Attachment_08_-_Qualified_Facility_List_Update_-_DLA_Form_2507-2.pdf

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PDF (DLA)

DLA FORM 2507-2, MAR 2015

QUALIFIED FACILITY LIST UPDATE

Prescribed by: DLAI 4160.14 Sponsor: Disposition Services Page of Instructions

For changes since your last update, provide all applicable information and documents with this completed checklist. Record Yes, N/A, or No Change in update column as it applies to the facility. Failure to provide all required information constitutes grounds for removal from the QFL as stipulated by DRMS 52.244-9R01, clause H.5. Some requested information is applicable only to facilities in the USA.

Requirement

REGULATORY AND FINANCIAL ASSURANCE

Submitted Applicant Comments Verification Comments DLA Use Only

1. According to the U.S. EPA Civil Enforcement Response Policy, have any RCRA Class One/ Two or other Significant Noncompliance (SNC) violations been issued to the facility? If yes, provide regulatory NOV documentation. (US Facilities Only)

2. Any administrative or judicial consent orders, corrective actions, or supplemental environmental projects in the last 3 years? If yes, provide documentation.

3. In the last 12 months has your facility caused a government generator to have to file a manifest exception report in accordance with 40 CFR 262.42(a)(2), or a state equivalent? (US Facilities Only)

4. Facility closure amount and financial mechanism (e.g., bond, trust, letter of credit). If closure instrument is not required by regulation, facility must satisfy item #5. Provide copy of actual financial instrument submitted to regulatory office.

5. Current certificates of accord showing pollution liability limits and other insurance coverage. If pollution liability insurance is not in place, facility must satisfy item #4. (Exception applies to non-hazardous facilities only).

6. Facility permit(s) cover page(s) recording expiration date.

7. Have any delays in returning signed manifests to the generator triggered exception reporting in the last year? (US Facilities Only)

8. Latest third party compliance inspection/report (Fed, State, Local, DLA) and documentation of corrective actions, no older than 18 months. See instructions.

9. Current facility environmental POC with phone number and e-mail address

10. Current environmental regulatory agency POC with phone number and email address.

Clause For DLA Use Only – Clause H.5 Verifications and QFL Recommendation Verifier Comments Results Is a corrective action schedule in place with regulatory agency for Class I violations related to groundwater monitoring, closure, post-closure, or financial responsibility?

Has TSDF exhibited a history of noncompliance with repeated significant non-compliance violations?

Is a corrective action schedule in place with regulatory agency for any issued administrative order or judicial action within 180 days from the time order or judicial action was issued?

The TSDF caused the generator of the manifest to file exception reports?

ECHO report reviewed?

TSDF received a negative recommendation from a DRMS inspection during the preceding twelve (12) months without evidence of corrective actions?

Has the TSDF submitted all required documentation and information?

Does the facility have active pollution liability insurance?

After conducting the review and verifying all actions have been completed in accordance with Section 8 of DRMS-I 4160.14 and DISP SVCS_ENV_SOP_3312.001, I recommend the following:

Recommendation 9.0.0.2.20100902.2.720808 http://www.dla.mil/officialforms/files1/dl2507-2.pdf none

DL2507-2

Disposition Qualified Facility List Update Mar 2015

Specially Controlled Industrial Waste (SCIW):

Permit valid until: XXXXXXX

Telephone: +XXX-XXX-XXXX

Email: XXXX@XXX.XXX applComments: Regulatory Agency POC: XXXXXXXXX

Telephone: +XXX-XXX-XXXX

Email: XXXX@XXX.XXX