Attachment 5_ Hazmat Auth Request.pdf
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- Solicitation number
- FA461324Q0022
About this file
This document is a Hazardous Materials Authorization Request form related to a federal contract opportunity for carpet installation at F.E. Warren AFB in Wyoming.
The key details include: the contractor information, project details (name, number, location, POCs), and a table listing the hazardous materials required for the project, including the material name, manufacturer, product part number, container type/size, color/sheen, and projected quantity. The form states that a copy of the manufacturer's Safety Data Sheet (SDS) must be submitted for each hazardous material requested.
The related federal contract opportunity is for the purchase and installation of carpet tiles, composite carpet planks, and vinyl wall base, including demolition and disposal of the existing flooring, on the 1st floor of the Security Forces Group (SFG) Building 34 at F.E. Warren AFB, Wyoming. Key details include the solicitation number, response due dates, and required attachments (Performance Work Statement, drawings, asbestos testing report, salient characteristics, and this Hazmat Authorization Request form).
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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.
1153324049C Typewritten Text Replace Carpet 1st Floor SFG Bldg. 34
1153324049C Typewritten Text Chris Carter 773-2402
1153324049C Typewritten Text
WT 11287331
File details come from the government source that posted it. Updated .