Atch 4 Hazmat Auth Form.pdf
PDF 96 KB Posted
- Solicitation number
- FA461324Q0031
About this file
The document provided is a Hazardous Materials Authorization Request form, which is required as an attachment for the federal contract opportunity to Purchase and Install B1235 Carpet at FE Warren AFB, WY.
The key details are: The contract is solicitation number FA461324Q0031, issued by the Department of the Air Force Global Strike Command. The contractor must submit this form to request authorization to use any hazardous materials on the project, and provide the Manufacturer's Safety Data Sheets. The form requires details on the hazardous materials including the name, manufacturer, part number, container type and size, paint color/sheen, and projected quantity to be stored on-site. The carpet installation project has a performance work statement dated 30 July 2024, with drawings, an asbestos report, and salient characteristics as additional attachments. The solicitation has specific due dates for site visit requests, post-site visit questions, and quote submissions.
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Other files
| File | Type | Posted |
|---|---|---|
| Atch 6 Post Site Visit Questions and Answers.pdf | ||
| Atch 1 PWS 30 Jul 2024.pdf | ||
| Atch 3 ACM Report.pdf | ||
| Atch 2 Drawings.pdf | ||
| Atch 5 Salient Characteristics.xlsx | XLSX spreadsheet | |
| Solicitation - FA461324Q0031.pdf |
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Text version
HAZARDOUS MATERIALS AUTHORIZATION REQUEST
Contractor Name: _________________________________________________________
POC: ______________________________________ Phone: ______________________
Project Name: ____________________________________________________________
Project/Contract Number: _________________________________________________
Contract Start Date/period: ___________________ End Date: ________________
Location of Project: _____________________________________________________
F.E. Warren AFB POC: _______________________________ Phone: ______________
Construction Mgmt Rep: _____________________________ Phone: ______________
HAZMAT Information
Material Name Manufacturer
P r o d u c t
P a r
C o n t a i n e r
T y p
S i z a i n
C o l o h e o j e c t d
Q u a n t i y o r d
O
S i
Rust-oleum Stops Rust Enamel Top Coat
Rust-Oleum 7779830 12 oz Aerosol can
Gloss Black
Submission of this form must be accompanied by a copy of the Manufacturer’s SDS for every HAZMAT requested. SDSs including all information requested below may be submitted in lieu of completing the HAZMAT information table below.
1249253797C Typewritten Text
GHLN 24-5439
1249253797C Typewritten Text
REPLACE CERAMIC TILES WITH NON-SLIP TILES IN POOL BLDG. 217
1249253797C Typewritten Text
SHAELA KENDALL
1249253797C Typewritten Text 773-2161
1249253797C Typewritten Text
BLDG. 217
File details come from the government source that posted it. Updated .