Attach 2_HazMat Authorization Request.pdf
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- Attached to
- PKAA Fire Suppression MAFS (Service)
- Solicitation number
- FA461326Q0007
About this file
This is a Hazardous Materials Authorization Request form used by F.E. Warren Air Force Base to control and track hazardous materials (HAZMAT) use on construction projects. The form requires contractors to provide comprehensive information about any hazardous materials they intend to store or use on-site, including contractor identification, project details, and specific HAZMAT specifications.
The form mandates submission of the Manufacturer's Safety Data Sheet (SDS) for every hazardous material requested, with SDSs serving as an acceptable alternative to completing the detailed HAZMAT information table. The table captures material name, manufacturer, product part number, container type and size, paint color/sheen, and projected quantity stored on-site. The document includes an example entry for Rust-oleum Stops Rust Enamel Top Coat (product #7779830) in 12 oz aerosol cans, gloss black finish, with 35 units projected for on-site storage. Contractors must also identify key personnel including the Point of Contact (POC), F.E. Warren AFB POC, and Construction Management Representative with their respective phone numbers and provide contract start and end dates along with project location information.
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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.
File details come from the government source that posted it. Updated .