Attachment-6 Contractor Hazardous Material Inventory Log.pdf
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- Solicitation number
- FA7060-23-R-0010
About this file
This document contains a hazardous material inventory log template to be completed by contractors working on the Marine Helicopter Squadron One and Defense Information System Agency Base Operations Support contract. The template requires contractors to provide the product name, manufacturer, maximum and average amounts stored on site, specific gravity or weight to volume ratio, toxic chemical ingredients as listed on Safety Data Sheets along with their Chemical Abstracts Service numbers and percentages by weight. Contractors must also specify the number of days materials will be on site and sign confirming whether hazardous materials or waste will be involved. The related solicitation is for base operations support services at Marine Helicopter Squadron One and the Defense Information System Agency and was issued by the Department of the Air Force Headquarters District of Washington.
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Text version
ATTACHMENT 6
HAZARDOUS MATERIAL INVENTORY LOG
CONTRACTOR HAZARDOUS MATERIAL INVENTORY LOG
(EPCRA 312 & 313 Worksheet)
COMPANY NAME: _________________________________________________________________ CONTRACT NO: _________________________
PROJECT TITLE: ____________________________________________________________________________________________________________
Product Name or
Trade Name Manufacturer Max Amount of Product
Stored on Site
Amount of Product Used (e.g., Gallons, Pounds)
Specific Gravity (or wt/volume)
Toxic Chemical Ingredient in Product (Refer to MSDS
& List Individually)
Toxic Chemical
CAS # (Refer to MSDS)
% Toxic Chemical by
Weight
Days On Site
( ) Contractor(s) certifies that no hazardous materials will be brought onto the installation and/or used at the project site.
( ) Contractor(s) certifies that no hazardous waste will be generated from this project.
Submitted By: _______________________________________ Phone: ___________________ Fax: ___________________ Date: __________
Contract Administrator: _______________________________ Phone: ____________________ Fax: ___________________
Page ______ of ______
File details come from the government source that posted it. Updated .