RCRA Part B Permit_HWP150001 For reference and renewal is due 2025.

2.1 Hazardous Waste JBMDL-MCGUIRE RCRA Part B Permit_HWP170001 For reference.

2.2.1 Hazardous Materials

HANSCOM Hazardous Materials Operations Plan For reference.

2.3.2 Air HANSCOM 2020 Stage I Vapor Recovery Report

For reference and annual deliverable. Due to MA DEP in November for AAFES Service Station, Aero Club, and Motor Pool according to Commonwealth of Massachusetts regulations 310 CMR 7.00 and the HAFB Title V Operating Permit.

2.3.2 Air HANSCOM

2020 Relative Accuracy Test Audit

(RATA)/Source Compliance Testing Report

For reference and annual deliverable. IAW, 40 CFR Part 75, Appendix B, as required by the HAFB Title V Operating Permit. Performance specification (SP) testing will include the relative accuracy test audits (RATA) for the nitrogen oxides (NOX), carbon monoxide (CO), oxygen (O2) and ammonia (NH3) continuous emission monitoring systems (CEMS) serving the Co-Gen.

2.3.2 Air HANSCOM

2021 Reasonably Available Control

Technology (RACT) Report For reference and annual deliverable. RACT Report for Boilers #1, #2, #3, #4.

2.4.1.3 Air HANSCOM Annual Stage I Vapor Recovery Training

Deliverable is presentation, completed sign-in sheet, and Certificate of Training.

2.4.1.3 Air HANSCOM Annual Shop-Level AQ Training

Deliverable is presentation, completed sign-in sheet, and Certificate of Training.

2.4.1.3 Air HANSCOM Annual Basewide AQ Training

Deliverable is presentation, completed sign-in sheet, and Certificate of Training.

2.4.3 Air HANSCOM

2020 Title V Semi-Annual/Annual

Compliance Certification For reference. Deliverable due to MassDEP every 6 months.

2.3.2 Air HANSCOM

Continuous Emissions Monitoring System

(CEMs) Operation and Maintenance Manual

For reference. A continuous emissions monitoring system (CEMS) is installed for the Hanscom Air Force Base Combined Heat and Power (CHP) unit located in the base’s Central Heating Plant (Building 120).

Plans and Permits Usage

Media Installation Plan or Permit Description Usage

Plans and Permits Usage

2.3.2 Air HANSCOM

Continuous Emissions Monitoring System

(CEMs) Quality Assurance Plan

For reference. This Quality Assurance Plan is for the continuous emissions monitoring systems (CEMS) for Hanscom AFB Combined Heat and Power (CHP). The plant is within the jurisdiction of USEPA Region 1 and the Commonwealth of Massachusetts Department of Environmental Protection (DEP).

2.4.1.4 Air HANSCOM Monthly Rideshare Activity Report For reference.

2.4.1.4 Air HANSCOM

2020 Annual Rideshare Update/Summary

Commute Data

For reference and annual report due to the MassDEP by December 31 of each year. The reports are as follows: Rideshare Update Reports which calculate drive-alone commute trip (DACT) reductions as well as commute data. Email a single PDF of all signed reporting forms, attachments and documents by December 31.

2.4.3 Air HANSCOM Title V Permit (MBR-95-OPP-040R) For reference.

2.4.2.1 Air HANSCOM SR and Greenhouse Gas (SRGHG) Report For reference.

2.4.2.1 Air HANSCOM

United States EPA &Mass DEP GHG

Report/Source Registration For reference.

2.4.3 Air JBMDL

JB MDL-Lakehurst Alternative Emission

Limit (AEL) agreement

For reference. Per the Title V, an approved AEL of 0.1lb/MMBtu for Boiler #2 and boiler #3 is authorized for ten (10) years from following the approval of BOP150001.

Proposed AF deliverable date is 18 months prior to regulatory due date.

2.4.3 Air JBMDL Title V Permits

For reference. Three separate Title V’s, one per area.

McGuire – PI#45897 BOP200001 (exp.

10/31/21) *Renewal in progress* Dix – PI #45924 BOP190001 (exp. 2/7/2021) *Renewal in progress* Lakehurst – PI# 78897 BOP180003 (exp.

