Exhibit_F_-_Contract_Data_Requirements_List_-_PWS.pdf

Exhibit F June 20, 2018

Contract Data Requirements List Performance Work Statements

Table of Contents

PWS 1 – Maintenance

PWS 2 – Safety

PWS 3 – Security/Antiterrorism

PWS 4 – Environmental

PWS 5 – Utilities and Energy

PWS 6 – Fire and Emergency Services

PWS 7 – Government Property in Possession of the Contractor

PWS 8 – Ammunition Material Management

PWS 9 – Contract Production and Delivery Reporting

PWS 11 – Occupational Health and Industrial Hygiene

PWS 15 – Propellant Risk Mitigation

PWS 16 – On-site Government Personnel Support

PWS 17 – Armament Retooling and Manufacturing Support

PWS 18 – Facility Plans, Strategies, and Analyses

PWS 19 – Army Family Housing

Miscellaneous LCAAP CDRLs

PWS 1 – Maintenance

A001

Title: Maintenance Support Plan App Code: A

Subtitle: Maintenance Plan Dist Statement Required: N/A

Data Item Number: DI-ILSS-81225 Frequency: ANNLY

Contract Reference: PWS 1, para 2.2.1 As of Date: N/A

Requiring Office: AMSJM-ICF Date of 1st Submission 45 days prior to operational control

DD 250: NO Date of Subsequent Submission: ASREQ

Distribution Draft Reg Repro

PCO 0 1 0

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically 45 days prior to operational control of the facility. Subsequent submissions shall be provided annually, no later than January 15th of each year. Allow 10 days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

A002

Title: Facilities Maintenance Report App Code: N/A

Subtitle:

Quarterly Facilities and Equipment Preventive Maintenance Progress Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: QTRLY

Contract Reference: PWS 1, para 2.3 & 2.4 As of Date: N/A

Requiring Office: AMSJM-ICF Date of 1st Submission 90 days after operational

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically within 90 days after operational control of the facility. Subsequent submissions shall be provided quarterly, no later than the 5th business day following the end of each quarter.

A003

Subtitle:

Annual High Pressure Boiler Inspection Reports

Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: ANNLY

Contract Reference: PWS 1, para 3.7.7 As of Date: N/A

Requiring Office: AMSJM-ICF Date of 1st Submission ASREQ

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically no later than November 30th of each year.

A004

Subtitle:

Annual Natural Gas System Inspection Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: ANNLY

Contract Reference: PWS 1, para 3.11 As of Date: N/A

ACO 0 1 0

AMSJM-ICF 0 1 0

A005

Subtitle:

Annual Bridge/Drainage Structure Inspection Reports

Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: ANNLY

Contract Reference: PWS 1, para 3.16 As of Date: N/A

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically no later than November 30th of each year in accordance with the interval cycle outlined in paragraph

3.16 of PWS 1 – Maintenance.

A006

Title: Facilities Maintenance Report App Code: N/A

Subtitle: Dam Inspection Report Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: ANNLY

Contract Reference: PWS 1, para 3.17 As of Date: N/A

ACO 0 1 0

AMSJM-ICF 0 1 0

A007

Subtitle:

Recommended Maintenance Project Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-81423 Frequency: ANNLY

Contract Reference: PWS 1, para 4.2 As of Date: N/A

Requiring Office: AMSJM-ICF Date of 1st Submission Upon operational control

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically 90 days after operational control of the facility. Subsequent submissions shall be provided annually, no later than November 30th of each year.

A008

Title: Performance and Cost Report App Code: N/A

Subtitle:

Major Maintenance Incurred Cost Report

Dist Statement Required: N/A

Data Item Number: DI-FNCL-80912 Frequency: QTRLY

Contract Reference: PWS 1, para 4.3 As of Date: N/A

Requiring Office: AMSJM-ICF Date of 1st Submission 90 days after operational

PCO 0 1 0

ACO 0 1 0

AMSJM-ICF 0 1 0

REMARKS

Submit electronically 90 days after operational control of the facility. Subsequent submissions shall be provided quarterly, no later than the 5th business day following the end of each quarter.

PWS 2 – Safety

A009

Title:

Technical Report – Study/Services

App Code: N/A

Subtitle:

Follow-Up Survey and Inspection Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 1.3.2 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

DD 250: XX

Date of Subsequent Submission: QTRLY

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3.

Submit electronically no later than 30 days after receipt of formal report from DoD, Army, AMC, or JMC. The initial submission shall include responses to all items listed in the DoD, Army, AMC, or JMC report and what corrections were made.

An additional report shall be provided quarterly that identifies all uncorrected items identified in the DoD, Army, AMC, or JMC report. The contractor shall continue to provide the quarterly report until all items identified have been corrected.

A010

Title: Technical Report – Study/Services App Code: N/A

Subtitle:

Site and Construction Plans

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 1.3.3 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

Date of Subsequent Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

Delete paragraph 3.

