Attachments_02-20.pdf
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- Attached to
- Removal, Transportation and Disposal of Various Hazardous Wastes from U. S. Installations throughout Hawaii
- Solicitation number
- SP4530-17-R-0002
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| File | Type | Posted |
|---|---|---|
| SF30_SP4530-17-R-0002_Amd_0002.pdf | ||
| SF30_SP4530-17-R-0002_Amd_0001.pdf | ||
| Attachment_22_-_Transportation_Profile_Sheets.doc | DOC document | |
| Attachment_01_-_Schedule_of_Services.xlsx | XLSX spreadsheet | |
| SP4530-17-R-0002_posted_to_FBO.pdf | ||
| Attachment_21_-_Facility_Profile_Sheet.doc | DOC document | |
| Attachment_23_-_PPI_Part_4A.pdf |
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SP4530-17-R-0002
Pearl Harbor HW
ATTACHMENT – 02
Definition of Terms
Acceptable Performance Level (APL) - The number of defective (substandard) occurrences of service performance the Government will allow and still determine overall performance to be acceptable. The APL reflects the minimum acceptable performance.
Accountability - The obligation imposed by law, lawful order or regulation accepted by a person for keeping accurate records to ensure control of property, documents or funds, with or without possession of the property. The person who is accountable is concerned with control while the person who has possession is responsible for custody, care and safekeeping.
Contracting Officer (KO) - A Contracting Officer is a person duly appointed with the authority to enter into, change, and administer contracts on behalf of the US Government, and possesses a current, signed Contracting Officer Warrant (applicable to the contract issuing agency).
Contracting Officer's Representative (COR) - The individual designated in writing by the Contracting Officer to act as the Contracting Officer's authorized representative to monitor specific aspects of the contract and take action as authorized in the letter of appointment. COR responsibilities and limitations are established by the Contracting Officer.
Controlled Substances - Those drugs regulated by the Drug Enforcement Administration (21 CFR Parts 1300 to 1399) - Narcotics, depressants, stimulants, or hallucinogenic drugs or which by international treaty, convention, or protocol are considered to be controlled by the United States. They are divided into five schedules based on their potential for abuse.
> Schedule I includes drugs that have no accepted medical use, such as heroin.
> Schedule II drugs are used medically but have high abuse potential, such as morphine, and their purchase, storage, and use requirements are very strictly monitored.
> Schedules III through V are drugs with decreasing abuse potential, including sedatives, tranquilizers, and cough suppressants, such as codeine.
Corrosives - Wastes defined as possessing a characteristic of corrosivity, generally corresponding to a pH of less than or equal to 2 or greater than or equal to 12.5.
Department of Defense Activity Address Code (DoDAAC) - A 6 - digit code to identify units or activities. First position designates the military service or other Government agency.
Disposal - 1. The process of reutilizing, transferring, donating, selling, destroying or other ultimate disposition of personal property.
2. The utilization of those methods of treatment and/or containment technologies which effectively mitigate the hazards to human health or the environment when hazardous waste is discharged, deposited, injected, dumped, spilled, leaked or placed into the land, air or water.
Disposal Turn In Document (DTID) - The DD Form 1348 - 1/1A/2 is the standard document for turn -in of property to the Disposition Services Office.
Document Number - A 14 position alpha/numeric combination used to identity a document, normally consisting of Department of Defense Address Code, Julian date and Serial Number.
Final Treatment/Disposal/Recycling - Final disposal means disposal of a waste by a RCRA handling method specified in 40 CFR, parts 264/265, appendix 1, table 2, paragraph 3. RCRA treatments, Chemical Fixation (T21) and Encapsulation (T39), when performed on HINs 9900 through 9999 prior to landfill, are considered final processing/final disposal. The following does not constitute final treatment/disposal
(a) Declaring RCRA/state regulated hazardous waste CLINs as RCRA - exempt as a result of management practices specified in 40 CFR 266 and 279
(b) Interim treatment of the waste such that the waste still meets the definition of a hazardous waste as defined in 40 CFR 261 et. seq.(c) Dilution in the recycling process, to include blending down, of hazardous waste contaminants is prohibited.
Fuel Blending - Disposition Services acceptance of disposal services involving fuels blending is designed to encourage fuels blending as described at 40 CFR 266 and 279. It does not apply to blending for destructive incineration. Component fuels of the final blended product must adhere to regulatory guidance contained in 40 CFR Parts 266, subpart H, and 279 subpart G.
Generating Activity - An activity or organization that turns their excess personal property in to a Disposition Services Office for disposal. Activities or organizations include the Military Services, Defense Agencies, Coast Guard and authorized Federal Civil Agencies.
Hazardous Material - Any material that is capable of posing an unreasonable risk to health, safety, property or the environment if improperly handled, stored, issued, transported, labeled or disposed because of its hazardous characteristics. Federal Standard 313 identifies what material requires a Safety Data Sheet (SDS).
Hazardous Material Information System (HMIS) - Information system that provides an electronic repository for Material Safety Data Sheet (MSDS) and “value added” logistical data for all hazardous material procured and used by DoD and Federal workers.
Hazardous Property - Includes Hazardous Material and Hazardous Waste.
Hazardous/Special Waste –
1. Any item that is regulated under the Resource Conservation and Recovery Act (RCRA), or federal or state regulation as a hazardous waste.
2. A hazardous waste is considered any discarded material that may be solid, semi - solid, liquid, or contained gases that is defined as hazardous by and/or international environmental laws and regulations and the US DoD Overseas Environmental Guidance Document for collection, transportation or disposal. Those wastes regulated by the Basel Convention on the Control of Trans - boundary Movements of Hazardous Waste and their Disposal are included in this definition.
Incidental Spill - A small spill occurring as a result of improper waste transfer from small containers to drums, small leaks in containers, minor engine leaks. The quantity shall be no more than 5 liters.
Insulation - those materials or combinations of materials which retard the flow of heat energy.
Lagging - A block material for insulating tanks, boilers and/or pipes, usually curved or tapered and can be made from any of several insulation materials.
Manifest - A shipping paper used to control and track the movement of hazardous waste.
Material Handling Equipment (MHE) - All equipment used in storage and material handling operations.