9/5/2022) *Renewal and modification in progress*

2.4.1.1 Air JBMDL

Title V Semi-Annual/Annual Compliance

Certification Report For reference. Three separate reports, one per area. Deliverable is due every 6 months.

2.4.1.3 Air JBMDL Annual Shop-Level AQ Training

For reference. Deliverable is presentation, completed sign-in sheet, and Certificate of Training

Air JBMDL Photo Inventory For reference.

2.4.1.3 Air JBMDL Annual Basewide AQ Training

For reference. Deliverable is presentation, completed sign-in sheet, and Certificate of Training

2.4.2 Air ROME

New York Department of Conservation Air

Facility Registration Permit For reference.

2.4.1.3 Air ROME Annual Shop-Level AQ Training

For reference. Deliverable is presentation, completed sign-in sheet, and Certificate of Training

Media Installation Plan or Permit Description Usage

Plans and Permits Usage

2.4.1.3 Air ROME Annual Basewide AQ Training

For reference. Deliverable is presentation, completed sign-in sheet, and Certificate of Training

2.4.1.2 Air ROME Monthly ECARS Compliance Report For reference.

2.4.2.2 Air NEW BOSTON 2010 GHG Memorandum

For reference. As specified by the New Boston AQ Program Manager, the contractor shall prepare a GHG summary memorandum. The contractor shall coordinate with the New Boston AQ Program Manager and utilize the APIMS database to review relevant Air Emission Inventory data in order compare current Installation GHG emissions to the U.S.

EPA Mandatory Reporting Rule (MRR) thresholds (40 CFR Parts 86, 87, 89, 90, 94, 98, 1033, 1039, 1042, 1045, 1048, 1051, 1054, and 1065). The contractor shall provide the New Boston AQ Program Manager with a draft version of the GHG Summary Memorandum for review and comment. The Contractor shall assume a 14-day review period; once approved the Final deliverable shall be submitted in electronic format.

2.4.2 Air NEW BOSTON 2General State Permit # GSP-EG-0375 For reference.

2.5.3.1 Storm Water HANSCOM

HAFB Stormwater Pollution Prevention Plan

(MSGP)

For reference and update.

2.5.1 Ground Water JBMDL - DIX Dix_GW_Permit_20160301 For renewal.

2.5.1 Waste Water JBMDL - DIX Dix_TTB_ww_Permit_2018_03_01 For renewal.

2.5.3.4 Storm Water HANSCOM Hanscom_msgp2015_final_permit For reference.

2.5.3.4 Storm Water HANSCOM msgp-2015-part-624-parameters-ma For reference.

2.5.3.2, 2.5.3.4

Storm Water HANSCOM Hanscom_SWMP_Final_30JUN20 For reference and update.

2.5.3.3, 2.5.3.4

Storm Water HANSCOM Hanscom_SWPPP_Final_17JUL19 For reference and update.

2.5.3.3, 2,5,3,4

Storm Water, Waste Water

HANSCOM

Hanscom_Water Sampling-Monitoring

Plan_FINAL For reference and update.

2.5.3.4 Waste Water HANSCOM Hanscom_Low_Flow_Low_Pollutant_Permit For reference.

2.5.3.2 Storm Water JBMDL - DIX JBMDL-Dix_SWMP_FINAL For reference and update.

2.5.3.2 Storm Water

JBMDL -

LAKEHURST

JBMDL-Lakehurst_SWMP_FINAL For reference and update.

2.5.3.3 Storm Water, Waste Water, Ground Water

JBMDL

JBMDL_Water Sampling-Monitoring

Plan_FINAL For reference and update.

2.5.3.1 Storm Water JBMDL - DIX JBMDL-Fort Dix_SWPPP_Final_30OCT15 For reference and update.

Media Installation Plan or Permit Description Usage

Plans and Permits Usage

2.5.3.1 Storm Water

JBMDL -

LAKEHURST

JBMDL-Lakehurst_SWPPP_Final_20NOV15 For reference and update.

2.5.3.1 Storm Water

JBMDL-

MCGUIRE

JBMDL-McGuire_SWPPP_Final_06NOV15 For reference and update.

2.5.1 Storm Water

JBMDL-

MCGUIRE

McGuire Area StormwaterPermit For reference and renewal.