Submit electronically when conditions identified in Chapter 4 of DA PAM 385-64 are met. The plan shall comply with DA

PAM 385-65.

A011

Title: Technical Report – Study/Services App Code: N/A

Subtitle:

Explosive Storage License(s)

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 1.3.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

60 days after contract award

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3.

Submit electronically no later than 60 days after contract award. Subsequent submissions shall be provided within five days of any change. Deliverable shall include all items listed in DA PAM 385-64, Chapter 5, para 5-3.

A012

Title: Progress Report (Studies) App Code: N/A

Subtitle:

Explosive Storage License(s) Review/Validation

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81313A Frequency: ANNLY

Contract Reference: PWS 2, para 1.3.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3.

Submit electronically within 12 months after original submission of license(s). Subsequent submissions shall be provided annually. Deliverable shall include a statement attesting to the performance of the review and the validation of the accuracy of license(s).

A013

Title: Progress Report (Studies) App Code: N/A

Subtitle:

Explosives Storage License Change

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81313A Frequency: ASREQ

Contract Reference: PWS 2, para 1.3.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3.

Submit electronically prior to any changes in the net explosives weight amounts as identified in current license. Deliverable shall existing net explosives weight, new net explosives weight amounts, and include the reason for the increase/decrease in net explosives weight.

A014

Title: Site Survey Report (SSR) App Code: N/A

Subtitle:

Outside Agency Report and Response

Dist Statement Required: N/A

Data Item Number: DI-MISC-81381 Frequency: ONE/R

Contract Reference: PWS 2, para 1.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

90 days after contract award

Date of Subsequent Submission: ONE/R

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraphs 7.2; 10.2.1.d; 10.2.2; 10.2.4; and 10.2.5.

Submit electronically the report issued by the outside agency within 15 calendar days of receipt.

The Contractor shall provide its response to the outside agency report within 5 calendar days of responding to outside agency. Content will be specified by Contractor, but must answer outside agency report.

A015

Title: Technical Report–Study/Services App Code: N/A

Subtitle: Decontamination Plan Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ONE/R

Contract Reference: PWS 2, para 1.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

90 days after contract award

ACO 0 1 0

LCAAP Safety 0 1 0

Delete paragraph 3(c) and 3(d) Submit electronically no later than 90 days after contract award. Subsequent submission shall be provided within 60 days of any changes to the plan.

Content will include all items as specified by the PWS, DODI 4140.62, and DOD 6055.09, Volume 7, Enclosure 6.

A016

Subtitle:

Radiation Safety Officer (RSO) Appointment Record

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 2.1.3.1 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

Date of Subsequent Submission: ASGEN

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Format can be in memo or letter form.

Submit electronically 30 days prior to operational control. Subsequent submissions shall be provided within 30 calendar days of any changes of RSO and/or alternate RSO.

Content shall include: Name, e-mail, and phone number of RSO and Alternate RSO.

A017

Subtitle: Radiation permits Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 2.1.3.3 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Format can be in letter form.

Submit Electronic Radiation Permit application 30 calendar days prior to radiation sources being brought on-post.

Changes to radiation permits will be approved by the ACO.

Contents shall be IAW 32 CFR 655.10.

A018

Title: Accident/Incident Report App Code: N/A

Subtitle:

Radioactive Accident/Incident/Theft Report

Dist Statement Required: N/A

Data Item Number: DI-SAFT-81563 Frequency: ASREQ

Contract Reference: PWS 2, para 2.1.3.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Submit electronically IAW 10 CFR 20. Accidents and incidents involving radiation-producing devices shall be reported tp the ACO and LCAAP Government safety office IAW State regulation.

A019

Subtitle:

Laser Safety Officer (LSO) Appointment Record

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 2.1.4.2 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

30 days prior to operational control

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Format can be in memo or letter form.

Submit electronically 30 calendar days prior to operational control. Subsequent submissions shall be provided within 30 calendar days of any changes of LSO and/or Alternate LCO.

Content will include name, email, and phone number of LSO and Alternate LSO.

A020

Subtitle:

Radio frequency Safety Officer (RFSO) Appointment Record

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ASREQ

Contract Reference: PWS 2, para 2.1.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

30 days prior to operational control

Distribution Draft Reg Repro

PCO 0 1 0

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Format can be in memo or letter form.

Submit electronically 30 days prior to operational control. Subsequent submissions shall be provided within 30 calendar days of any changes of the RFSO and/or Alternate RFSO.

Content will include name, email, and phone number of RFSO and Alternate RFSO.

A021

Subtitle: Accident/Incident Report Dist Statement Required: N/A

Data Item Number: DI-SAFT-81563 Frequency: ASREQ

Contract Reference: PWS 2, para 2.2.1 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

Submit electronic notification within one (1) hour of becoming aware of an accident as specified.