Material Safety Data Sheet (MSDS)/Safety Data Sheet (SDS) - a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product. It contains information on the use, storage, handling and emergency procedures all related to the hazards of the material. It is intended to tell what the hazards of the product are, how to use the product safely, what to expect if the recommendations are not followed, what to do if accidents occur, how to recognize symptoms of overexposure, and what to do if such incidents occur.
On - Site Technician - The contractor's or subcontractor's authorized representative performing work at the installation under a contract.
Reactive wastes - Reactive wastes are those with compounds or mixtures that are unstable, react with water, contain cyanide, bear sulfide or are capable of generating toxic gases when exposed to acidic or basic compounds; or are readily capable of detonation, explosive decomposition or reaction at standard temperature and pressure.
Recycling - Beneficial use, reuse, reclamation or remanufacturing of products or raw materials.
Release Document - The release document, or issue document, will vary depending on the type of customer. For reutilization customers the release document is a DD Form 1348 - 1/1A/2 for transfer customers a SF 122 and for sales customers a Disposition Services Form 1427 or Disposition Services Form 1367.
Responsibility for Property - The obligation of an individual for the proper management, custody, care and safeguarding of property entrusted to his or her possession or under his or her supervision.
Reutilization - The redistribution of government - owned property to a DoD agency and its subordinates or other activities authorized by statute
Scrap Materiel - Materiel that has no value except for its basic material content.
Shipping papers - Any transport document used in the shipment of hazardous materials or hazardous wastes, including in - country regulated/hazardous waste manifests.
Treatment - Any method, technique, or process, designed to change the physical, chemical, or biological character or composition of any hazardous waste. Treatment includes neutralization, energy or material resource recovery, or any process rendering a waste non - hazardous or less hazardous;
safer to transport, store or dispose of; or amenable for recovery, amenable for storage, or reduced in volume.
Used Oil - any oil or other waste petroleum, oil, or lubricant (POL) product that has been refined from crude oil, or is a synthetic oil, has been used, and as a result of such use, is contaminated by physical or chemical impurities. Used oil that is burned for energy recovery is termed "used oil fuel." Used oil fuel includes any fuel produced from used oil by processing, blending or other treatment. "Used oil" means
Used oil exhibiting the characteristics of reactivity, ignitability, corrosivity, and toxicity, is still considered used oil, unless it has been mixed with other hazardous waste. Used oil mixed with hazardous waste is a hazardous waste and will be managed as a hazardous waste.
For the purposes of this contract used oil may be burned only in the following devices:
a. Industrial furnaces.
b. Industrial boilers that are located on the site of a facility engaged in a manufacturing process where substances are transformed into new products, by mechanical or chemical processes.
c. Utility boilers used to produce electric power, steam or heated or cooled air or other gases or fluids.
d. Used oil - fired space heaters provided that the heater burns only used oil that the installation generates, the heater is designed to have a maximum capacity of not more than 0.5 million BTU per hour and the combustion gases from the heater are properly vented to the ambient air.
ATTACHMENT 03
ACRONYMS
ACO Administrative Contracting Officer
AEDA Ammunition, Explosives and Dangerous Articles AOR Area of Responsibility
APL Acceptable Performance Level ARD Automatic Release Date CAA Clean Air Act
CERCLA Comprehensive Environmental Response, Compensation, and Liability Act CFR Code of Federal Regulations CGC Compressed Gas Cylinder CLIN Contract Line Item Number
COB Close of business CONUS Continental United States COR Contracting Officer’s Representative
CSF Commercial Surveillance Firm
CWA Clean Water Act
DEMIL Demilitarize/demilitarization DLA Defense Logistics Agency DLAR Defense Logistics Agency Regulation DoD Department of Defense DoDAAC Department of Defense Activity Address Code DoT Department of Transportation
Disp Svcs Disposition Services DTID Disposal Turn-In Document FAR Federal Acquisition Regulation HIN Hazardous Item Number
HM or HAZMAT Hazardous Material HW Hazardous Waste IAW In Accordance With IFB Invitation for Bid KO Contracting Officer MSDS Material Safety Data Sheet
NSN National Stock Number
OSHA Occupational Safety and Health Act PCB Polychlorinated Biphenyl
PHNSY&IMF Pearl Harbor Navy Ship Yard and Intermediate Maintenance Facility
PWS Performance Work Statement QA Quality Assurance R/T/D Reutilization, Transfer and/or Donation R/T/D/S Reutilization, Transfer, Donation and/or Sales RCRA Resource Conservation Recovery Act
RIP Receipt in Place SDS Safety Data Sheet
TSCA Toxic Substance Control Act
TSRDF/TSDF Transportation Storage Recycling Disposal Facility/ Transportation Storage Disposal Facility
HAZARDOUS WASTE PROFILE SHEET
NOTE: Explosives, Shock Sensitive, Pyrophic, Radioactive, and Etiological Waste are not normally accepted by the DRMO.
Contact your DRMO for futher guidance if your waste meets any of these categories.
A. GENERAL INFORMATION
1. GENERATOR'S NAME
WASTE PROFILE NO.
2. FACILITY ADDRESS 4. GENERATOR USEPA ID
5. GENERATOR STATE ID
8. PHONE6. TECHNICAL CONTACT
3. ZIP CODE
7. TITLE
B. WASTE INFORMATION
1. NAME OF WASTE
2A. USEAPA WASTE CODE(S)
2C. STATE/LOCAL/HOST-NATION WASTE CODES
3. PROCESS GENERATING WASTE
4. PROJECTED ANNUAL VOL. 5. MODE OF COLLECTION
6. IS THIS WASTE A DIOXIN LISTED WASTE AS DEFINED IN 40 CFR 261.31? YES NO
7. IS THIS WASTE RESTRICTED FROM LAND DISPOSAL? (40 CFR 268)
HAS AN EXEMPTION BEEN GRANTED?
DOES THE WASTE MEET APPLICABLE TREATMENT STANDARDS ALREADY?
