SOW Attachment 3 _ IRS FAS Replacement CD Waste Mgmt Plan Reporting Template v2.xlsx

XLSX spreadsheet 271 KB Posted

Attached to
Design-Build services for IRS Fire Alarm Modernization Project
Solicitation number
47PB5126R0029
Issued by
Not on record

About this file

This is a Waste Management Plan Reporting Template for construction and demolition (C&D) waste diversion tracking on the IRS Fire Alarm System Replacement Project at the IRS Headquarters Building (Building DC0022ZZ) in Washington, DC. The template is designed to be completed by the project manager or contractor and submitted pre-construction as an Anticipated Waste Diversion Plan, with final reporting during project close-out.

The template establishes waste diversion targets by material type, with most categories set at 50% diversion rates (including metals, wood, drywall, carpet, and concrete) and asphalt set at 75%. It tracks diverted waste by method (reuse, recycle/compost, donation) and landfilled waste in pounds, calculating the overall diversion rate. The form includes a reuse planning section for items such as cabinets, doors, and framing lumber, and provides volume-to-weight conversion factors for materials reported in cubic yards. Multiple report tabs allow for periodic waste reporting throughout the project duration. All reported data must be certified by a responsible company officer or employee and retained for review at project close-out, with final diversion tonnage figures required to be submitted via ePMXpress to support GSA's tracking metrics. Only non-hazardous materials are included; hazardous substances such as asbestos and lead-containing paint are excluded per GSA C&D mandates.

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Waste Diversion Plan

Project Waste Management PlanSubmittal Type:Waste Diversion Plan (Anticipated):FALSEWaste Diversion Report (Final) :FALSE
The general info in these gray cells replicates onto the Report tabs.
Project Name:IRS Fire Alarm System ReplacementProject Manager:Danielle R. JonesePM/ePMX Project # :
Project Short Description:PM email or phone:danieller.jones@gsa.gov
202-230-9505gBUILD Project # :
Building Number:DC0022ZZService Center / Field Office:Budget Activity:(list all applicable)RWA # :NA

Anticipated Waste Diversion Plan To be filled out and submitted Pre-Construction, with final Construction Documents (PM or contractor populates this pink section) Actual Waste Diversion Report To be submitted during Project Close-Out (Reports tab figures auto-populate this green section)

Material*
(see weight conversion factors below)Diversion MethodTarget Diversion Rate for each material, by weight
(Change to actual target(s) as needed)Diverted (lbs)Landfilled (lbs)Total C&D material weight (Diverted + Landfilled) (lbs)Diversion

Rate

Reuse*Recycle or CompostDonation
AsphaltFALSEFALSEFALSE75%1256318866%
Brick, Masonry, and TileFALSEFALSEFALSE25%000n/a
CardboardFALSEFALSEFALSE50%000n/a
Carpet, including PaddingFALSEFALSEFALSE50%000n/a
Ceiling tileFALSEFALSEFALSE50%000n/a
ConcreteFALSEFALSEFALSE50%000n/a
Drywall/ sheetrock (unpainted)FALSEFALSEFALSE50%000n/a
MetalsFALSEFALSEFALSE50%000n/a
Painted wood, drywall, or plywoodFALSEFALSEFALSE50%000n/a
Reusable itemsFALSEFALSEFALSE50%000n/a
RoofingFALSEFALSEFALSE50%000n/a
Soil, Rock, Land Clearing DebrisFALSEFALSEFALSE50%000n/a
Wood (unpainted)FALSEFALSEFALSE50%000n/a
Other: ____________________FALSEFALSEFALSE50%000n/a
Other: ____________________FALSEFALSEFALSE50%000n/a
Other: ____________________FALSEFALSEFALSE50%000n/a
Total**:1256318866%
Reuse is encouraged. Please list any items such as cabinets, doors, shelves, bricks, framing lumber, siding, fill material, misc. millwork, etc. planned for reuse.
ItemReuse OnsiteReuse OffsiteOff-Site Recipient or Salvage/ Deconstruction Company
Volume-to-Weight Conversion Factor Reference Table
If a hauler reports materials by volume, this table enables conversion to weight, for reporting actual diversion and disposal.
Asphalt paving: 1 cubic yard = 773 lbsDirt or sand: 1 cubic yard = 929 lbs
Asphalt or composite roof shingles: 1 cubic yard = 731 lbsFiberglass insulation, loose: 1 cubic yard = 17 lbs
Brick, laid flat: 1 flat square foot = 20 lbsMixed (composite) C&D material: 1 cubic yard = 417 lbs
Brick, loose: 1 cubic yard = 3,200 lbs. (1 cubic foot = 120 lbs)Sheetrock (drywall), loose: 1 cubic yard = 393.5 lbs
Ceramic tile, scrap, loose: 1 cubic yard = 1,214 lbsRock, crushed: 1 cubic yard = 2,570 lbs
Concrete: 1 cubic yard = 860 lbsWood: 1 cubic yard = 169 lbs
*Only non-hazardous materials need to be included in this document. C&D mandates governing GSA exclude hazardous materials such as asbestos or lead-containing paint.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 1

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/A253641%
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:253641%

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 2

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/A1002779%
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:1002779%

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 3

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 4

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 5

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 6

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 7

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 8

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 9

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 10

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 11

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Report 12

Project Waste Management Report
Report #1Report Date
Project Name:IRS Fire Alarm System ReplacementBuilding #DC0022ZZ
Service Center / Field OfficeePM/ePMX Project #
Project ManagerDanielle R. JonesRWA #NA

If waste from other projects is included in these figures, specify project:

Actual Waste Diversion Report
Diverted WasteWaste not DivertedDiversion Rate
MaterialMaterial destination/ hauling vendor(s)*Method of DiversionDiverted (lbs)Landfill (lbs)Reason Not Diverted
AsphaltN/An/a
Brick, Masonry, and TileN/An/a
CardboardN/An/a
Carpet, including PaddingN/An/a
Ceiling tileN/An/a
ConcreteN/An/a
Drywall/ sheetrock (unpainted)N/An/a
MetalsN/An/a
Painted wood, drywall, or plywoodN/An/a
Reusable itemsN/An/a
RoofingN/An/a
Soil, Rock, Land Clearing DebrisN/An/a
Wood (unpainted)N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Other: ____________________N/An/a
Total**:00n/a

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.

____________________________________________________________________________________________________
SignatureDate
____________________________________________________________________________________________________
Title of the Officer or EmployeeName of Company, Firm, or Organization
*This Waste Diversion Report or any manifests/ receipts from haulers, recyclers, processors, or landfills should be retained and available for review at project close-out.
**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

File details come from the government source that posted it. Updated .