SANGB_Form_72_-_Solid_Waste_Recycling_and_Disposal_Reporting.pdf

Solid Waste Recycling and Disposal Reporting Form

This tracking form is to assist the base in reporting solid waste metrics required to be submitted quarterly to the Deputy Undersecretary of Defense IAW DoD Pollution Prevention Measure of Merit (MoM) Memorandum, HQ USAF/ILEV, 6 August 1998. This form, along with accompanying weight tickets, must be submitted at the end of each quarter during the contract period.

Submit to 127CES/CEV, Bldg 127, 28900 Selfridge Ave, Selfridge MI, 48045 Attn: Solid Waste Tracking Manager. If you have any questions completing this form please contact the Selfridge Environmental Management Office at (586) 239-5741.

Project Name:

Contractor:

(Print)

Government Inspector:

(Print)

Reporting Period:

(Quarter disposal/recycling was accomplished)

Amount (in tons) of solid waste taken to a disposal/incineration facility.

Disposal Facility Weight

Disposal Facility Weight

Disposal Facility Weight

Amount (in tons) of solid waste that is composted, donated, recycled, reused, mulched or otherwise diverted from a disposal facility.

Diversion Facility Weight

Diversion Facility Weight

Diversion Facility Weight

SANGB FORM 72, AFI 32-7042/SANGB SUP 1 PREVIOUS EDITIONS ARE OBSOLETE