(If Yes, Enter Reference Standards in Part II, Block 6)
PART II
1. MATERIAL CHARACTERIZATION (Optional - Unless otherwise indicated)
TOTAL SOLIDS ASH CONTENT
COLOR DENSITY
LAYERING Multilayered Bilayered Single Phase
BTU/LB
OTHER
2. RCRA CHARACTERISTICS (Check all that apply) IGNITABLE (D001) CORROSIVE (D002) REACTIVE (DOO3)
WATER REACTIVE CYANIDE REACTIVE SULFIDE REACTIVE FLASH POINT PH
3. CHEMICAL/MATERIAL COMPOSITION (List all components and contaminants, including PCB's and any applicable F-Listed and Underlying Hazardous Constituents)
HIGH TOC (> 10%) LOW TOC (< 10%) TREATMENT GROUP WASTEWATER NON-WASTEWATER
CAS # COMPONENT CONCENTRATION RANGE
DRMS FORM 1930, SEP 2008 Page 1 of 4
Be as descriptive as possible. Chemical names, such as generic descriptions, e.g. 'sludge', paint solids, 'water' etc. are acceptable).
Prescribing Authority:
DoD 4160.21-M, Ch. 10
DRMS-I 4160.14
PART I
2B. DEMIL CODE A B C D E
TOXICITY CHARACTERISTIC (D004-D043) CORRODES STEEL
PHYSICAL STATE Solid Liquid Semi-Solid Gas
YES NO
YES NO
YES NO
(Mandatory)
F G P Q
ATTACHMENT – 04, SP4530-17-R-0002, Pearl Harbor HW
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DRMS FORM 1930, SEP 2008 (EF) Page 2 of 4
HAZARDOUS WASTE PROFILE SHEET (Continued) WASTE PROFILE NO.
CAS # COMPONENT
Be as descriptive as possible. Chemical names, such as generic descriptions, e.g. 'sludge', paint solids, 'water' etc. are acceptable).
CONCENTRATION RANGE
3. MATERIAL COMPOSITION/UNDERLYING HAZARDOUS CONSTITUENTS
4. SHIPPING INFORMATION
DOT HAZARDOUS MATERIAL? YES NO
PROPER SHIPPING NAME
ADDITIONAL DESCRIPTION
HAZARD CLASS U.N. or N.A. NO. PACKING GROUP
METHOD OF SHIPMENT BULK DRUM OTHER
DOT REPORTABLE QTY (RQ)
EMERGENCY RESPONSE GUIDE EDITION EMERGENCY RESPONSE NO.
5. SPECIAL HANDLING INFORMATION
6. GENERATOR CERTIFICATION
CERTIFICATION
CHEMICAL ANALYSIS (Attach Test Results) USER KNOWLEDGE (Attach Supporting Documents)
Signature of Generator's Representative
DATE
RANGE TOTAL MUST EQUAL AT LEAST 100%
LBS (REF. 49 cfr 172.101, Appendix A)
(Explain how and why these documents comply with RCRA requirements)
ATTACHMENT – 04, SP4530-17-R-0002, Pearl Harbor HW
INSTRUCTIONS FOR DRMS FORM 1930
(Authority: DOD 4160.21-M, Chap. 10, par. D.2.a(3))
A. GENERAL INFORMATION (Required) WASTE PROFILE NUMBER - A unique number assigned to this waste stream for future reference. The preferred format is a Generator DoDAAC + five digit serial number assigned by either the Generator or the DRMO. any variation from this format must be approved by your DRMO.
1. GENERATOR NAME - Enter the name of the generating facility. (Should match official name associcated with the EPA ID number).
2. FACILITY ADDRESS - Enter the address of generating facility listed in block A1.
3. ZIP CODE - Enter the generating facility's five or nine-digit Zip Code.
4. GENERATOR USEPA ID - Enter the12-character, alpha-numeric descriptor issued by the USEPA to the facility identified in block A.1. (If not applicable, enter "NONE")
5. GENERATOR STATE ID - Enter the descriptor issued by the Resident State to the facility identified in block A.1.
6. TECHNICAL CONTACT - Enter the name of the person to contact for more information about this waste.
7. TITLE - Enter the Technical Contact's official title. (e.g. "HW-Manager", Shop Chief, etc.).
8. PHONE - Enter the Technical Contact's telephone number.
B. WASTE INFORMATION (Required)
1. Enter a name that is generally descriptive of this waste (e.g., paint wastes, oil water separator, sludge, PCB-contaminated dirt, etc.)
2A. USEPA WASTECODE(S) - List all that apply. If non-RCRA, enter "NONE".
2B. DEMIL CODES - Check applicable Demil Code.
2C. STATE/LOCAL/HOST NATION WASTE CODE(S) - List all that apply. If not applicable, enter "NONE".
3. PROCESS GENERATING WASTE - List the specific process/operation or source that generates this waste (e.g., paint-booth spray, PCB spill, metal plating operation, etc.).
4. PROJECTED ANNUAL GENERATIONS - The quantity of waste projected for turn-in annually, (preferably in pounds, but other units of measure may be used, e.g., gallons, kilograms, etc.)
5. MODE OF COLLECTION - Describe the method used to collect and store this waste stream (e.g. drums, tanks, etc.
6. DIOXIN WASTE - Storage of Dioxin wastes requires special attention. If this waste is a USEPA-listed Dioxin waste, indicate "YES" and contact your DRMO representative for further instructions.
7. A. IS THIS WASTE RESTRICTED FROM LAND DISPOSAL? - Check "YES" or "NO"
B. HAS AN EXEMPTION BEEN GRANTED? - If "YES", explain in PART II, block 6, at "Explain how and why these documents comply with RCRA requirements".
C. DOES THIS WASTE MEET APPLICABLE TREATMENT STANDARDS ALREADY? - If "YES", explain in Part II, block 6, at "Explain how and why these documents comply with RVRA requirements".
PART I
PART II
1. MATERIAL CHARACTERIZATION (Optional unless otherwise indicated)
1. COLOR - Describe the color of the waste (e.g., blue, clear, varies, etc.)
2. DENSITY - The specific gravity of water is 1.0. Most organics are less than 1.0. Chlorinated solvents, most inorganics, and paint sludge are greater than 1.0.
3. BTU/LB - This entry may re required if you request that this waste be used as a fuel substitute.
4. ASH CONTENT - This entry may be required if you request recovery of used oil.
5. TOTAL SOLIDS - Content can be expressed as either a weight percentage, or dry-weight concentration (mg/kg).
6. LAYERING - Select applicable entry. Multi-layered means more than two layers (e.g., oil/water/solvent/sludge).
Bilayered means the waste is comprised of two layers which may or may not be the same phase (e.g., oil/water, solvent/sludge).