A022

Subtitle:

Log of Work-Related Illnesses and Injuries

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: MTHLY

Contract Reference: PWS 2, para 2.2.2 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraphs 2 and 3. Form and content shall be as specified by OSHA, 29 CFR 1904.

Submit an electronic copy of the OSHA Form 300 by the 10th day of each month for the previous month’s data.

A023

Subtitle:

Summary of Work- Related Illnesses &Injuries

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ANNLY

Contract Reference: PWS 2, para 2.2.3 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraphs 2 and 3. Form and content shall be as specified by OSHA, 29 CFR 1904.

Submit electronic copy of the OSHA Form 300A by February 1st each year for the previous year’s data.

A024

Title: Presentation Material App Code: N/A

Subtitle:

Genneral Safety Awareness Training & Tracking

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81373 Frequency: MTHLY

Contract Reference: PWS 2, para 2.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

Date of Subsequent Submission: ANNLY

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Submit electronic copy of General Safety Awareness Training upon operational control.

Contractor shall also provide on a monthly basis a list of all personnel trained or provide access to records/databases as specified by the PWS 2.

A025

Subtitle: Emergency Action Plan Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: ONE/R

Contract Reference: PWS 2, para 2.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

90 days after contract award

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Content shall comply with 29 CFR 1910.38.

Submit electronically within 90 days after contract award. Subsequent submissions shall be provided within 60 days of any changes to the plan.

A026

Title:

Disaster Preparedness Exercise Evaluation Report

App Code: N/A

Subtitle:

Exercise Evaluation Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-80394 Frequency: ASREQ

Contract Reference: PWS 2, para 2.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Submit electronically within 12 months after contract award. Subsequent submissions shall be provided annually within 30 calendar days of the annual exercise.

A027

Title: Test/Inspection Report App Code: N/A

Subtitle:

Lightning Protection System Inspection Reports

Dist Statement Required: N/A

Data Item Number: DI-NDTI-80809B Frequency: ASREQ

Contract Reference: PWS 2, para 2.6 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 10.2.2 through 10.2.5. Content shall comply with DA PAM 385-64, Chapter 17.

Submit an electronic copy of the report within five days of completion of inspection.

Note: All LPS inspection reports (regardless of who performed the inspections/tests) will remain at the facility.

A028

Subtitle:

Personnel Qualifications, Dist Statement Required: N/A

Documenting Explosives Safety

Data Item Number: DI-MISC-80508B Frequency: ONE/R

Contract Reference: PWS 2, para 2.9 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: 30 days after award

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Content will be a list of personnel authorized to document explosive safety status of material potentially possessing explosives hazards as specified in the PWS.

Submit electronically within 30 days after contract award. Subsequent submissions shall be provided within 15 days of any revisions.

A029

Environmental, Health and Safety Plan (HSP)

App Code: N/A

Subtitle: Written Safety Plan Dist Statement Required: N/A

Data Item Number: DI-ENVR-81375 Frequency: ONE/R

Contract Reference: PWS 2, para 4.0 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: 60 days after award

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3.2 and 7.3. In addition to DI-ENVR-81375, content shall meet all application portions of 29 CFR 1910.

Submit electronically within 60 days after contract award. Subsequent submissions shall be provided within 60 days of any changes to the plan.

A030

Title: Safety Studies Plan App Code: N/A

Subtitle: Non-Compliance Log Dist Statement Required: N/A

Data Item Number: DI-SAFT-81066 Frequency: MTHLY

Contract Reference: PWS 2, para 4.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: 30 days after award

Date of Subsequent Submission: MTHLY

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 7.4 and 10.3. Content shall include that as specified in the PWS.

Submit electronically within 30 days after contract award. Subsequent submissions shall be provided monthly, no later than the 10th day of each month, or provide access to the records/database.

A031

Title: Safety Studies Plan App Code: N/A

Subtitle:

Electronic Hazard Abatement Log

Dist Statement Required: N/A

Data Item Number: DI-SAFT-81066 Frequency: MTHLY

Contract Reference: PWS 2, para 4.5 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: 30 days after award

Date of Subsequent Submission: MTHLY

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 7.4 and 10.3. Content shall include that as specified in the PWS.

Submit Electronic Hazard Abatement Log electronically within 30 days after contract award. Subsequent submissions shall be provided monthly, no later than the 10th day of each month, or provide access to the records/database.

A032

Waiver or Deviation System Safety Report (WDSSR)

App Code: A

Subtitle:

Request for Waiver/Exemption

Dist Statement Required: N/A

Data Item Number: DI-SAFT-80104C Frequency: ASREQ

Contract Reference: PWS 2, para 6.1 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraphs 2 and 3. Format and content shall be IAW DA Form 7632, Deviation Approval and Risk Acceptance Document.