2.5.1 Storm Water

JBMDL - DIX &

LAKEHURST

NJ MS4

Public_Complex_Final_Renewal_Permit2019

_Dix_Lakehurst For reference.

2.5.1 Waste Water

JBMDL -

LAKEHURST

NJ0004642, Industrial, Lakehurst Area, Expires 12-31-2022 For reference and renewal.

2.5.1 Ground Water

JBMDL -

MCGUIRE & DIX

NJPDES No. NJ0074284 Draft Permit For reference.

2.5.1 Storm Water

JBMDL-

MCGUIRE

Stormwater Permit, McGuire Area, NJ106747, Renewal Application is

Administratively complete For reference.

2.7.8

Cultural Resources JBMDL ICRMP For updating in T-EMP when executed, and for guidance for the installation on CR tasks.

2.7.8

Cultural Resources HANSCOM ICRMP For updating in T-EMP when executed, and for guidance for the installation on CR tasks.

2.7.8

Cultural Resources ROME ICRMP For updating in T-EMP when executed, and for guidance for the installation on CR tasks.

2.7.8

Cultural Resources NEW BOSTON ICRMP For updating in T-EMP when executed, and for guidance for the installation on CR tasks.

2.8.2, 2.8.2.1, 2.8.2.2

Solid Waste JBMDL ISWMP

For reference. Updates are due 2023 & 2026.

2.8.2, 2.8.2.1

Solid Waste HANSCOM ISWMP

For reference. Updates are due 2023 & 2026.

2.8.2, 2.8.2.1, 2.8.2.2

Solid Waste ROME ISWMP

For reference. Updates are due 2023 & 2026.

2.8.2, 2.8.2.1

Solid Waste NEW BOSTON ISWMP

For reference. Updates are due 2023 & 2026.

2.9.1.1 POLs/Tanks HANSCOM HAFB Spill Prevention and Response Plan For reference and update.

2.9.1.1 POLs/Tanks ROME 2018 SPCC FINAL Newport Irish Hill For update.

Media Installation Plan or Permit Description Usage

Plans and Permits Usage

2.9.1.1 POLs/Tanks ROME 2018 SPCC FINAL Newport Tanner Hill For update.

2.9.1.1 POLs/Tanks ROME 2018 SPCC FINAL Rome Lab For update.

2.9.1.1 POLs/Tanks ROME 2018 SPCC FINAL Stockbridge For update.

2.9.1.1 POLs/Tanks

JBMDL-DIX

DPCC Plan_Maps_Appendices2019_FINAL For update.

2.9.1.1 POLs/Tanks

JBMDL-DIX

DPCC Plan2019_FINAL For update.

2.9.1.1 POLs/Tanks

NEW BOSTON

FINAL - NBAFS SPCC Plan_2020 For update.

2.9.1.1 POLs/Tanks

JBMDL -

MCGUIRE

FPT, Discharge Prevention, Containment + Countermeasures (DPCC) and Discharge

Cleanup + Rem (DCR), McGuire Area, 2015-

For update.

2.9.1.1 POLs/Tanks

JBMDL - DIX

FPT, Spill Prevention Control and Countermeasure Plan (SPCC), Dix Area, May

For update.

2.9.1.1 POLs/Tanks

JBMDL -

LAKEHURST

FPT, Spill Prevention, Control, and Countermeasure (SPCC), Lakehurst Area, 2019-8

For update.

2.9.1.1 POLs/Tanks

JBMDL -

MCGUIRE

McGuire ICP - Final Deliverable, 26 Sep 2019 (Post Final Update 2, RED PLAN Title

Change and Annex R)

For update.

2.9.1.1 POLs/Tanks

JBMDL -

MCGUIRE

Pages from FPT, Discharge Prevention, Containment Countermeasures (DPCC) And

Discharge Cleanup Removal (DCR) Plan

For update.