Single phase means the waste is homogeneous.
7. PHYSICAL STATE - If the choices do not apply, a description should be entered after "Other".
2. RCRA CHARACTERISTICS (Required as applicable) IGNITABLE - Check this box if the waste meets the criteria liste at 40 CFR 261.21.
FLASH POINT - For liquids, list the flash point, regardless of whether the waste is ignitable (D001) or NOT.
TOTAL ORGANIC CARBON (TOC) - Required for Ignitable Liquids CORROSIVE - Check this box if the waste is corrosive as defined in 40 CFR 261.22.
- If applicable, include the PH reading in the space provided (40 CFR 261.22(a)(1).
- If applicable, check the "Corrodes Steel" box. (40 CFR261.22(a)(2)
REACTIVE - Indicate if the waste is reactive as defined in 40 CFR 261.23. If so, indicate the reason by checking the appropriate box. If other than one of the reasons provided, explain in detail as Part II, Special Handling Requirements".
TOXICITY CHARACTERISTICS - If the waste exhibits the characterisitc of toxicity, as defined in 40 CFR 261.24, check this box, and include the contaminent level in Part II, block 3.
DRMS FORM 1930, SEP 2008 (EF) Page 3 of 4
3. CHEMICAL/MATERIAL COMPOSITION (Required as applicable)
CAS # - Chemical Abstract Number (Optional) May be used instead of the chemical name in the "Component" block.
COMPONENT - List all chemical and material contaminants.
- Examples of chemical components and contaminants.
o "PCB's" "methanol", "oil", "endrin"," sodium chloride", "napthalene, gasoline, etc.
o applicable F-listed constituents, e.g., for waste numbers F001-F005. For certain characteristic waste numbers, D001-D043, you have to examine the waste components for UHCs. Look in 40 CFR, Table 268.40. If the treatment standard given includes the words "and meet 268.48 standards"., then you must indicate any UHCs present in the waste (if they are present above the levels specified in part 268.48.
- Examples of material components and contaminants: water, dirt, sand, paint sludge, rags, etc.
CONCENTRATION - Use this column for constituents of concern which do not exceed 10,000 ppm (1%). Include the concentration level in ppm or mg/L.
RANGE - For components comprising greater than or equal to 1% of the total waste stream, estimate the range (in percent) in which the component is present. The total maximum values of the components must be greater than, or equal to 100%, including chemical and material components.
4. SHIPPING INFORMATION - Refer to 49 CFR to complete this part.
NOTE: Information provided in this portion of the waste profile is not meant to constitute a standard USDOT certificate given by a shipper offering a package to a transporter, but is needed to identify any other health and safety hazards, which are not readily apparent from the basic waste description.
5. SPECIAL HANDLING INFORMATION - Describe those hazards which you know or reasonably believe are or may be associated with short term or prolonged human exposure to this waste (29 CFR 1920.1200). If known, please identify any carcinogens present in this waste of 0.1% 29 CFR 1910.1200(d)(4). Failure to make an entry in this part is considered to be a representation that you neither know nor believe that there are any adverse human health effects associated with exposure to this waste.
6. GENERATOR CERTIFICATION (Required) CHEMICAL ANALYSIS - Attach a copy, if applicable (see Note below).
USER KNOWLEDGE - User knowledge is approriate when it can be documented (e.g., in-out logs, published information, MSDS, process production information, etc.). There is room provided to explain "what" and "why" user knowledge is used in lieu of analysis.
CERTIFICATION - Include the PRINTED NAME of the person providing the Certification Signature.
SIGNATURE - An authorized representative of the generator must sign and date this certification on the completed Hazardous Waste Profile Sheet.
DATE - Date Signed by Certifier*.
* This Hazardous Waste Profile Sheet (HWPS) may be used for subsequent turn-ins of the same waste stream, for a period of one year.
If a turn-in date is more than one year past the Certification Date listed, the generator must either re-certify the HWPS, or provide a new HWPS, with the current date. See instructions at DOD 4160.14-M, Chapter 10, par. D.2.a(3)(b).
If you require assitance completing this form, please contact your local DRMO
DRMS FORM 1930, SEP 2008 (EF) Page 4 of 4
ATTACHMENT – 05
Security Requirements for PHNSY & IMF
SECURITY REQUIREMENTS APPLICABLE FOR PEARL HARBOR NAVAL SHIPYARD & IMF’S
CONTROLLED INDUSTRIAL AREA, OTHER SENSITIVE AREAS, CONTROLLED NUCLEAR
INFORMATION AREAS, AND/OR NUCLEAR WORK AREAS (REVISED AUG 2013)
1. The provisions of these security requirements are applicable to Shipyard & IMF areas including theareas listed below:
a. CIA-I (Controlled Industrial Area I) – The large fenced-in area encompassing the waterfront and industrial shops, extending from Building 1274 to include all of Bravo Pier 2.
b. When activated, CIA-II (Controlled Industrial Area II)- Dry Dock No. 4 Compound (including Building 1444).
c. Areas designated “Other Sensitive Area” (OSA), “Controlled Nuclear Information Area”
(CNIA); and “Nuclear Work Area” (NWA).
2. Performance of all work under this contract (includes task and delivery orders) is restricted to U.S. citizens and U.S. nationals only. U.S. citizen employees of a foreign owned, controlled, and/or influenced company (including a parent company) for access purposes are considered foreign nationals and special authorization would be required for escorted access to PHNSY & IMF spaces.
3. For issuance of Red or Yellow badges, a “classified contract” is required with a Contract Security Classification Specification (DD 254) that allows access to Restricted Data (for Red) and Naval Nuclear Propulsion Information (NNPI) (for both). Also in accordance with OPNAVINST N9210.3 (Safeguarding of NNPI) the contract or subcontract must incorporate all NNPI handling requirements.
4. These security requirements are applicable to the prime contractor as well as to all subcontractors and suppliers thereunder. For unescorted access, these requirements shall be incorporated into Shipyard & IMF and co-located command originated and funded contracts and memorandums of agreement or understanding.
5. The period of proposed contract work to be performed in particular areas of the Shipyard & IMF is subject to further approval of the Shipyard & IMF Commander depending on the sensitivity of Shipyard & IMF industrial operations in the affected areas.