Contractor shall submit requests for waiver/exemption to the Government for approval prior to deviating from mandatory safety requirements. Allow 10 days for USG review.

Note: Use DOD 4145.26M, Table C11.T2, to determine risk.

A033

Title: Progress Report (Studies) App Code: N/A

Subtitle:

Annual Waivers and Exemptions Review

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81313A Frequency: ANNLY

Contract Reference: PWS 2, para 6.3 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission: ASREQ

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Content shall include a statement attesting to the performance of the review and all the requirements outlined in the PWS.

Submit electronic document proving waivers and exemptions reviewed to be valid/required. Subsequent submissions shall be provided annually within 12 months of the previous review.

A034

Subtitle:

Monthly Open Waiver/Exemption Report

Dist Statement Required: N/A

Data Item Number: DI-MISC-80508B Frequency: MTHLY

Contract Reference: PWS 2, para 6.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission:

30 days after operational control

ACO 0 1 0

LCAAP Safety 0 1 0

REMARKS

Delete paragraph 3. Content shall meet the requirements of the PWS.

Submit an electronic copy of the monthly open waiver/exemption within 30 days after operational control. Subsequent submissions shall be provided monthly, no later than the 10th day of each month for the previous months data.

PWS 3 – Security/Antiterrorism

A035

Title:

Operations Security (OPSEC) Plan

App Code: A

Subtitle:

Plant Protection Plan

(PPP)

Dist Statement Required: D

Data Item Number: DI-MGMT-80934C Frequency: ASREQ

Contract Reference: PWS 3, para 1.2 As of Date: N/A

Requiring Office: AMSJM-FP/G2 Date of 1st Submission 90 days prior to operational

ACO 0 1 0

LCAAP Commander 0 1 0

REMARKS

Submit electronically at least 90 days prior to operational control of the facility. Allow 10 calendar days for USG review.

Contractor shall address USG comments and resubmit the plan within five calendar days. Any revisions to the PPP shall be submitted to the USG for review and approval prior to implementation.

A036

Training Program Development and Management Plan

App Code: A

Subtitle: N/A Dist Statement Required: N/A

Data Item Number: DI-ILSS-81070 Frequency: ASREQ

Contract Reference: PWS 3, para 2.2.1 As of Date: N/A

Requiring Office: AMSJM-FP Date of 1st Submission 90 days prior to operational

LCAAP Security Specialist 0 1 0

LCAAP Commander 0 1 0

REMARKS

Submit electronically at least 90 calendar days prior to operational control of the facility. Allow 10 calendar days for USG review. Contractor shall address USG concerns and resubmit the plan within five business days.

The plan shall include, at a minimum, training curriculum for all security guards (to include supervisory personnel and dispatchers).

A037

Training Program Development and Management Plan

App Code: A

Subtitle: Vouching Authority List Dist Statement Required: N/A

Data Item Number: DI-ILSS-81070 Frequency: QTRLY

Contract Reference: PWS 3, para 2.13 As of Date: N/A

Requiring Office: AMSJM-FP Date of 1st Submission 30 days prior to operational

LCAAP Security Specialist 0 1 0

REMARKS

Submit electronically at least 30 days prior to operational control of the facility. Subsequent submissions shall be provided quarterly, no later than five calendar days following the end of each quarter. Allow five calendar days for USG review.

Contractor shall address USG comments and resubmit deliverable within five calendar days.

A038

Report, Record of Meeting/Minutes

App Code: A

Subtitle:

Delegation of Authority for MULES & NCIC

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: One/R

Contract Reference: PWS 3, para 2.19.3 As of Date: N/A

Requiring Office: JMLC-SS Date of 1st Submission ASREQ

JMLC-SS 0 1 0

REMARKS

Delete paragraphs 10.2-10.4.

Submit electronically 30 days after contracting security force services to a subcontractor. Allow 15 business days for USG review. Contractor shall address USG comments and resubmit deliverable within 10 business days.

A039

Contractor’s Progress, Status & Management Report

App Code: N/A

Subtitle:

Emergency Notification Matrix

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80227 Frequency: ASREQ

Contract Reference: PWS 3, para 2.20.2 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission 30 days prior to operational

DD 250: NO Date of Subsequent Submission: N/A

ACO 0 1 0

LCAAP Security Specialist 0 1 0

REMARKS

Submit electronically at least 30 days prior to operational control of the facility. The matrix shall be updated and resubmitted as necessary to ensure that contents are current and useful. Matrix shall ensure communications can be adequately addressed in the event of an emergency.