Installation Regulatory Agency Average Cost Applicable Permit

2.1.8

JBMDL – McGuire

New Jersey Department of Environmental Protection

$3,200 HW Compliance inspection fee - annual

2.1.8

JBMDL- Dix

New Jersey Department of Environmental Protection

$3,200 HW Compliance inspection fee - annual

2.1.8

JBMDL-Lakehurst

New Jersey Department of Environmental Protection

$1,000 HW Compliance inspection fee - annual

2.1.8

JBMDL – McGuire

New Jersey Department of Environmental Protection

$900 Manifest Fee - Annual

2.1.8

JBMDL- Dix

New Jersey Department of Environmental Protection

$900 Manifest Fee - Annual

2.1.8

JBMDL-Lakehurst

New Jersey Department of Environmental Protection

$900 Manifest Fee - Annual

2.1.8

JBMDL – McGuire

New Jersey Department of Environmental Protection

$900 Biennial Fee - 2022, 2024, 2.1.8

JBMDL- Dix

New Jersey Department of Environmental Protection

$900 Biennial Fee - 2022, 2024, 2.1.8

JBMDL-Lakehurst

New Jersey Department of Environmental Protection

$900 Biennial Fee - 2022, 2024, 2.1.8

HANSCOM

Massachusetts Department of Environmental Protection

$4,000 Large Quantity Generator of Hazardous Waste - annual

2.1.8

NEW BOSTON

New Hampshire Department of Environmental Services

$300 Hazardous Waste Small Quantity Generator fee - 2022, 2025

Permits and Fees Table

Installation Regulatory Agency Average Cost Applicable Permit

Permits and Fees Table

2.1.8

NEW BOSTON

New Hampshire Department of Environmental Services

$125 Manifest Fee - Annual

2.4.4

JBMDL – McGuire

New Jersey Department of Environmental Protection

$3,500 Title V - Air Emission Fees - Annual

2.4.4

JBMDL- Dix

New Jersey Department of Environmental Protection

$8,400 Title V - Air Emission Fees - Annual

2.4.4

JBMDL – Lakehurst

New Jersey Department of Environmental Protection

$3,300 Title V - Air Emission Fees - Annual

2.4.4

JBMDL – McGuire

New Jersey Department of Environmental Protection

$15,000 Title V - 5 year Renewal -

2.4.4

JBMDL- Dix

New Jersey Department of Environmental Protection

$15,000 Title V - 5 year Renewal -

2.4.4

JBMDL – Lakehurst

New Jersey Department of Environmental Protection

$15,000 Title V - 5 year Renewal -

2.4.4

JBMDL

New Jersey Department of Environmental Protection

$7,000 Operating Permit Modification (assume 2 per year in any area)