6. Three weeks prior to the visit, the contractor, subcontractors, and suppliers shall complete applicable items on Part 1 of the Contractor Visit Request (VR) form (PH-SYD 5512/28) and submit it to the Government Contracting Activity (GCA) or COR for completion of Part 2. The GCA/COR will then forward the VR and DD 254, as applicable, to the Shipyard & IMF Sponsor for completion of Part 3 no later than two weeks prior to the visit. The Shipyard & IMF Sponsor will submit the VR to the Pass and Identification Office (Pass and ID) no later than one-week prior the visit. The VR must include the type of U.S. citizenship. Entry into the CIA, CNIA, NWA or OSA may be authorized under one of the following conditions.
a. For unescorted entry to the CIA: contractor personnel must show proof of U.S. citizenship before a Green badge can be issued.
b. For unescorted entry into an OSA, CNIA or NWA:
(1) All contractors, subcontractors, and suppliers must have a DOD Facility Security
Clearance and those contractor employees who need access to the OSA, CNIA and/or NWA must have DOD security clearances granted by Defense Security Service (DSS). A Yellow or Red badge will be issued depending on the areas needed to be accessed. For a Yellow (CNIA) badge, the contractor must have at least an Interim Confidential. For a Red (NWA) badge, the contractor must have a final security clearance.
c. For situations other than the above, personnel requiring unclassified/CIA access may be issued a White “Escort Required” (“ER”) badge for CIA access under the escort of a briefed Yellow or Red badged Shipyard & IMF employee knowledgeable of the area. Escorted access to CNIAs and NWAs must be coordinated with the cognizant Department Security Coordinator to ensure that the area is sanitized and the escort is properly briefed/knowledgeable of the area. Contractors, subcontractors, and suppliers are advised that processing of “ER” badges may take up to five working days to complete.
d. The initial submittal of VR forms need not be all-inclusive. It may be expanded to meet the essential requirements of the contractor. Each individual added to the list, however shall be subject to the same pre-entry screening requirements as outlined above.
e. Under no circumstances shall personnel sign, transmit or hand-carry their own VR. The VR should be mailed, e-mailed encrypted or password protected, or delivered by the GCA or Shipyard & IMF Sponsor.
f. Ensure that all contractor employees provide a valid (i.e. state or federally issued) photo identification card and proof of U.S. citizenship to the Pass and ID Office prior to being issued a Shipyard & IMF badge, see Attachment (1) for a list of acceptable documents.
g. Ensure any derogatory or questionable information concerning contractor employees possessing a DOD security clearance or a Shipyard & IMF badge is immediately reported to the Security Office (Code 1125) so that access eligibility can be evaluated.
h. Ensure that contractor employees attend a 30-minute orientation on the safety, security, and radiological protection aspects of industrial operations within the Shipyard & IMF.
NOTE: The briefing, which is in the form of a video presentation will be given at the Pass and ID Office in groups of 10, prior to the issuance of Shipyard & IMF badges. Special arrangements for larger groups can be scheduled upon request.
i. Ensure that onsite contractor personnel issued Red or Yellow badges attend mandatory
Shipyard security training and briefings as required by SECNAV M-5510.30 (DON Personnel Security Program) and DOD Directives.
j. Ensure that all employees wear and display the Shipyard & IMF badge in the chest area at all times while entering, remaining in, and exiting Shipyard & IMF spaces.
k. Ensure that each badge is used only by the specific individual named on the badge.
l. Maintain strict accountability over identification badges and passes issued by the Pass and ID Office. Report immediately, to the Pass and ID Office, any badges/passes that are missing or lost and the circumstances. Return badges/passes to the GCA immediately upon termination of any employee, upon expiration, upon completion of contract, or when no longer required. The GCA will ensure that all badges/passes are returned and forwarded to the Shipyard & IMF Pass and ID Office (Code 1125.2).
m. Restrict hours of work to 0630 – 1500 hours Monday through Friday only. When operational needs require the contractor to schedule work before 0630 and/or after 1500 (Monday through Friday) or on weekends and holidays, provide written notification at least two weeks in advance to GCA who will obtain approval from the respective Shipyard & IMF departments, offices, and shops. Such notifications will include the company name, type of work to be performed, location of work, specific dates, and hours of work. The POC will submit a request in writing to the Security Office (Code 1124) by Wednesday of each week to add the contractor to the “Non-Duty Hours Contractor Access List” that is prepared weekly.
Emergency access for contractors not on the non-duty hours list may be authorized entry by the Security Officer or Security Operations Officer upon verification with the POC.
n. Restrict employees/representatives to the work site and control travel directly to and from the work site.
7. The Pass and ID Office is located in Building 207 at Safeguard Street and Russell Avenue.
8. No vehicle will be permitted access to a work site in the CIA without a valid Shipyard & IMF CIA vehicle pass. The Shipyard & IMF CIA vehicle passes are issued by the Shipyard & IMF Pass and ID Office. Shipyard & IMF CIA vehicle passes will not be issued unless proof of vehicle registration to the contractor’s company has been presented to Shipyard & IMF Pass and ID. All vehicles are required to conform to Shipyard & IMF traffic regulations. The speed limit is 15 MPH in the CIA. Outside the CIA, the speed limit is as posted or marked.
9. Only those contractor vehicles meeting all of the following criteria will be allowed to enter the CIA with the Shipyard & IMF CIA vehicle pass:
a. All vehicles must clearly display an authorized company sign or logo on both sides of the vehicles. The logo must be either painted on or a magnetic sign. Paper or cardboard signs are not authorized. Lettering of the logo must not be less than 2-1/2 inches in height and 1/4 inch wide.
b. They must be company or commercial vehicles used by the contractor to transport heavy equipment and/or material to the job site. In limited circumstances, contractor vehicles may be allowed entry to conduct on-site inspections at the job site.
NOTE: Contractor vehicles will not be used to transport employees to the job site. Privately-owned vehicles will not be allowed in the CIA.
10. A limited number of CIA vehicles passes will be issued to each contractor, subcontractor and vendor to facilitate work requirements. Every vehicle entering the CIA will display the pass on the dashboard or visor (facing outward). The pass will be visible at all times while in the CIA.
Parking is limited to those areas that are specifically identified on the pass. If additional passes are required, adequate justification must be presented to the Pass and ID Office via the GCA.
