Atch 4 HazMat Authorization Request.pdf
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- Solicitation number
- FA461324Q0010
About this file
This document contains a hazardous materials authorization request form and details of a federal contract opportunity for carpet installation at FE Warren AFB in Wyoming. The authorization request form seeks approval to use Rust-Oleum enamel paint in 35 aerosol cans for a project. It lists the product information and projected quantity to be stored on-site. The related federal contract opportunity is solicitation number FA461324Q0010 to purchase and install carpet in six rooms of Building 34. The contractor must verify quantities and measurements, remove some existing carpet, and dispose of waste off-base. Pricing must be at or below tier 1 contract rates listed in the mandatory Air Force carpet acquisition policy. The site visit may take place no later than March 13, 2024 and the contract specialist will arrange the details with prospective offerors.
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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.
1153324049C Typewritten Text Replace Carpet Bldg. 34 Rooms 290, 292, 293, 294, 295, and 299
1153324049C Typewritten Text Chris Carter 773-2402
1153324049C Typewritten Text Tririga WT 12258583
File details come from the government source that posted it. Updated .