2.4.4

JBMDL

New Jersey Department of Environmental Protection

$900 General Operating Permits -as needed, up to 10 per year

2.4.4

HANSCOM

Massachusetts Department of Environmental Protection

$3,000 Ttitle V - Air Emission Fees - Annual

2.4.4

HANSCOM

Massachusetts Department of Environmental Protection

$800 Fuel Dispenser Fees - Stage I Vapor Recovery - Annual

Installation Regulatory Agency Average Cost Applicable Permit

Permits and Fees Table

2.4.5

NEW BOSTON

New Hampshire Department of Environmental Services

$1,500 Air Permit Fee - every 5 years - 2025

2.4.5

ROME

New York State Department of Environmental Conservation

$700 Air Permit - Annual

2.5.2

JBMDL-Dix-TTB wastewater

New Jersey Department of Environmental Protection

$6,250 Wastewater discharge to groundwater fee -

NJ0193356

2.5.2

JBMDL-Dix-main sewage treatment

New Jersey Department of Environmental Protection

$56,800 Wastewater discharge to groundwater fee -

NJ0074284

2.5.2

JBMDL-McGuire-stormwater

New Jersey Department of Environmental Protection

$4,100 Individual Stormwater Permit Fee - NJ0106747

2.5.2

JBMDL- Dix-stormwater

New Jersey Department of Environmental Protection

$3,600 MS4 General Stormwater Permit fee - NJ0141879

2.5.2

JBMDL- Lakehurst-stormwater

New Jersey Department of Environmental Protection

$3,600 MS4 General Stormwater Permit fee - NJ0141879

2.5.2

JBMDL- Lakehurst-industrial WW

New Jersey Department of Environmental Protection

$6,700 Industrial WW discharge permit - NJ0004642

2.7.1 JBMDL

Public Archaeology Laboratory $13,500

Curation - annual

2.7.1 NEW BOSTON

Public Archaeology Laboratory $3,200

Curation - annual

2.7.1 HANSCOM

Public Archaeology Laboratory $1,200

Curation - annual

2.7.1 ROME Syracuse University $3,700 Curation - annual

2.8.1 HANSCOM

Massachusetts Department of Environmental Protection

$2,000 Small Transfer Facility Fee - Annual

Installation Regulatory Agency Average Cost Applicable Permit

Permits and Fees Table

2.9.1.2

JBMDL-UST fees

New Jersey Department of Environmental Protection

$200 Underground storage tank fees

2.9.1.2 Hanscom AFB-tank fees

Bedford, MA $850 Above Ground Storage tank fees

2.9.1.2

Rome Labs

New York State Department of Environmental Conservation

$100 Petroleum Bulk Storage Certificate

Media Installation Type of Analysis Supporting Document

2.3.1 HW - Waste Characterization

JBMDL

Flashpoint, Corrosivity, TCLP, Pesticides, PCB, pH

JBMDL HWMP dated 20 AUG 2020, Apendix A: Waste Analysis Plan

2.3.1 HW - Waste Characterization

HANSCOM

Flashpoint, Corrosivity, TCLP, Pesticides, PCB, pH

HANSCOM HWMP dated 20 JUL 2020; Appendix A: Waste Analysis Plan

2.3.1 HW - Waste Characterization

ROME

Flashpoint, Corrosivity, TCLP, Pesticides, PCB, pH

ROME HWMP dated 31 AUG 2021;

Appendix A: Waste Analysis Plan

2.3.2 Air HAFB Stage I Vapor Recovery Title V Permit

2.3.2 Air HAFB

Relative Accuracy Test Audit (RATA)/Source Compliance Testing

Title V Permit

2.3.2 Air HAFB

Reasonably Available Control Technology (RACT) Testing

Title V Permit

2.3.2 Air

JBMDL-

Lakehurst

Relative Accuracy Test Audit (RATA)/Compliance Testing

Title V Permit

2.3.3 Wastewater Hamscom AFB

Wastewater analyses as identified in Table 2-3 of referenced plan.

SAMPLING AND ANALYSIS PLAN

for Waste Water and Storm Water at Hanscom AFB dated 25 FEB 2020

2.3.3 Wastewater JBMDL

Wastewater analyses as identified in Table 2-3 of referenced plan.

SAMPLING AND ANALYSIS PLAN

for Waste Water, Storm Water, and Ground Water at JBMDL dated 7

JAN 2020

2.3.4 Stormwater JBMDL

Wastewater analyses as identified in Table 3-3 of referenced plan.

SAMPLING AND ANALYSIS PLAN

for Waste Water, Storm Water, and Ground Water at JBMDL dated 7

JAN 2020

2.3.5 Ground Water JBMDL

Groundwater analyses as identified in Table 4-3 of referenced plan

SAMPLING AND ANALYSIS PLAN

for Waste Water, Storm Water, and Ground Water at JBMDL dated 7

JAN 2020

Sampling and Analysis Table

Meeting Type Installation Frequency Usage

2.1.1 HW Contract Support HANSCOM Monthly

Meeting to discuss prgoress of the task and contract support personnel.

2.1.3 Reports, HW JBMDL For each report Meeting to discuss path forward for each report.

2.1.3 Reports, HW HANSCOM For each report Meeting to discuss path forward for each report.

2.1.4 Permit Renewal, RCRA Part B JBMDL - DIX For renewal.

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.1.4 Permit Renewal, RCRA Part B JBMDL - DIX Quarterly progress meetings. of task.

2.1.7. Plan Update, HWMP JBMDL

For each update

Meetings to allow parties to meet to discuss path forward for this task.

2.1.7. Plan Update, HWMP HANSCOM

For each update

Meetings to allow parties to meet to discuss path forward for this task.

2.1.7. Plan Update, HWMP ROME

For each update

Meetings to allow parties to meet to discuss path forward for this task.

2.2.2 Reporting, EPCRA JBMDL

Annual

Meetings to allow parties to meet to discuss path forward for this task.

2.2.2 Reporting, EPCRA JBMDL

After Draft Submittal has been received for each task

Meetings to allow parties to meet to discuss progress of task.

2.2.2 Reporting, EPCRA HANSCOM

Annual

Meetings to allow parties to meet to discuss path forward for this task.

