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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