SXHT 16-1028 Atch6 Haz Waste Form.pdf

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Attached to
REPAIR, RENOVATE PMEL
Solicitation number
FA252126B0001
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About this file

This is a Forecast of Contractor's Hazardous Waste Generation form template required for federal construction projects. The form is designed to assist installations in identifying processes using hazardous materials and regulating the generation and disposal of hazardous waste. Project SXHT 16-1028 pertains to the repair and renovation of the PMEL facility in Building 981.

The form must be completed by any contractor who removes and disposes of paints, building components, or equipment containing hazardous materials (such as lead or mercury), or who submits a Material Safety Data Sheet (MSDS) for approval of hazardous material use. On multi-contractor projects, each contractor and sub-contractor must specify each process requiring hazardous materials and the potential waste generated. Contractors must provide: installation project number and title; complete contractor name; point of contact name with phone and fax numbers; common name of each hazardous material; detailed description of each process using the material including application methods; description of anticipated waste stream or "none" if no waste is generated; estimated quantity of waste; and contractor signature and date. This template ensures comprehensive documentation of hazardous waste forecasting for project planning and regulatory compliance purposes.

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Text version

FORECAST OF CONTRACTOR’S HAZARDOUS WASTE GENERATION

PROJECT #: SXHT 16-1028 PROJECT TITLE: SXHT 16-1028 Repair, Renovate PMEL, BLDG 981

CONTRACTOR:

POINT OF CONTACT:

PHONE: FAX:

HAZARDOUS MATERIAL: DESCRIPTION OF PROCESS(ES) INVOLVING MATERIAL

(INCLUDE METHOD OF APPLICATION)

DESCRIPTION OF

WASTE:

QUANTITY:

CONTRACTOR’S SIGNATURE DATE

Purpose: The Forecast of Contractor’s Hazardous Waste Generation is required to assist the installation to identify processes using hazardous materials and regulate the generation and disposal of hazardous waste.

Instructions: The Forecast of Contractor’s Hazardous Waste Generation form must be completed by any contractor who:

1) Must remove and dispose of paints, building components, or equipment containing hazardous materials (lead, mercury, etc.)

2) Submits an MSDS for approval of use of a material known to be hazardous.

On multi contractor projects, each contractor (sub-contractor) must specify each process requiring the use of hazardous materials and the potential waste to be generated.

1. Project #: Provide installation project number.

2. Project Title: Provide installation project title.

3. Contractor: Enter complete name of contractor performing process.

4. Point of Contact: Provide name of individual knowledgeable on requirements of materials listed.

5. Phone/Fax: Provide phone and fax numbers for point of contact.

6. Hazardous Material: Provide common name of each hazardous material

7. Description of Process(es) Requiring Material: Describe each process in which the material will be used (Thinning paint, cleaning tools, etc.). Describe methods of application where appropriate (applied to rag, sprayed gun, etc.).

8. Description of Waste: Provide description of anticipated waste stream or enter “none” if no waste is anticipated to be generated.

9. Quantity: Estimate quantity of waste to be generated

10. Sign and date each form at bottom

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