Atch 4 Hazmat Authorization Request.pdf
PDF 148 KB Posted
- Attached to
- AMENDMENT 06 (15 Sept 2025): Topside Deep Clean at 15 Missile Alert Fields (MAFs), FE Warren AFB, Wyoming
- Solicitation number
- FA461325R0009
About this file
This document is a Hazardous Materials Authorization Request form for a project called "Deep Clean 15 MAFs" at F.E. Warren Air Force Base. The project is associated with contract number GHLN 25-0347, with key personnel including Fotios Papadopoulos as the AFB Point of Contact and Carla J. Mlinar as the Construction Management Representative. The form details the authorization for a specific hazardous material: Rust-oleum Stops Rust Enamel Top Coat, a gloss black aerosol paint product. The request requires submission of the form along with the manufacturer's Safety Data Sheet (SDS), with 35 units of the 12 oz aerosol cans to be stored on-site.
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Text version
Environmental Protection Section 01 57 19.05 32 Page 32
SECTION 01 57 19.05 32
ATTACHMENT 1
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.
| Contractor Name: |
| POC: |
| Phone: |
| Project Name: Deep Clean 15 MAFs |
| ProjectContract Number: GHLN 25-0347 |
| Location of Project: 15 MAFs |
| FE Warren AFB POC: Fotios Papadopoulos |
| Phone_2: 773-3379 |
| Construction Mgmt Rep: Carla J. Mlinar |
| Phone_3: 773-3574 |
| Rustoleum Stops Rust Enamel Top CoatRow1: |
| RustOleumRow1: |
| 7779830Row1: |
| 12 oz Aerosol CanRow1: |
| Gloss BlackRow1: |
| 35Row1: |
| Rustoleum Stops Rust Enamel Top CoatRow2: |
| RustOleumRow2: |
| 7779830Row2: |
| 12 oz Aerosol CanRow2: |
| Gloss BlackRow2: |
| 35Row2: |
| Rustoleum Stops Rust Enamel Top CoatRow3: |
| RustOleumRow3: |
| 7779830Row3: |
| 12 oz Aerosol CanRow3: |
| Gloss BlackRow3: |
| 35Row3: |
| Rustoleum Stops Rust Enamel Top CoatRow4: |
| RustOleumRow4: |
| 7779830Row4: |
| 12 oz Aerosol CanRow4: |
| Gloss BlackRow4: |
| 35Row4: |
| Rustoleum Stops Rust Enamel Top CoatRow5: |
| RustOleumRow5: |
| 7779830Row5: |
| 12 oz Aerosol CanRow5: |
| Gloss BlackRow5: |
| 35Row5: |
| Rustoleum Stops Rust Enamel Top CoatRow6: |
| RustOleumRow6: |
| 7779830Row6: |
| 12 oz Aerosol CanRow6: |
| Gloss BlackRow6: |
| 35Row6: |
| Contract Start Dateperiod: |
| Contract End Dateperiod: |
File details come from the government source that posted it. Updated .