11. Vehicles may enter and exit from gates located on Paul Hamilton Avenue or on Chosin Street, Monday through Friday, 0630 to 1500 hours. For access before 0630 and after 1500 hours, weekends, and holidays the contractors must comply with paragraph 6.m. After proper notification, contractors may enter and exit from either gate after hours, weekends, and holidays.
12. Parking is not permitted on any piers on any dry dock/waterfront areas. Contractors shall not park on or block the marked fire lanes at any time. Vehicles may stop on the piers of dry dock/waterfront areas for 15 minutes for loading or unloading. An exception may be made for vehicles which are part of the equipment needed to do the required work and are attached or connected to the pier or ship, i.e., a truck which uses a mounted generator, a vehicle with built-in equipment, etc. A written request for pier parking authorization with justification will be sent to the Shipyard & IMF Security Officer (Code 1120) via the GCA at least two weeks prior to the date parking space is required. The following information is required:
a. The license number of the vehicle(s).
b. The type and size of the vehicle(s) (pickup truck, crane, forklift, etc.)
c. Parking location.
d. Purpose and duration.
13. Parking for privately-owned vehicles is available:
a. In the “N” parking lot on Central Avenue and “D” parking lot on Paul Hamilton Avenue, located between South Avenue and Safeguard Street.
b. In the “C” parking lot on Lake Erie Street and Central Avenue.
14. All vehicles are subject to search while entering, remaining in, or leaving the Shipyard & IMF and/or JBPHH areas. A Property Pass (OP-7) issued and signed by the GCA must cover all government material being transported out of the CIA by contractors. Material found without a Property Pass will be confiscated and a police offense report issued.
15. Entry into shop/office/ship spaces covered by this contract will be subject to prior approval of the respective Shop Superintendent/Office Head/Ship’s Commanding Officer. Contractors will coordinate action with the GCA for obtaining entry approval.
16. The Shipyard & IMF Security Officer will provide guard services on a reimbursable basis for contractors requiring guard services. The contractor must notify and obtain approval from the Shipyard & IMF Security Office via the GCA at least two weeks prior to the time guard services will be required. Notification in writing shall (include the purpose and number of hours guard services will be required.
17. Contractor personnel will not be permitted to enter Shipyard & IMF buildings, spaces, and areas not covered by this contract except on prior approval of the Shipyard & IMF department/office/shop having jurisdiction of the areas. Contractors will coordinate action with the GCA to obtain such entry approval.
18. Access to unclassified and classified U.S. Navy shipbuilding, conversion, or repair technology and related technical information manuals, documents, drawings, plans, specifications, etc., by the contractor shall be restricted to an official need-to-know basis. This type of information shall be handled, controlled, and safeguarded to prevent oral, visual, and documentary disclosure to uncleared personnel, the public, to foreign sources, and to all personnel not having an official need-to-know. It shall be returned to the Pearl Harbor Naval Shipyard & IMF upon completion of contracted work, except when the GCA grants specific retention authorization.
19. Photography and photographic equipment are prohibited in the Pearl Harbor Naval Shipyard & IMF, to include personal cellular phones with camera features. When operationally required, a written request containing specific justification and details will be submitted to the Security Office (Code 1125) via the GCA for consideration. If a Shipyard & IMF photographer is unable to take the photographs, authorization will only to be granted to the contractor if the contractor has a Shipyard Sponsor and is under continuous escort of a designated Shipyard & IMF employee.
The designated escort shall be briefed by Code 1125. The escort will take the film or photographic media in his or her custody. The Sponsoring Shipyard Code/Office will mark and control the photographs as “For Official Use Only” and route the photographs in accordance with local regulations for review and approval of a Distribution Statement (prior to release from Shipyard & IMF).
20. Portable Electronic Devices (PEDs). PEDs include pagers, mobile/cellular telephones (with/without cameras), personal digital assistants/job performance aids, laptop/notebook /handheld computers, digital imagery (still/video) devices, analog/digital sound recorders (e.g. I- PODs), video game devices, USB devices, and devices of similar capability, functionality, or design. Privately-Owned PED devices such as those listed above are prohibited on Shipyard premises. Privately-Owned PEDs without camera devices are prohibited unless approved in writing by the local Information Assurance Authority (IAA) or Information Assurance Manager (IAM). Violations may result in the confiscation and sanitization of the PEDs. The only approved method of sanitizing most PEDs is physical destruction.
a. All users authorized to use PEDs in the Shipyard & IMF workspaces, whether privately-owned(includes contractor-owned) or government-owned, are required to comply withNAVSHIPYD&IMFPEARLINST 5239.1(series), Activity Information Systems Security Plan
(AISSP)
b. For Privately-Owned PEDs without camera devices approved for use in Shipyard & IMF spaces, the user shall follow:
(1) The PEDs will not handle, process, or store any U.S. Government information unless otherwise authorized by the IAM.
(2) The PEDs will not be connected to any Shipyard & IMF network, U.S. Government-
Owned computers, or associated peripherals.
(3) The PEDs will operate in only approved locations. These PEDs are not allowed in spaces processing and/or handling classified information.
(4) Users shall comply with software copyright laws and agreements.
(5) Violations of the above may result in the confiscation of the PED.
(6) The U.S. Government will not be liable for the privately-owned PED hardware/software while on the Shipyard & IMF premises.
c. For U.S. Government-Owned PEDs approved for use in Shipyard & IMF spaces and issued for official government travel, the user shall follow:
(1) Government-Owned PEDs that are synchronized with desktop computers on Shipyard &
IMF Local Area Network (LAN) shall follow the security measures in Enclosure (2) of NAVSHIPYD&IMFPEARLINST 5239.1(series).
(2) Use of Government-Owned PED equipment while on travel and performing official government business is allowed.
(3) Government-Owned PEDs shall not be checked as baggage, stored in airport or bus station lockers, or left with desk clerks at motels. PEDs with NNPI data shall not be left unattended in the motel room. If a PED with no NNPI data is left unattended in the motel room, it must be locked in a personally owned container (i.e., luggage, brief case, etc.).
(4) Government-Owned PEDs shall not be taken out of the United States without an authorization letter from the IAM.
(5) Government-Owned PEDs will not be used to store passwords; safe and door combinations; personal identification numbers (PINs); as well as classified information.