A040

Subtitle:

Traffic Serious Incident Report

Dist Statement Required: A

Data Item Number: DI-SAFT-81563 Frequency: ASREQ

Contract Reference: PWS 3, para 2.21.2 As of Date: N/A

Requiring Office: AMSJM-FP Date of 1st Submission 365 days after operational

DD 250: LT Date of Subsequent Submission: ASREQ

Distribution Draft Reg Repro

PCO 0 1 0

ACO 0 1 0

LCAAP Commander 0 1 0

AMSJM-FP 0 1 0

REMARKS

Submit electronically 365 days after operational control. Subsequent submissions shall be provided annually, no later than 10 business days following the end of each Government fiscal year.

A041

Subtitle:

Incident and Threat Reports

Dist Statement Required: N/A

Data Item Number: DI-SAFT-81563 Frequency: ASREQ

Contract Reference: PWS 3, para 2.21.3 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission ASREQ

ACO 0 1 0

LCAAP Commander 0 1 0

LCAAP Security Specialist 0 1 0

REMARKS

Submit summary electronically no later than 1000hrs on the business day following the incident or threat. Full report due within one week of the accident/incident.

A042

Subtitle: Criminal Incident Report Dist Statement Required: N/A

Data Item Number: DI-SAFT-81563 Frequency: ASREQ

Contract Reference: PWS 3, para 2.21.4 As of Date: N/A

Requiring Office: AMSJM-SF Date of 1st Submission ASREQ

ACO 0 1 0

LCAAP Commander 0 1 0

LCAAP Security Specialist 0 1 0

Submit electronically no later than 1000hrs on the business day following the incident.

A043

Operations Security (OPSEC) Plan

App Code: A

Subtitle: Force Elevation Plan Dist Statement Required: D

Data Item Number: DI-MGMT-80934 Frequency: ASREQ

Contract Reference: PWS 3, para 2.22.2 As of Date: N/A

Requiring Office: AMSJM-FP/G2 Date of 1st Submission 90 days prior to operational

ACO 0 1 0

LCAAP Commander 0 1 0

LCAAP Security Specialist 0 1 0

REMARKS

Submit electronically at least 90 days prior to operational control of the facility. Subsequent submissions shall be provided as changes in the plan and/or FPCON levels occur. Allow 10 calendar days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The Force Elevation Plan shall support implementation of increases in FPCONs and higher security postures at LCAAP.

A044

Title: Management Plan App Code: A

Subtitle:

Mass Prophylaxis Dispensing Plan

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: One/R

Contract Reference: PWS 3, para 2.22.5.2 As of Date: N/A

Requiring Office: JMLC-SS Date of 1st Submission 60 days after operational

JMLC-SS 0 1 0

REMARKS

Delete paragraphs 3.2 through 3.7. The embedded template is provided as a general reference.

Submit electronically 60 days after operational control of the facility. Allow 15 business days for USG review. Contractor shall address USG comments and resubmit the plan within 5 business days. reference.

Sample Closed POD Dispensing Plan.docx

A045

Report, Record of Meeting/Minutes

App Code: N/A

Subtitle:

OPSEC and DoD Antiterrorism Level 1 Training Documentation

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: Annually

Contract Reference: PWS 3, para 2.24 As of Date: N/A

Requiring Office: AMSJM-FP Date of 1st Submission ASREQ

LCAAP Commander 0 1 0

LCAAP Security Specialist 0 1 0

AMSJM-FP 0 1 0

REMARKS

The Contractor shall maintain documentation of the OPSEC and DoD AT Level 1 training, and said documentation shall be readily available for review by the LCAAP Government Security Officer.

PWS 4 – Environmental

A046

Title: Management Plan App Code: A

Subtitle:

Spill Prevention Control and Counter Measure Plan

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.1 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 90 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically 90 days after operational control. Subsequent submission shall be provided annually, no later than the 5th business day in January each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include, at a minimum, the following: Management endorsement engineer certification, containers not covered by plan, navigable waters, training, spill history, security, record keeping, potential spill response volumes and rates, containment and diversion structures, demonstration of practicability, facility drainage, bulk storage tanks, transfer operations, pumping, in-plant processes, tank car and truck loading/unloading rack, inspections, records, spill response procedure, off-plant damages and pollution control, hazardous substances, emergency response team, equipment list/materials (location and amount) available for spill, inventory of oil sites (site number, location, underground storage tanks), LCAAP Drainage map, electrical pad mounted transformer list, inspection records, current permit, and SPCC Plan facility diagram (to include tank locations).

A047

Title: Pollution Incident Report App Code: A

Subtitle: Mandatory Spill Report Dist Statement Required: N/A

Data Item Number: DI-SAFT-80494A Frequency: ASREQ

Contract Reference: PWS 4, para 2.1 As of Date: N/A

Requiring Office: SJMLC-ENV Date of 1st Submission ASREQ

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 24 hours of each discharge incident. Allow two business days for USG review. Contractor shall address USG comments and resubmit the report within two business days.

