Attachment 4 SDS Transmittal Form.pdf
PDF 165 KB Posted
- Attached to
- CENTCOM Industrial Gas Program
- Solicitation number
- SPE4A624R0172
- Issued by
-
Defense Logistics Agency Aviation
About this file
This document is a Safety Data Sheet (SDS) Transmittal Form used to submit safety data sheets, labels, and technical data for products procured by the Defense Logistics Agency (DLA). The form includes fields for product information such as NSN, part number, supplier/manufacturer details, and contract/solicitation numbers. It also requires suppliers to indicate the appropriate regulatory labeling requirements for their product. The completed form is submitted to the DLA's Hazardous Materials Information Resource System (HMIRS) for review and processing. This form is associated with a Request for Proposal (RFP) solicitation issued by DLA Aviation for the procurement of industrial compressed and liquefied gases to support U.S. military operations in the United States Central Command (CENTCOM) area. The solicitation is open from August 19, 2024 to September 19, 2024.
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Text version
SAFETY DATA SHEET (SDS) / LABEL / TECHNICAL DATA
TRANSMITTAL FORM
Completed by Hazmat Procuring Activity: Date:_____________________
Procuring Office: □ SDS □ Label □ Technical Sheet/Other
□ DLA Aviation SDS/Document Date: _____________________________
□ DLA Energy POC: ___________________________________________
□ DLA Land and Maritime Phone: _________________________________________
□ DLA Troop Support □ Other, specify: ______________________
Product NSN: __________________________________ Unit Container Size: __________ Unit of Issue: ___________
Part Number: __________________________ Qualified Parts List : □ Yes □ No QPL #: _______________________
Supplier’s Name: _________________________________________________________ CAGE: __________________
Supplier’s POC: ____________________________Phone:____________________ Email: ______________________
Manufacturer’s Name: ______________________________ CAGE:______________ SDS Date:__________________
□ Previously approved SDS/label with same supplier/product on Contract #:____________________________________
Contract #:_________________________________ Solicitation/Purchase Request #:_____________________________
**REQUIRED: IAW DFARS 252.223-7001, Supplier indicates product is labeled according to:
□ 29 CFR (GHS) □ Consumer Product Safety Act □ Federal Insecticide, Fungicide and Rodenticide Act □ N/A
□ Federal Hazardous Substances Act □ Federal Food, Drug and Cosmetics Act □ Federal Alcohol Administration Act
Procurement activities email form/SDS/label to MSC Chemist/Quality Control at DLA Energy: SDS@dla.mil;
DLA Land & Maritime: DSCC.SDS@dla.mil; DLA Aviation: DSCRChemPOL@dla.mil; otherwise to HMIRS Focal Points listed below.
Completed by MSC Chemist/Quality Control: ______________________________
□ Submission is acceptable for processing Reviewing Official
Remarks:__________________________________________________________________________________________
Submit final form/SDS/label/documents to HMIRS Focal Point at DLA Aviation Hazardous Information Program Office:
DLA Aviation Industrial Gases email form to: DSCRIndgasMSDS@dla.mil DLA Aviation Chemical/POL email form to: DSCRChemPOLMSDS@dla.mil
DLA Troop Support email form to: DLATroopSupportMSDS@dla.mil DLA Land & Maritime email form to: DLA.MSDS@dla.mil
DLA Energy: DLAEnergySDS_HMIRS@dla.mil Others: dlahmirsfocalpoint@dla.mil
SDS Transmittal Form Date: Oct 2021 https://www.law.cornell.edu/topn/federal_hazardous_substances_act https://www.law.cornell.edu/topn/federal_alcohol_administration_act mailto:SDS@dla.mil mailto:DSCC.SDS@dla.mil mailto:DSCRChemPOL@dla.mil mailto:DSCRIndgasMSDS@dla.mil mailto:DSCRChemPOLMSDS@dla.mil mailto:DLATroopSupportMSDS@dla.mil mailto:DLA.MSDS@dla.mil mailto:DLAEnergySDS_HMIRS@dla.mil mailto:dlahmirsfocalpoint@dla.mil
File details come from the government source that posted it. Updated .