Attachment J-0200000-05(g) Contractor Hazardous Material Inventory Log.pdf

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Attached to
NAVAL RESEARCH LABORATORY (NRL) FACILITY SUPPORT SERVICES (FSS)
Solicitation number
N4008027R1001
Issued by

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 .