Report shall include/address, at a minimum, the following:

Indicate whether samples were taken and results; on-scene weather/wind/precipitation; movement of the substance; point of contact on scene; notification chain (name, time, agency, report #); remedial action taken; remedial action planned;

anticipated date of remedial action; if soil removal performed, include in the report the measurements of the excavation, yards of soil removed, and confirmation of soil results.

A048

Title: Report, Record of Meeting/Minutes App Code: A

Subtitle: Permit Renewal Applications Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: ASREQ

Contract Reference: PWS 4, para 2.3 and 2.4 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission ASREQ

ACO 0 1 0

REMARKS

Contractor shall submit permit renewal applications to the USG for review and comment prior to submittal to a Federal, State, Local or Army regulatory agency. Allow five business days for USG review. Contractor shall address USG comments and resubmit permit applications within 5 business days. Copies of final permits shall be provided upon renewal.

A049

Subtitle:

Environmental Quality Control Committee and Monthly Environmental Update Meeting Minutes

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: MTHLY/QTRLY

Contract Reference: PWS 4, para 2.6 As of Date: N/A

ACO 0 1 0

Contractor’s format acceptable pending USG approval.

Submit electronically within five business after each monthly and quarterly meeting. Allow two business days for USG review. Contractor shall address USG comments and resubmit meeting minutes within two working days.

A050

Title: Contractor’s Corrective Action Plan App Code: A

Subtitle:

Environmental Deficiencies/Corrective Action Plan

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80501 Frequency: ASREQ

Contract Reference: PWS 4, para 2.7 As of Date: N/A

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 60 days of discovery of any known environmental deficiencies. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

A051

Subtitle: Regulator correspondence Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: ASREQ

Contract Reference: PWS 4, para 2.9 and 2.17 As of Date: N/A

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Correspondence and responses to inquiries from regulatory agencies shall be submitted to the USG for review prior to submission to the regulatory agency. Allow two business days for USG review. Contractor shall address USG comments and resubmit correspondence within two business days.

A052

Report, Record of Meeting/Minutes

App Code: A

Subtitle: Environmental Quality Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: QTRLY

Contract Reference: PWS 4, para 2.13 As of Date: N/A

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.2.1.2. Contractor’s format acceptable pending USG review.

Submit Data shall be submitted into the system within five business after data call is received from the USG. Deliverable shall be submitted and exchanged electronically in Microsoft Office. The government will have 5 working days for review, accept, and/or comment on the draft deliverable. The contractor shall incorporate government comments/submit change pages into the final electronic deliverable within 5 working days after the receipt of comments. Once approved, then data to be inputted into database (need Government Common Access Card (CAC)). Shall submit in accordance with the suspense date required in the data call (expected to be transmitted to contractor the month following each quarter).

A053

Environmental Compliance Assessment and Management Program Action Plan Report

ISO 14001 Conformant Environmental Management System Plan

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80898 Frequency: SEMIA

Contract Reference: PWS 4, para 2.14 As of Date: ASREQ

Requiring Office: SJMLC-EN Date of 1st Submission 365 days after contract award

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 365 days after contract award. Subsequent submissions shall be provided semi-annually within 5 business days after the end of each six month period, and as changes in the plan occur with as a result of management meetings, audits, corrective action reports, and upon USG request. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five working days.

A054

Title: Training Materials App Code: N/A

Subtitle:

Training Documentation Reporting

Dist Statement Required: N/A

Data Item Number: DI-ILSS-80872 Frequency: QTRLY

Contract Reference: PWS 4, para 2.14.3 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 365 days after award

REMARKS

Submit electronically 365 days after contract award. Subsequent submission shall be made within five business days following the end of each quarter. and each Shall submit training 365 DAC and quarterly thereafter.

A055

Environmental Compliance Assessment & Management Program Action Plan Report

App Code: A

Subtitle: Internal Auditing Program Dist Statement Required: N/A

Data Item Number: DI-MGMT-80898 Frequency: QTRLY

Contract Reference: PWS 4, para 2.14.3 and 2.19 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 60 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 60 days after operational control. Subsequent submissions shall be provided within five business days after the completion of each quarter or completion of an audit. Allow five business days for USG review.

Contractor shall address USG comments and resubmit the plan within five business days. EPAS Team guide requirements will be included on audits and reports.

A056

Report, Record of Meeting/Minutes App Code: A

Project Description, Status

Reports, and Accomplished Reporting

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: QTRLY

Contract Reference: PWS 4, para 2.16 As of Date: N/A

DD 250: NO Date of Subsequent Submission: ASREW

ACO 0 1 0

REMARKS

Delete paragraph 10.1 through 10.2.

Submit electronically within 365 days after contract award. Subsequent submissions shall be provided within five business days after the completion of each quarter. Allow five business days for USG review. Contractor shall address USG comments and resubmit the report within 5 business days. Upon final approval, the Contractor shall input the data into the STEP, WEBCASS, and CMP databases.

