Attachment 6 HazMat Authorization Request.pdf
PDF 128 KB Posted
- Attached to
- AMENDMENT 01* Replace Overhead Doors Federal contract opportunity
- Solicitation number
- FA461325R0005
About this file
The document is a Hazardous Materials Authorization Request form for a federal contract at F.E. Warren Air Force Base. The form seeks authorization to use a specific hazardous material: Rust-oleum Stops Rust Enamel Top Coat, a gloss black aerosol paint product with product part number 7779830. Contractors are required to submit this form with an accompanying Safety Data Sheet (SDS) for each hazardous material, with the option to submit the SDS in lieu of completing the detailed HAZMAT information table. The form includes fields for contractor details, project information, contact persons, and a table to document the specific hazardous material's characteristics, including manufacturer, container type, and projected on-site quantity.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation - FA461325R00050001.pdf | ||
| Amendment 01 SF 30.pdf | ||
| Attachment 7 Site Visit Q_A Responses.pdf | ||
| Attachment 5 Cost Estimate Breakdown.xlsx | XLSX spreadsheet | |
| Attachment 4 SF 24 Bid Bond Form.pdf | ||
| Attachment 3 Wage Determination.pdf | ||
| Attachment 2 AF Form 66.xlsx | XLSX spreadsheet | |
| Attachment 1a 130005_Environmental_Specifications_ Jan 2023.pdf | ||
| Attachment 1 Statement of Work 17March2025.pdf | ||
| Request for Proposal.pdf | ||
| Solicitation - FA461325R0005.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.
File details come from the government source that posted it. Updated .