Attachment A - MFG_Waste_Evaluation_Form.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C26324R0135
About this file
This document appears to be Attachment A - Chemical Evaluation Form, which is part of a federal contract opportunity solicitation. The form requires vendors to provide information about the chemical properties and disposal requirements for the products they manufacture and sell, including whether the products are on hazardous waste lists, contain hazardous characteristics, or contain mercury, lead, or barium.
The related federal contract opportunity is for an IDIQ contract for urine macroscopic and urine microscopy analysis services for the Department of Veterans Affairs Veterans Integrated Service Network 23. The solicitation is a combined synopsis/solicitation with a firm fixed price contract, and offers are due by 11:00 PM EDT on August 25, 2024. All questions must be received by 5:00 PM EDT on August 20, 2024. Offers must be emailed to the specified VA contracting personnel.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ. 36C26324R0135 VISN Urinalysis System IDIQ ver 08.28.24.docx | DOCX document | |
| 36C26324R0135 0003_1.docx | DOCX document | |
| RFP 36C26324R0135 0003 Amendment 3 VISN 23 Urinalysis System.pdf | ||
| RFP 36C26324R0135 0002 Amendment 2 VISN 23 Urinalysis System.pdf | ||
| RFQ. 36C26324R0135 VISN Urinalysis System IDIQ ver 08.23.24.docx | DOCX document | |
| 36C26324R0135 0002_1.docx | DOCX document | |
| 36C26324R0135 0001_1.docx | DOCX document | |
| RFQ 36C26324R0135 0001 Amendment 1 VISN 23 Urinalysis System.pdf | ||
| Attachment C - Trade Agreement Certificate.docx | DOCX document | |
| RFQ. 36C26324R0135 VISN Urinalysis System IDIQ.docx | DOCX document | |
| 36C26324R0135_1.docx | DOCX document | |
| Combined Synopsis Description 36C26324R0135 Urinalysis System.docx | DOCX document | |
| Attachment B - VA 6550A.pdf |
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Text version
Attachment A: Chemical Evaluation Form (If the vendor has all required information prepared in a similar format, this may be submitted in lieu of Attachment A).
References F-list: http://www.pca.state.mn.us/publications/w-hw2-00.pdf P-list: http://www.pca.state.mn.us/publications/w-hw2-02.pdf U-list: http://www.pca.state.mn.us/publications/w-hw2-03.pdf Characteristic waste: http://www.pca.state.mn.us/publications/w-hw1-01.pdf Hazard Info: hHttp://www.pca.state.mn.us/publications/w-hw2-01.pdf
Product as Manufactured
On MN Hazardous Waste List? Yes or No
| Product Number |
| Product or Kit Name |
| CAS or RCRA Code |
| F-List |
| P-List |
| U-List |
| Hazardous Characteristic: C = Corrosive; I = Ignitable; L = Lethal; O = Oxidizer; R = Reactive; T = Toxic |
| Quantity of mercury, lead or barium in PPM or mercury containing preservatives like thimerosol. |
Does this product contain Phosphorus or will it contribute to the total Phosphorus concentration in waste water.
Yes or No
| Concentration and Name of Hazardous Chemical |
| PH |
| Is there |
> 50ppm Poly-chlorinated Biphenyls
| Is the mercury cell process used during production of this reagent/chemical |
| Disposal of used or partially used product: I = Infectious/Biohaz; F = Flammable Hazard; H = Hazardous; R = Recycle; S = Sewer; T = Regular Trash |
| Disposal of Reagents after consumption by instrument: I = Infectious/Biohazard; F = Flammable Hazard; H = Hazardous; R = Recycle; S = Sewer; T = Regular Trash |
| Quantity per bottle. |
| % Sewered by instrument if applicable. |
Manufactures Name: _____________________________________________
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