Atch 5 Hazmat Auth Form.pdf
PDF 96 KB Posted
- Solicitation number
- FA461324Q0030
About this file
This document is a Hazardous Materials Authorization Request form for a federal contract opportunity. The form provides details on the contractor, project, and hazardous materials to be used, including the material name, manufacturer, product part number, container type and size, paint color/sheen, and projected quantity stored on-site. The form requires submission of the manufacturer's Safety Data Sheet (SDS) for each hazardous material requested.
The related federal contract opportunity is for the Purchase and Install B217 Ceramic Tiles at FE Warren AFB in Wyoming. The solicitation number is FA461324Q0030. Key details include the performance work statement dated 6 August 2024, required attachments, site visit and question submission deadlines, and the quote due date of 11:00 am MT on 22 August 2024. The contracting agency is the Department of the Air Force Global Strike Command.
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Other files
| File | Type | Posted |
|---|---|---|
| Atch 3 Drawings.pdf | ||
| Atch 2 AF Form 66.xlsx | XLSX spreadsheet | |
| Atch 4 ACM Report.pdf | ||
| Solicitation - FA461324Q0030.pdf | ||
| Atch 6 Salient Characteristics.xlsx | XLSX spreadsheet | |
| Atch 1 PWS 6 Aug 2024.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 .