Attachment J-0200000-05(g) Contractor Hazardous Material Inventory Log.pdf
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- Solicitation number
- N4008027R1001
About this file
This is a template form for the Contractor Hazardous Material Inventory Log (EPRCA), used to document hazardous materials handled on federal construction or service contracts. The form is designated as Section 01 57 19.00 20 – Appendix A and serves as an appendix to contract documentation rather than a standalone solicitation.
The form requires contractors to record detailed information about hazardous materials used during contract performance, including material name, manufacturer, Safety Data Sheet (SDS) number, physical state (liquid, solid, or gas), average daily storage quantity, maximum daily storage quantity, and total quantity used in the calendar year. The form must be completed by the prime contractor and signed by both a company representative and the Contracting Officer or ROICC (Resident Officer in Charge of Construction) Representative. Contractors certify that any hazardous materials removed from the installation will be reused for their intended purpose. The form includes fields for submission details (submitted by name, phone, fax, and date) and allows for multi-page documentation. This template is used for compliance tracking and environmental reporting purposes under the Emergency Planning and Community Right-to-Know Act (EPRCA).
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Text version
Contractor Hazardous Material Inventory Log
(EPRCA)
PRIME COMPANY NAME: _______________________________CONTRACT NO:
PROJECT TITLE / LOCATION:
Material Name Manufacturer
SDS
Number
State (Liquid, Solid, Gas)
Storage Quantity Quantity (lbs/gals) used in
Calendar Year [ ]
Average Daily
Maximum Daily
Contractor(s) certifies that the hazardous material(s) removed from installation will be used/reused for its intended purpose.
Company Using Material Listed Above Company Representative’s Signature
Submitted By: ________________________ Phone: ______________ Fax: __________ Date: _________ Printed Name
Contracting Officer _____________________Phone: ______________ Fax: __________ or ROICC Representative
Page ____ of ____
SECTION 01 57 19.00 20 – APPENDIX A
File details come from the government source that posted it. Updated .