(6) Government-Owned PEDs shall not be used for classified information processing unless specifically authorized in writing by the local IAA.
(7) Where feasible, Government-Owned PEDs shall employ up-to-date signature files that are used to profile and identify viruses, worms, and malicious code. As proven anti-virus clients for PEDs become available, these clients shall be deployed to the greatest possible extent in all PEDs that connect to the Shipyard & IMF network.
21. Ensure that yellow plastic material is not used for warning signs, covering material, etc.
22. Be responsible for control and security of all contractor-owned equipment and material at the work site. Report immediately, all missing/lost/stolen property to the Joint Base Pearl Harbor Hickam Security Detachment (phone 474-6751) as each case occurs.
23. Ensure that no material is stacked within ten (10) feet of the CIA perimeter. Remove from the work site, or secure, ladders or other such equipment, which could be used to climb the CIA perimeter fence. Ensure that no vehicles are parked within ten (10) feet of the CIA perimeter.
24. Provide written notification to the Commander, Pearl Harbor Naval Shipyard & IMF (Code 1120) via the GCA, two (2) weeks prior to actual start of work to allow for notification of the appropriate Shipyard & IMF departments, offices, and shops of the impact resulting from the contract work. Such notifications will include specific details such as work schedules (including actual start date for Shipyard & IMF entry), and impact statements concerning tasks to be done, e.g. specific parking spaces to be vacated, inclusive dates involved, traffic rerouting, changes to traffic and parking patterns, traffic/parking controls to be instituted by the contractor, barricades to be erected by the contractor, etc., along with sketches of the particular areas involved.
25. Two weeks prior to making any penetrations (i.e. tunneling under, cutting through a fence or building, etc.) in a restricted area (e.g. CIA fence line, CNIA or NWA) the contractor shall contact Code 1120 via the GCA to make arrangements for a security guard or other measures required to meet all security requirements. The cost for the security guard will be charged to the contractor.
26. Any exceptions to these security requirements must be coordinated with the Security Office (Code 1120).
ANNEX 1
DOCUMENTS ACCEPTABLE FOR PROOF OF U.S. CITIZENSHIP
(Original documents or certified copies)
1. U.S. BIRTH REGISTRATION CARD (with Registrar’s raised seal and signature)
2. U.S. BIRTH CERTIFICATE (original with raised seal from one of the 50 states or outlying U.S. territories or U.S. possessions)
3. U.S. IMMIGRATION AND NATURALIZATION SERVICE NATURALIZATION
CERTIFICATE (INS N-550/570)
4. DD FORM 1966 (U.S. citizenship documents sighted are listed and attested to by a recruiting official)
5. DELAYED BIRTH CERTIFICATE (Original with Registrar’s seal and signature and cites secondary evidence)
6. HOSPITAL BIRTH CERTIFICATE (Original with authenticating raised seal or signature provided all vital information is given)
7. U.S. PASSPORT (Current or expired)
8. U.S. IMMIGRATION AND NATURALIZATION SERVICE CERTIFICATE OF
CITIZENSHIP (INS N-560/561)
9. FORM FS 240 – REPORT OF BIRTH ABROAD OF A CITIZEN OF THE UNITED STATES
OF AMERICA/CONSULAR REPORT OF BIRTH
10. FORM FS 545 – CERTIFICATION OF BIRTH (Issued by U.S. Consulate)
11. FORM DS 1350 – DEPARTMENT OF STATE CERTIFICATION
12. NOTICE FROM THE STATE’S REGISTRAR ACCOMPANIED BY SECONDARY
EVIDENCE I.E. BAPTISMAL CERTIFICATE, CERTIFICATE OF CIRCUMCISION, EARLY
CENSUS, FAMILY BIBLE RECORDS, ETC.
--END OF SECTION--
ATTACHMENT 06
Manifest Tracking Log DLA Form 2505
MANIFEST TRACKING LOG
Prescribed by: DRMS-I 4160 Sponsor: Disposition
INSTRUCTIONS
NOTE: For special service items, complete only blocks 1, 2, 3, 5 and 6.
Column 1: Line Item # - line item number for the item being disposed. (Four digits - e.g.: 0001)
Column 2: Document # - Document number as it appears on the DD Form 1155 (External PR). (Eight digits - e.g.: 1236ABCD)
Column 3: HIN # - HIN number as it appears on DD Form 1155 (Six characters - e.g.: 9404NC)
Column 4: Pickup (P/U) Mnfst. # - Manifest document number assigned to each manifest or shipping paper used to ship the waste to the initial TSDF (5 or 12 characters - e.g.: 02034;
123456789GBF)
Column 5: Picked Up (P/U) QTY - actual quantity picked up. For special service items, insert actual quantity completed.
Column 6: Initial TSDF Receipt Date - Actual date listed on the shipping paper next to the signature of the representative of the first TSDF accepting the shipment (dd/mmm/yy). For special service items, insert final date all services were completed.
Column 7: Initial TSDF MMC - List the appropriate waste Management Method Code used by the first TSDF for treatment, storage, and/or disposal methods (40 CFR 264, Appendix 1, Table 2 no longer applies) Column 8: Interim/ Disposal Manifest # - Manifest document number assigned to each manifest or shipping paper used to ship all, or parts of the waste to other TSDFs, including all interims and finals, after receipt at initial TSDF. EXCEPTION: If final treatment and/or disposal is accomplished by the initial TSDF, insert "Same as # 4" and do not fill out blocks 9 thru 14.
(PCBs will require block 14 entry)
Column 9: Manifest Page/Line- Identify the page and manifest line number that the document number has been placed on from manifest block 9a, 27a, etc….
Column 10: Containers (CTN) No & Type – Identify the number of containers and type of containers from block 10, 28, etc….
Column 11: Interim/Disposal Facility EPA# - EPA Identification number (or DLA Disposition Services "dummy" number) assigned to each and every facility involved in the treatment, storage, and final disposal. (As defined in section C of the contract) of the item. Use additional lines as necessary. (Twelve digits - e.g.: PAD 456123912) NOTE: If final disposal did not occur at the initial facility, then the initial facility is considered an interim facility for Phase II tracking purposes. In those instances, the initial facility's EPA ID number should be included in Block 11 when Phase II information is submitted.