2.2.2 Reporting, EPCRA HANSCOM

After Draft Submittal has been received for each task

Meetings to allow parties to meet to discuss progress of task.

2.2.2 Reporting, EPCRA ROME

Annual

Meetings to allow parties to meet to discuss path forward for this task.

2.2.2 Reporting, EPCRA ROME

After Draft Submittal has been received for each task

Meetings to allow parties to meet to discuss progress of task.

2.3.3 SAM, NPDES / Other Waste Water JBMDL Annual

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.3.3 SAM, NPDES / Other Waste Water HANSCOM Annual

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.3.4 SAM, Storm Water JBMDL Annual

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.3.5 SAM, RCRCA Permitted TSDF JBMDL Annual

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.4.1 Air Quality JBMDL Bi-weekly Bi-weekly meeting to discuss AQ tasks with all parties.

2.4.1 Air Quality HANSCOM Bi-weekly Bi-weekly meeting to discuss AQ tasks with all parties.

2.4.2.2 GHG Memorandum NBAFS For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.4.2.2 GHG Memorandum NBAFS For task update Virtual task update meeting to measure progress.

2.4.2 Inventory, AEI ROME For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.4.2 Inventory, AEI ROME For task update Virtual task update meeting to measure progress.

2.5.1 Permit Renewal, NPDES JBMDL For each renewal

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.1 Plan Update, SWPPP JBMDL For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.1 Plan Update, SWPPP HANSCOM For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.2 Plan Update, SWMP JBMDL For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.2 Plan Update, SWMP HANSCOM For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.3 Plan Update, Water, Sampling/Monitoring JBMDL For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.3 Plan Update, Water, Sampling/Monitoring HANSCOM For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.5.3.4 Reports, NPDES HANSCOM Annual

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

2.7.1 Curation Task JBMDL As needed. installation.

2.7.1 Curation Task HANSCOM As needed. installation.

2.7.1 Curation Task ROME As needed. installation.

2.7.1 Curation Task NEW BOSTON As needed. installation.

2.7.2 Consultation, Native American JBMDL As needed.

Assume no more than 10 meetings per year per installation.

2.7.2 Consultation, Native American HANSCOM As needed.

Assume no more than 10 meetings per year per installation.

2.7.2 Consultation, Native American ROME As needed.

Assume no more than 10 meetings per year per installation.

2.7.2 Consultation, Native American NEW BOSTON As needed.

Assume no more than 10 meetings per year per installation.

2.7.3 Mgt, Cultural Sites JBMDL As needed. installation.

2.7.3 Mgt, Cultural Sites HANSCOM As needed. installation.

Meetings

Meeting Type Installation Frequency Usage

Meetings

2.7.3 Mgt, Cultural Sites ROME As needed. installation.

2.7.3 Mgt, Cultural Sites NEW BOSTON As needed. installation.

2.7.4

Survey / Inventory Update, Cultural Resource, Historic Buildings JBMDL As needed.

Assume no more than 10 meetings per year per installation.

2.7.4

Survey / Inventory Update, Cultural Resource, Historic Buildings HANSCOM As needed.

Assume no more than 10 meetings per year per installation.

2.7.5

Survey / Inventory Update, Cultural Resources, Archaeology JBMDL As needed.

Assume no more than 10 meetings per year per installation.

2.7.5

Survey / Inventory Update, Cultural Resources, Archaeology NEW BOSTON As needed.

Assume no more than 10 meetings per year per installation.

2.7.6 Monitor, Cultural Resources JBMDL As needed. installation.

2.7.7 Recordkeeping, Other, CN JBMDL As needed. installation.

2.7.8 Plan Update, ICRMP JBMDL As needed. installation.

2.7.8 Plan Update, ICRMP HANSCOM As needed. installation.

2.7.8 Plan Update, ICRMP ROME As needed. installation.

2.7.8 Plan Update, ICRMP NEW BOSTON As needed. installation.

2.8.2 Plan Update, ISWMP JBMDL For each update

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.8.2 Plan Update, ISWMP HANSCOM For each update

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.8.2 Plan Update, ISWMP ROME For each update

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.8.2 Plan Update, ISWMP NEW BOSTON For each update

Kick-off meeting to allow parties to meet to discuss path forward for this task.

