Technical Exhibit 6 – Notice of Intent to Remove Friable Asbestos Material.pdf
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- Solicitation number
- W912DW20Q0009
About this file
This document contains a notice of intent form and related federal contract opportunity. The notice of intent form is to be completed for the removal of friable asbestos material at Joint Base Lewis-McChord in Washington. It requests information such as the requester's name and contact details, estimated start and completion dates, building location and quantity of asbestos to be removed. It specifies required compliance procedures and certifications for personnel performing the work.
The related federal contract opportunity is a SDVOSB set-aside solicitation issued by the Department of the Army Corps of Engineers seeking preventative maintenance and repair services for World War II era and relocatable facilities at Joint Base Lewis-McChord. The solicitation combines the synopsis and requirements. Services include preventative maintenance, repair, and replacement of systems and components. The response deadline is not provided. This document provides relevant details on asbestos abatement procedures, a federal contracting opportunity, and the related request of intent form and regulatory information.
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RETURN FORM TO ASBESTOS COORDINATOR, PW, ENVIRONMENTAL AND NATURAL RESOURCES DIVISION, BUILDING 2012, RM 308 IF YOU HAVE ANY QUESTIONS, CONTACT THE ASBESTOS COORDINATOR AT (253) 966-1776, (253) 966-1775.
Rev 1, 5/2003
A. NOTICE OF INTENT TO REMOVE FRIABLE ASBESTOS MATERIAL Permit # F2014-XXX
1. PW SHOP OR CONTRACTOR
2. REQUESTER'S NAME
3. DATE REQUESTED
4. ESTIMATED START DATE
5. ESTIMATED COMPLETION DATE
6. TYPE OF FACILITIES
7. BUILDING NUMBER(S)
8. STREET NAME
9. LOCATION IN BUILDING
10. ESTIMATED QUANTITY (SF/LF)
XXXX SF and/or XXXXLF
11. ASBESTOS TYPE (USE)
Pipe insulation, fireproofing, boiler insulation, etc.
12. Contract Number (IJO):
13. RESPONSE METHOD (CHECK ONE OF THE FOLLOWING)
REMOVAL DEMOLITION
OTHER (DESCRIBE)
14. REMOVAL METHOD (CHECK ONE OF THE FOLLOWING)
GLOVE BAG NEGATIVE PRESSURE ENCLOSURE MANUAL WRAP AND CUT MINI ENCLOSURE
OTHER (DESCRIBE) Following OSHA 29 CFR 1926.1101 & WAC 296-62-77 & 296-65
15. COMPLIANCE PROCEDURES (CHECK ALL THAT APPLY)
WETTING HEPA PROTECTIVE CLOTHING RESPIRATORS PLASTIC DECON
OTHER (DESCRIBE) Following OSHA 29 CFR 1926.1101 & WAC 296-62-77 & 296-65
16. PERSONNEL PERFORMING WORK
NAME CERTIFICATION NUMBER EXPIRATION DATE CERTIFICATION NUMBER EXPIRATION DATE
ADDITIONAL COMMENTS
Requestor to fill out sections 3. through 12, also section
16. When multiple personnel are on project, supervisor names will suffice as POC’s. Each building work location requires separate permit, on site. Return permit with section “B” below filled out along with Waste Shipment Record(s) to PW-ED-TSM, Lewis-Main Bldg. 2012, floor 3, room 308.
ENRD USE ONLY
Regulatory Limits: This Permit Not To Exceed 159 SF & 259 LF Per Building Per Year.
B. COMPLETED NOTICE OF INTENT 1. Date
2. ACTUAL START DATE 3. ACTUAL COMPLETION DATE
4. QUANTITY REMOVED (SF/LF)
4. TYPE OF ASBESTOS
Signature Remover/Transporter:___________________________________________________________________________
Authorized Signature Waste Disposal Site: __________________________________________ Date: ___________
File details come from the government source that posted it. Updated .