Report shall include, at a minimum the following: project name, project description, mission benefit, cost estimate, return of investment, and schedule.

A057

Title:

Report, Record of Meeting/Minutes App Code: A

Subtitle: SWAR Web Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: SEMIA

Contract Reference: PWS 4, para 2.18 As of Date: N/A

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. Contractor’s format acceptable pending USG approval.

Submit electronically in accordance with the suspense date required in the semi-annual SWAR Web data call. Allow five business days for USG review. Contractor shall address USG comments and resubmit the data within five business days for USG approval. Upon final approval, the contractor shall input the data into the SWAR Web database.

Data call information shall include/address, at a minimum, the following: recycling program management, recycling transactions (detail and summary), program cost, disposal facility information, disposal transactions, landfill specifications, success stories, recycle types, milling totals, fuels blending, and trash totals.

A058

Subtitle: Pollution Prevention Plan Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 90 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 90 after operational control of the facility. Subsequent submission shall be provided annually and no later than January 15th of each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: pollution prevention (definition, benefits, regulatory background), policy, pollution prevention opportunities, pollution prevention goals, reporting requirements, training, pollution sources, pollution prevention projects, team members, waste streams, air emissions sources, wastewater sources, TRI reported releases, and ozone depleting substances.

A059

Report, Record of Meeting/Minutes App Code: A

Subtitle:

Hazardous Waste Generator Report

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: QTRLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 30 days after operational

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. State mandated format required.

Submit electronically within 30 days after operational control of the facility. Subsequent submissions shall be provided quarterly, no later than 30 days following the completion of each quarter. Allow five business days for USG review. The Contractor shall address USG comments and resubmit the report within five business days.

The report shall include/address, at a minimum, the following: waste identification (description, EPA Hazardous Waste number, total amount of waste, units of measure, management method code), transportation services, and manifests.

A060

Report, Record of Meeting/Minutes App Code: A

Subtitle: Solid Waste Report Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: QTRLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. Contractor’s format acceptable pending USG approval.

Submit electronically within 365 days after award. Subsequent submission shall be provided quarterly, no later than 30 days after the completion of each quarter. Allow five business days for USG review. Contractor shall address USG comments and resubmit the report within five business days.

The report shall include/address, at a minimum, the following: totals (item/poundage/percent diversion): milling, drinking water/IWTP sludge, resident recycling, plastic, aluminum, paper, wood, cardboard, metal, brass, scrap, pallets, banding, salvage, computers, powder, acid, and ammunition). Also include TRI chemicals, source, and effort to reduce/eliminate waste.

A061

Report, Record of Meeting/Minutes App Code: A

Subtitle: Facility Generator Report Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: QTRLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 30 days after operational

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. State mandated format required.

Submit electronically within 30 days after operational control of the facility. Subsequent submissions shall be provided quarterly, no later than 30 days after the completion of each quarter. Allow five business days for USG review. Contractor shall address USG comments and resubmit the report within five business days.

The report shall include, at a minimum, the following: waste identification (description, EPA Hazardous Waste number, total amount of waste, units of measure, final hand code), and manifests.

A062

Report, Record of Meeting/Minutes App Code: A

Subtitle:

Emissions Inventory Questionnaire

Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. State mandated format required.

Submit electronically within 365 days of contract award. Subsequent submissions shall be provided annually, no later than 15 days prior to the regulatory submission date of May 1st. Allow five business days for USG review. Contractor shall incorporate USG comments and resubmit within five business days.

The deliverable shall include/address, at a minimum, the following: facility information, UTM coordinates, total plant emissions, point number, threshold, emission unit, operating status, emission process detail, operating rate/schedule, emission calculations, stack test information, continuous emission monitoring information, combustion equipment information, hazardous air pollutants information, VOC process mass-balance, control device information, emission fee calculations, and final cost estimate.

A063

Subtitle: Ozone Depleting Chemical Plan Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 180 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 180 days after operational control of the facility. Subsequent submission shall be provided annually, no later than April 5th of each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: purpose, regulatory background, Class I and II ODCs (name, phase out/reduction, date), ODC elimination team (purpose, members, real property, legal, logistics, resources, tenants), ODC inventory (class total amount ODC, inline charge), ODC compliance status, leak rates, ODC elimination projects, halon systems, and turn in procedures.

A064

Subtitle: Storm Water Pollution Plan Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 30 days after operational

ACO 0 1 0

REMARKS

Contractor format acceptable pending USG approval.