2.9.1.1

Plan Update, SPCC Recertification / FRP Resubmission JBMDL For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this task.

2.9.1.1

Plan Update, SPCC Recertification / FRP Resubmission HANSCOM For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this task.

2.9.1.1

Plan Update, SPCC Recertification / FRP Resubmission ROME For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this task.

2.9.1.1

Plan Update, SPCC Recertification / FRP Resubmission NEW BOSTON For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this task.

2.9.1.3 Plan Update, DPCC/DCR JBMDL For each update

Virtual Kick-off meeting to allow parties to meet to discuss path forward for each contract year for this

4.5.2 F2F Progress Meetings JBMDL Quarterly

Allow ISS to ascertain upcoming tasks and staus of existing work; First meeting of the contract year would be considered a Kick-off meeting and would be longer.

4.5.2 F2F Progress Meetings HANSCOM Quarterly

Allow ISS to ascertain upcoming tasks and staus of existing work; First meeting of the contract year would be considered a Kick-off meeting and would be longer.

4.5.2 F2F Progress Meetings ROME Quarterly

Allow ISS to ascertain upcoming tasks and staus of existing work; First meeting of the contract year would be considered a Kick-off meeting and would be longer.

4.5.2 F2F Progress Meetings NEW BOSTON Quarterly

Allow ISS to ascertain upcoming tasks and staus of existing work; First meeting of the contract year would be considered a Kick-off meeting and would be longer.

Month Year

City State USACE Office Overseeing Work:

Describe The Case

(B1) (B2) (B3) (C) (D) (F)

Project Title

Using these categories, check ONLY the most

Monthly Record of Work-Related Injuries/Illnesses & Exposure

In accordance with the provisions of EM 385-1-1, Section 01 Program Management, Paragraph 01.D Accident Reporting and Recording, sub-paragraphs 01.D.05, you (the Prime Contractor) shall provide a monthly record of all exposure and accident experience incidental to the work (this includes exposure and accident experience of the Prime Contractor and its sub-contractor(s). As a minimum , these records shall include exposure work hours and a record of occupational injuries and illnesses that include the data elements listed below. Definitional criteria for each data element is found in 29 CFR Part 1904. If the maintenance of OSHA 300 Logs are required by OSHA, most of this information can be obtained from those logs. If data on log provided below is revised after it is submitted to USACE, Contractor shall provide a revised report to the GDA. You must complete the USACE ENG Form 3394, Report of Accident Investigation Report for all recordable accidents. If you're not sure whether a case is recordable, call your local Safety and Occupational Health Office for help.

Contractor Name

USACE PRIME CONTRACTOR

USACE Command

US Army Corps of Engineers

(A) (E)

Contract Number

Classify the case

Check the "injury" column or choose

Identify the person Enter the number of days the injured or ill worker

(G) (H) (I) (J) (K) (L) (1) (2) (3) (4) (5) (6)

0 0 0 0 0 0 0 0 0 0 0 0 Type of Contract (Choose One):

Construction Opn & Main. Civil Works Eng. Services Military Programs Dredging Other Rsch. & Dev.

Emerg. Opns.

Other

Away from work (days)

In ju ry

Death

Job transfer or restriction g g , serious result for each case:

Sk in

D is or de r

R es pi ra to ry

C on di tio n

Pr im e or

S ub

(P o r S

Company Name

Al l o th er

Ill ne ss es

On job transfer or restriction (days)

Ag e

G en de r

Other record-able cases

Remained at work

Date of injury or onset of illness j y one type of illness:

Po is on in g

Days away from work

Signature

Certification of Record Name of Person Submit. Record

Job Title (e.g., Welder)

(mo./day)

H ea rin g

Lo ss

(M) j was:

FUSRAP

IRP

Year to Date

Ordinance/Expl. Cleanup

Superfund

TYPE OF WORK ACTIVITY (Choose One):

For Government Use Only

Where the event occurred (e.g. Loading dock north end)Date Employee

Began Work on

Job Covered by

Contract

Date

Exposure Hours Month

Describe injury or illness, parts of body affected, and object/substance that directly injured or made person ill (e.g. Second degree burns on right forearm from acetylene torch)

Environmental Remed.

___ of ___PageEnvironmental Other

FUDS