DLA HAZARDOUS MATERIAL PURCHASE REQUEST DOC 53357901.pdf

This is a DLA Customer Hazardous Material Request Form used by the Defense Logistics Agency (DLA) PMBA (Precision Measurement and Calibration Program) to request hazardous materials for inventory and distribution. The form is dated 12/01/2025 and is submitted to the Hazardous Materials Center (HMC) located at Building 997.

The request specifies one line item: eight (8) cans of general-purpose paint (Document #5335-7901, SDS #501267). The material identification section indicates that the item is on the DLA Authorized Use List (AUL) with checked boxes confirming it is not designated as a free-issue item and requiring purchase authorization. Authorization for this request was granted by Parker, Brian C. (ARLOS.10422248, digitally signed on 05/24/2018 at 10:23:09). The form includes a critical requirement that all hazardous materials must have 85% shelf life remaining at the time of receipt. Contact information for the requestor is provided as phone number 476-1460.