SOW Attachment 7.5 - C D Waste Mgmt Plan Reporting Template.xlsx

XLSX spreadsheet 334 KB Posted Sep 18, 2023

Attached to: R10 South Multiple Award Task Order Contract MATOC Replacement Federal contract opportunity
Solicitation number: 47PL0123R0014
Issued by: General Services Administration Public Buildings Service Region 10

About this file

Written by GovTribe AI · Dec 21, 2023

This file contains templates and guidance for waste management reporting on federal construction projects. The templates provide a standardized format for contractors to report estimated and actual construction and demolition (C&D) waste diversion plans and results for a given project. They include sections for contractors to report on the diversion methods, haulers, weights, and diversion rates achieved for various C&D materials like asphalt, brick, drywall, metals, and wood. Contractors must submit waste diversion reports using these templates at project closeout along with certifying the accuracy of the reported weights and diversion rates. Additional details provide guidance on how to estimate weights if materials are reported by volume, as well as notes on retaining supporting documentation and reporting total diverted and landfilled tons in the agency project tracking system.

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Other files for this federal contract opportunity

Other files attached to R10 South Multiple Award Task Order Contract MATOC Replacement, newest first.
File	Type	Posted
Amendment 0003.pdf	PDF	Oct 30, 2023
Amendment 0002.pdf	PDF	Oct 23, 2023
A. Attachment D Seed Project SOW dated 10-20-2023.pdf	PDF	Oct 23, 2023
B. SOW Attachment 7.10 Drawings - Site Plan 10.20.2023.pdf	PDF	Oct 23, 2023
C. Pre-Proposal Questions and Answers 1 through 17.pdf	PDF	Oct 23, 2023
D. Pre-Propsal Site Visit Roster 09-28-2023.pdf	PDF	Oct 23, 2023
Attachment C - TORFP Seed Project - Rev 1.pdf	PDF	Sep 26, 2023
Amendment 0001.pdf	PDF	Sep 26, 2023
Attachment E Seed Project Price and Services Schedule.xlsx	XLSX spreadsheet	Sep 18, 2023
Attachment C - TORFP Seed Project.pdf	PDF	Sep 18, 2023
Exhibit 5 Past Performance Questionnaire.docx	DOCX document	Sep 18, 2023
SOW Attachment 7.10 - Drawings - Site Plan.pdf	PDF	Sep 18, 2023
SOW Attachment 7.2 - Submittal Transmittal Form.xlsx	XLSX spreadsheet	Sep 18, 2023
SOW Attachment 7.3 - Project Management Information System.docx	DOCX document	Sep 18, 2023
GSA527-21.pdf	PDF	Sep 18, 2023
RFP SOUTH MATOC 47PL0123R0014.pdf	PDF	Sep 18, 2023
South MATOC Agreement.pdf	PDF	Sep 18, 2023
SOW Attachment 7.11 - Trench Drain.pdf	PDF	Sep 18, 2023
SOW Attachment 7.9 - Low embodied carbon concrete-Sept 22.pdf	PDF	Sep 18, 2023
SOW Attachment 7.8 - Environmentally Preferable Asphalt-Sept 22.pdf	PDF	Sep 18, 2023
SOW Attachment 7.6 - Sample ROCAL.xlsx	XLSX spreadsheet	Sep 18, 2023
SF1442 47PL0123R0014 SMATOC.pdf	PDF	Sep 18, 2023
South MATOC SOW 11222022.pdf	PDF	Sep 18, 2023
Attachment D Seed Project SOW dated 07-25-2023.pdf	PDF	Sep 18, 2023
Attachment A South MATOC Terms and Conditions.pdf	PDF	Sep 18, 2023
Attachment B Example of TO Reps and Certs March 2023.pdf	PDF	Sep 18, 2023
Exhibit 6 GSA Security Manual.pdf	PDF	Sep 18, 2023
Exhibit 2 GSA Affiliated Customer Accounts.pdf	PDF	Sep 18, 2023
SOW Attachment 7.4 - P120 - Cost and Schedule Management Policy and Requirements.pdf	PDF	Sep 18, 2023
SOW Attachment 7.7 - CIW FORM 850.docx	DOCX document	Sep 18, 2023
Exhibit 7 IDIQ Price Schedule.xlsx	XLSX spreadsheet	Sep 18, 2023
SF1442 47PL0123R0055 Seed Project.pdf	PDF	Sep 18, 2023
Attachment F SEED Project Wage Deterimination - WA202330001 09-01-2023.pdf	PDF	Sep 18, 2023
Exhibit 1 3490.3 Policy.pdf	PDF	Sep 18, 2023
Exhibit 4 Sample Key Personnel Resume Form.docx	DOCX document	Sep 18, 2023
Exhibit 3 Project Experience Form.docx	DOCX document	Sep 18, 2023
SOW Attachment 7.1 - Vendor Security Training 6 2021.pptx	PPTX presentation	Sep 18, 2023