Submit electronically within 30 days after operational control of the facility. Subsequent submissions shall be provided annually, no later than November 5th of each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: facility inspection, contact information/responsible parties, Storm Water Pollution Prevention Team, Activities at the Facility, Industrial Activities and Associated Pollutants, Spills and Leaks, Storm water Sampling Data, Non-Storm water Discharge Documentations, Control Measures (Good Housekeeping, Preventative Maintenance, Spill Prevention and Response, Inspections, Employee Training, Record Keeping and Inspection Reports Procedure , Sediment and Erosion Controls, Management of Runoff, Site specific Plans (per building), Comprehensive Site Compliance Evaluation, Sara Title III, Section 313 Facility Requirements (Sara Title III, Chemicals, Section 313 Chemical Storage, Processing and Handling , Preventative Maintenance and Housekeeping, Facility Security, Training, Storm water Monitoring, Frequency of Monitoring and Type of Storm, Parameters, Sample Collections, Representative Discharges, NPDES outfall map, current permit.

A065

Subtitle:

Hazardous Waste Management Plan

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 90 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 90 days after operational control of the facility. Subsequent submissions shall be provided annually, no later than 30 days after the end of each Government fiscal year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: installation hazardous waste management board, hazardous waste generation, hazardous waste generators, hazardous waste storage and treatment facilities, operating procedures, classification of wastes, hazardous waste categories, container/labels, collection of hazardous wastes, hazardous waste sampling, hazardous waste disposal (category I, II, and III), hazardous waste treatment (category IV), waste minimization, spill prevention and control, technical information, current permits, LCAAP hazardous wastes, hazardous waste generators, hazardous waste storage and treatment facilities, manifest special handling instructions, and waste analysis plan (TCLP procedure, Land Disposal restrictions, analytical procedures, and waste streams).

A066

Subtitle:

Integrated Solid Waste Management Plan (ISWMP)

Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 365 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 365 days after operational control. Subsequent submissions shall be provided annually, no later than 60 days after the end of each Government fiscal year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: regulations, purpose, history/background of solid waste, responsibilities, installation solid waste generation, solid waste storage and collection, source reduction programs, resource recovery program, existing solid waste management facilities, waste streams, and training.

The installation ISWM plan will document current waste management practices; evaluate current and future needs based on mission, size, and economic and environmental considerations; identify required resources; and outline a strategy to implement the selected program options, and include provisions for measuring and reporting annual solid waste generation and diversion activities. Will include reducing the volume of the waste stream, enhance pollution abatement and conserve natural resources, through the following:

(1) Source reduction programs to reduce the initial amount of material coming onto the installation or generated by the installation and ultimately requiring disposal to the solid waste stream.

(2) Qualifying recycling programs (QRPs) in accordance with the Military Construction Codification Act (Public Law 97–214, 10 USC 2577), DOD Instruction 4715.4, and Army policies.

(3) Yard waste management programs encompassing minimum lawn maintenance, native planting, and organic composting.

A067

Report, Record of

Subtitle: Consumer Confidence Report Dist Statement Required: N/A

Data Item Number: DI-ADMN-81505 Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 30 days after operational

ACO 0 1 0

REMARKS

Delete paragraphs 10.1 through 10.3. Contractor’s format acceptable pending USG approval.

Submit electronically within 30 days after operational control of the facility. Subsequent submissions shall be provided annually, no later than November 5th of each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the report within five business days.

The report shall include/address, at a minimum, the following: source of water (source name and type), what contaminants, why contaminants, regulations on water, public involvement, special precautions, chart of regulated contaminants (name, collection date, highest value, regulated value limit, source of contamination), violations, health effects, and optional monitoring chart (name, collection date, highest value, regulated value limit, source of contamination).

A068

Subtitle: PCB/Lead Management Plan Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 90 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 90 days after operational control of the facility. Subsequent submissions shall be provided annually, no later than January 5th of each year. Allow 5 business days for USG review. Contractor shall address USG comments and resubmit the plan within five business days.

The plan shall include/address, at a minimum, the following: objectives, regulations, responsibilities (commander, environmental, engineering, fire department), status of PCB containing equipment, status of lead contaminated equipment/buildings, inspections, guidelines for classifying, labeling, shipping, testing, storage, cleanup, decontamination, reporting, and recycling.

A069

Subtitle: Asbestos Management Plan Dist Statement Required: N/A

Data Item Number: DI-MGMT-80004A Frequency: ANNLY

Contract Reference: PWS 4, para 2.20 As of Date: N/A

Requiring Office: SJMLC-EN Date of 1st Submission 60 days after operational

ACO 0 1 0

REMARKS

Contractor’s format acceptable pending USG approval.

Submit electronically within 60 days of operational control of the facility. Subsequent submissions shall be provided annually, no later than December 5th of each year. Allow five business days for USG review. Contractor shall address USG comments and resubmit the Plan within five business days.

The plan shall include/address, at minimum, the following: roles/responsibility (commander, asbestos management team, logistics, engineering, environmental, contracting, housing officer, maintenance, safety, and public affairs), properties and uses, health effects, regulations, facility inspection/survey, asbestos register, MSDS, and projects IAW AR 420-1, para 5- 19c and 5-24d.