Column 12: Interim/Disposal MMC Codes - List the appropriate Management method code(s) listed at 40 CFR 264, Appendix 1, Table 2-not applicable, performed by any interim and final disposal facilities. Note: Include any treatment and/or handling performed at initial TSDF, which was NOT identified in Phase I.
Column 13: Qty Disposed - Actual quantity of item disposed.
Column 14: Interim/Disposal TSDF Accept Date and Disposal Date (PCBs Only) - Actual date listed on the shipping paper next to the signature of the representative of each and every interim and final TSDF's accepting, treating, and/or disposing of the waste (dd/mmm/yy). - Date of actual final disposal of PCB item (dd/mmm/yy).
DLA FORM 2505-TEST, OCT 2013
Page 2 of 2PDF (DLA)
ATTACHMENT 07
PRIMARY PICKUP LOCATIONS
Site Name Site Street Address Site City / State / Zip EPA ID #
Army Aliamanu Military Reservation CESQG Bishop Point JBPPH CESQG East Range TAP 90-day site Bldg. 6040 Schofield
Barracks, Oahu
HI3210022239
Fort Derussy/Hale Koa Hotel CESQG Fort Shafter TAP 90-day site Bldg. 424 Fort Shafter, Oahu
HI6214522207
Helemano Military Reservation CESQG Kahuku Training Area CESQG Kilauea Military Camp KMC Bldg. 91 Hawaii
Volcanoes National Park, Hi. 96718
CESQG
Makua Range HI7210022227 /
CESQG
Pililaau Army Recreation Center 85-010 Army St., Bldg.
Waianae, Hi.
96792
CESQG
Pohakuloa Training area TAP Bldg. T-33 Hilo, Hi. 96720 HIR000000703 /
CESQG
Tripler Army Medical Center
(TAMC)
TAMC Fort Shafter Vet Clinic Various Ft Shafter, Oahu 96859
CESQG
TAMC Schofield Clinics and Vet Clinic
Various Schofield Barrack, Oahu 96857
CESQG
Tripler Army Medical Center
(TAMC)
B143 Honolulu, Oahu 96859
HIR000050617
Hawaii National Guard 230th Engineer Company (-) Vertical
2701 Mokulele Hwy Kihei, Maui 96753
CESQG
Armed Forces Reserve Center Controlled Waste Handling Facility, Bldg 645
1304 Kekuanaoa St. Hilo, 96720 CESQG
Armed Forces Reserve Center Flammable Storage Building, Bldg 644
1304 Kekuanaoa St. Hilo, 96720 CESQG
Armed Forces Reserve Center -
HIARNG
1304 A Kekuanaoa Street, Bldg. 643C
Hilo, 96720 HIR000111047
Army Aviation Support Facility #2
(AASF #2)
1095 Kekuanaoa St. Hilo, 96720 HI2210090039
Army Aviation Support Facility
(AASF) #1
1935 Santos Dumont Avenue, WAAF, Bldg.
Schofield Barracks, Oahu
HIR000138073
829 96857-5016 Combined Support Maintenance Shop (CSMS) #1
4208 Diamond Head Rd., Bldg. 304
Honolulu, Oahu 96816-4495
CESQG
Combined Support Maintenance Shop 2 (CSMS#2)
1304 A Kekuanaoa Street, Bldg. 628
Hilo, 96720 HIR000111047
Detachment 1, Co D, Forward Support Company, 29th Brigade Support Battalion (Det 1, D FSC, 29th BSB)
81-1032 Nani Kupuna St.
Kealakekua, Oahu 96750
CESQG
Field Maintenance Shop (FMS) #1
91-1227 Enterprise Ave., Bldg. 117
Kapolei, Oahu 96707-2150
HIR000140624
Field Maintenance Shop (FMS) #2
230 Kamehameha Hwy, Bldg. 2
Mililani 96789 CESQG
Field Maintenance Shop (FMS) #3
2701 Mokulele Hwy Kihei, Maui 96753
CESQG
Field Maintenance Shop (FMS) #5
13-460 Kaumualii Highway
Hanapepe, Kauai 96746
CESQG
HIARNG 91-1227 Enterprise Ave., Bldg. 19
Kalaeloa, Oahu 96707
CESQG
Joint Forces Headquarters
(JFHQ)
91-1227 Enterprise Ave, Bldg. 1784
Kalaeloa, Oahu 96707
CESQG
Kalaeloa Readiness Center 91-1227 Enterprise Ave., Bldg. 282
Kalaeloa, Oahu 96707
HIR000140624
Operational Maintenance Support (OMS)
577 Pass Road, Ft Shafter Flats
Honolulu, Oahu 96819
HIR000135665
Regional Training Institute (RTI) 711 Tinker Road Waimanalo, Oahu 96795-
CESQG
Regional Training Site – Maintenance (RTS-M)
96-1230 Waihona Street
Pearl City, Oahu 96782
HIR000140418
State Maintenance Facility (SMF) 1304 A Kekuanaoa Street, Bldg. 661
Hilo, 96720 HIR000111047
State Maintenance Facility (SMF)/State Motorpool
3949 Diamond Head Rd., Bldg. 90/90D
Honolulu, Oahu 96816
HID982475592
Troop C 1-299 Cavalry 13-460 Kaumualii Highway
Hanapepe, Kauai 96746
CESQG
Unit Training Equipment Site
(UTES)
96-1176 Waihona St. Pearl City, Oahu 96782
HIR000140418
Wahiawa Readiness Center 230 Kamehameha Hwy, Wahiawa Armory, Bldg. 1
Mililani, Oahu 96789
CESQG
Waiawa Readiness Center 96-1210 Waihona Street
Pearl City, Oahu 96782
HIR000140418
Navy Pearl Harbor Naval Shipyard (PHNSY) and IMF Complex
Corner of Port Royal Street and Spruance Street Controlled Industrial Area (CIA)
PHNSY&IMF
Joint Base Pearl Harbor Hickam, Oahu 96860-5033
HI6170024339
Lualualei Less than 90-day Accumulation Site
Building 521, Enterprise Street, US Naval Magazine
Waianae, Oahu CESQG
MCTAMS Less than 90-day Accumulation Site
Building B7, Anzio Drive
Wahiawa, Oahu
CESQG
NAVFAC Barbers…
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