Attachment 3 - MUDS - VYHK 17-1145.pdf

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Attached to
Solicitation for Bldg. 168 Boiler, Heat Distribution, and Ventilation Replacement on Spangdahlem AB
Solicitation number
FA560625B0001
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The document is a Contractor Material Usage Data Sheet (MUDS), a form designed to track hazardous material usage for contractors. The bilingual form (English and German) requires contractors to document detailed information about hazardous materials, including material name, manufacturer, National Stock Number (NSN), quantity used, and container type. Contractors must specify the contract number, project location, task description, estimated start and end dates, and provide additional relevant information. The form includes checkboxes for container types (box, bottle, can, drum, bag, cartridge) and measurement units (g, kg, liter), allowing precise reporting of hazardous material consumption. For any questions, contractors are instructed to contact the HAZMART Office located in Building 600, with a provided commercial phone number.

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CONTRACTOR MATERIAL USAGE DATA SHEET (MUDS)

Angaben zum Verbrauch von Gefahrstoffen fuer Auftragnehmer For any additional questions, please contact HAZMART Office, Bldg. 600, commercial phone 06565-61-6614

Bei weiteren Fragen kontaktieren Sie das HAZMART Buero, Gebaeude 600, Telefonnummer: 06565-61-6614

Contractor/ Auftragnehmer Estimated start date/ Auftragsbeginn (ca.)

Contract Nr./ Vertragsnummer Estimated end date/ Ende des Auftrags (ca.)

Location/ Ort der Taetigkeit

Description of task / Beschreibung der Taetigkeit

Additional Information/ zusaetzliche Information

Hazardous Material Name Manufacturer NSN# Quantity Used Unit Name des Gefahrstoffes Hersteller Artikelnummer Verbrauchsmenge Einheit

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Box Bottle Can Drum Bag Cartridge

Units per container 1 5 _______ g kg liter

Location and Date Signature Ort und Datum Unterschrift

File details come from the government source that posted it. Updated .