A07_ATTACHMENT_4_to_SOL_-_REC.docx

ATTACHMENT 4

RECORD OF ENVIRONMENTAL CONSIDERATION

US ARMY MEDICAL RESEARCH AND MATERIEL COMMAND

Date:

Projected Start: Duration:

Project Title:

Principal Investigator:

Performing Organization:

Address:

Research Location(s):

Address:

Description of Proposed:

a. Purpose/Need for action:

b. Medical Biological/Chemical Defense Research Program Funded

1. Biological Select Agent:

2. Biological Safety Containment Level:

3. Biological Surety Material:

4. Chemical Surety Material:

Certificate of Environmental Compliance (CEC):

Dated:

Signed by:

Title:

Organization:

Reason for using REC: Based on the assumption that the information supplied by _____ is accurate and the method of collecting the information is valid, then it is concluded that the proposed action is:

Categorically excluded under the provisions of AR 200-2, Appendix A, A-11; Operations conducted in an established laboratories within enclosed facilities.

Concur/Nonconcur:

Signed: ____________________________________________ Date: __________________ USAMRMC Environmental Coordinator, MCMR-SS