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Waste Diversion Plan

: +christopher.clever@gsa.gov +walter.tersch@gsa.gov

(For consideration as an alternate). Anticipated sections match Actual to the right for 1:1 comparison.

-Jake Begnaud - WPIDBB Fine with either, will defer to +walter.tersch@gsa.gov Seems like it only boils down to estimating method or not.

-Christopher Clever - PCBL That's correct.

-Jake Begnaud - WPIDBB	Project Waste Management Plan		Submittal Type:		Waste Diversion Plan (Anticipated):	FALSE	Waste Diversion Report (Final) :	FALSE
	The general info in these gray cells replicates onto the Report tabs.
Project Name:		ECC (estimated construction cost):		Project Manager:		ePM/ePMX Project # :
Project Short Description:				PM email or phone:		gBUILD Project # :
Building Number:		Service Center / Field Office:		Budget Activity:	(list all applicable)	RWA # :

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 Method		Target 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 Compost	Donation
Asphalt	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Brick, Masonry, and Tile	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Cardboard	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Carpet, including Padding	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Ceiling tile	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Concrete	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Drywall/ sheetrock (unpainted)	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Metals	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Painted wood, drywall, or plywood	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Reusable items	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Roofing	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Soil, Rock, Land Clearing Debris	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Wood (unpainted)	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Other: ____________________	FALSE	FALSE	FALSE	50%	0	0	0	n/a
Total**:					0	0	0	n/a

Reuse is encouraged. Please list any items such as cabinets, doors, shelves, bricks, framing lumber, siding, fill material, misc. millwork, etc. planned for reuse.
Item	Reuse Onsite	Reuse Offsite	Off-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 lbs	Dirt or sand: 1 cubic yard = 929 lbs
Asphalt or composite roof shingles: 1 cubic yard = 731 lbs	Fiberglass insulation, loose: 1 cubic yard = 17 lbs
Brick, laid flat: 1 flat square foot = 20 lbs	Mixed (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 lbs	Rock, crushed: 1 cubic yard = 2,570 lbs
Concrete: 1 cubic yard = 860 lbs	Wood: 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 #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/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.

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 2

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 3

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 4

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 5

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 6

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 7

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 8

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 9

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 10

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 11

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

Report 12

Project Waste Management Report
Report #	1	Report Date

Project Name:	0	Building #	0
Service Center / Field Office	0	ePM/ePMX Project #	0
Project Manager	0	RWA #	0

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

	Actual Waste Diversion Report
	Diverted Waste			Waste not Diverted		Diversion Rate
Material	Material destination/ hauling vendor(s)*	Method of Diversion	Diverted (lbs)	Landfill (lbs)	Reason Not Diverted
Asphalt		N/A				n/a
Brick, Masonry, and Tile		N/A				n/a
Cardboard		N/A				n/a
Carpet, including Padding		N/A				n/a
Ceiling tile		N/A				n/a
Concrete		N/A				n/a
Drywall/ sheetrock (unpainted)		N/A				n/a
Metals		N/A				n/a
Painted wood, drywall, or plywood		N/A				n/a
Reusable items		N/A				n/a
Roofing		N/A				n/a
Soil, Rock, Land Clearing Debris		N/A				n/a
Wood (unpainted)		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Other: ____________________		N/A				n/a
Total**:			0	0		n/a

Certification by Firm

__________________________________________________	__________________________________________________
Signature	Date

__________________________________________________	__________________________________________________
Title of the Officer or Employee	Name 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.

ESRI_MAPINFO_SHEET

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For Esri use only

File details come from the government source that posted it. Updated Sep 18, 2023.