Appendices.pdf
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- Solid Waste Removal - Lake Shelbyville, Illinois
- Solicitation number
- W912P9-16-B-0003
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APPENDICES B C E through i
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APPENDIX B
Revised 2015
APP. B-1
CONTAINER QUANTITIES IN EACH RECREATION AREA
PARTIAL COMPLETE
Recreation Area
S M
A L
L C
O N
T A
IN
E
R
M
D
IU
M C
O N
T A
IN
L A
R G
E C
O N
T A
IN
F
IS
H C
L E
A N
IN
G
S T
A T
IO
N
S
A L
L C
O N
T A
IN
D
IU
M C
O N
T A
IN
L
R G
E C
O N
T A
IN
IS
H C
L E
A N
IN
G
S T
A T
IO
N
O
L L O
(A s N e e d e d
ADMIN. & MAINT. 1 1
DAM EAST 1
SPILLWAY 1 1 1 1 1
DAM WEST P/P1/P2 1/1/1 1/1/1 0/1/0 0/1/1 1 1 2 1
LITHIA SPRINGS P/P1 1/1 0/1 1 5 1
OPOSSUM CREEK 1 1 4
COON CREEK P/P1 0/1 0/6 1/1 1 7 1
LONE POINT P/P1 1/1 0/1 1 4 1
WHITLEY CREEK 1 1 1
SULLIVAN BEACH 1
OKAW BLUFF 1
BO WOOD P/P1 3/1 6/0 0/1 3 7 1
WILBORN CREEK P/P1/P2 1/1/1 0/1/0 0/1/1 1 1 1 1
This table details the type and quantity of containers that will be serviced in each recreation area.
The schedule of service is given in Appendix C. The "COMPLETE" columns give the quantity of containers in use when the total recreation area is open and being serviced. The "PARTIAL" columns give the quantity of containers in use when a portion of the recreation area is closed or is not being serviced. When a "P" service is requested, only the picnic area and/or boat ramp portion of the facility will be serviced. The following details what parts of the park are not serviced when a P1 or P2 service is requested.
P1 Coon Creek G & H legs are not serviced Dam West Beach area is not serviced Lone Point Campground is not serviced Wilborn Creek Group Camp area is not serviced Lithia Springs Campground not serviced Bo Wood Campground not serviced
P2 Wilborn Creek Beach and Group Camp are not serviced Dam West Beach and Large Pavilion not serviced
APPENDIX C
APP. C-1
SCHEDULE OF SOLID WASTE REMOVAL
Footnotes for following pages:
C - "COMPLETE" - the total recreation area will be serviced as indicated by this schedule. the quantities in each recreation area are detailed in Appendix B, in the "complete" columns
P, P1, P2 - "PARTIAL" - Portions of the recreation area are closed or are not being serviced. Those portions remaining open will be serviced according to this schedule. The quantities in each recreation area and which portion of the area that is not being serviced are detailed in Appendix B in the "Partial" columns.
F - "FISH CLEANING STATION ONLY" - Fish cleaning stations require cleaning at a greater frequency than the rest of the recreation areas. At other heavy use periods, additional cleanings may be required. See this schedule and applicable footnotes for frequency. Note that Fish Station Cleanings are not required as a routine part of any partial services during the months of November, December, January, February, and March. They can be required as Optional Services.
APPENDIX E
APP. E-1
PERFORMANCE REQUIREMENTS AND ACCEPTABLE QUALITY LEVEL
SERVICE STANDARD AQL
1. Dumpster
Free of all trash, garbage and other remains. It has been washed with approved cleaners. No offensive odor is detected. Dumpster is placed back on pad and is secured as necessary. Lids are closed and made of lightweight material or are counter-balanced so that a force no greater than 10 pounds is needed to open and close lid. Dumpster is in good condition; no broken wheels or casters, large dents or holes, and is painted in color approved by the Contracting Officer. Trash is picked up off the pad and within 10 feet surrounding the pad.
4%
2. Fish Cleaning Station
All surfaces of the structure, concrete pad, fixtures, and holding basket are free of webs, nests, scales, and other foreign material after cleaning. Holding tank is empty of all fish remains (including scales) and any other foreign material. The holding tank plug is replaced, the tank is filled half-full of water, and a deodorant is added to the water.
The tabletop cutting surfaces are free of stains. The holding basket is replaced properly and not damaged during removal of remains.
4%
APPENDIX F
APP. F-1
CONTRACT DISCREPANCY REPORT
For use of this form, see DA PAM 715-15; the proponent agency is DCSLOG.
1. CONTRACT NUMBER
2. TO: (Contractor and Manager Name)
3. FROM (Name of QAE)
DATES
PREPARED
ORAL NOTIFICATION
RETURNED BY
CONTRACTOR
ACTION COMPLETE
4. DISCREPANCY OR PROBLEM (Describe in Detail; Include reference in PWS/Directive; Attach continuation sheet if necessary)
5. SIGNATURE OF CONTRACTING OFFICER'S REPRESENTATIVE
6. TO: (Contracting Officer's Representative)
7. FROM: (Contractor)
8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH CONTINUATION SHEET IF NECESSARY. (cite applicable Q.A. program procedures or new A.W. procedures.)
9. SIGNATURE OF CONTRACTOR REPRESENTATIVE
10. DATE
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection; attach continuation sheet if necessary.)
12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other.)
CLOSE OUT
CONTRACTOR
NOTIFIED
NAME AND TITLE
SIGNATURE
DATE
QAE
CONTRACTING
OFFICER'S
REPRESENTATIVE
APPENDIX G
APP. G-1
ANNUAL PEST CONTROL PLAN
ANTICIPATED USAGE REPORT ___________ ACTUAL USAGE REPORT ________
FIELD OFFICE:________________________ DISTRICT: ______________________
CALENDAR YEAR: ___________ DATE: _________________ PAGE: _________
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
TOTAL ESTIMATED TOTAL ESTIMATED
QUANTITY: ____________________ ACREAGE:_______________
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
TOTAL ESTIMATED TOTAL ESTIMATED
QUANTITY: ____________________ ACREAGE:_______________
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
TOTAL ESTIMATED TOTAL ESTIMATED
QUANTITY: ____________________ ACREAGE:_______________
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
TOTAL ESTIMATED TOTAL ESTIMATED
APPENDIX G
APP. G-1
QUANTITY: ____________________ ACREAGE:_______________
ACCIDENT PREVENTION PROGRAM
JOB HAZARD ANALYSIS
1. Contract No. N/A 2. Project: Lake Shelbyville 3. Facility:
4. Date: 5. Location: 6. Estimated Start Date:
7. Item:
8. Phase of Work:
9. Safety Hazard: 10. Precautionary Action Taken:
11. Contractor/Volunteer:
(Signature and Date)
12. Report discussed with Contractor/Superintendent on:
Area/Resident Engineer (Signature and Date)
13. Contracting Officer or Contracting Officer Representative:
(Signature and Date)
P
P E
N D
IX
H
APPENDIX I
EQUIPMENT LIST
Serial Number Manufacturer Model Type Capacity Age Condition Location
| Accident Prevention Program Job Analysis |
| Annual Pest Control Plan |
| Container Quantities in Each Recreation Area |
| Contract Discrepancy Report |
| Equipment List |
| Performance Requirements and AQL |
| Schedule of Solid Waste Removal |
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