Attachment J-0200000-14 Contractor Hazardous Material Inventory Log.pdf

This is a Contractor Hazardous Material Inventory Log template used to document hazardous materials in accordance with EPRCA 312 & 313 requirements.

The form requires contractors to record detailed information about hazardous materials removed from installations, including the material name, manufacturer, state of the material (liquid, solid, or gas), average and maximum storage quantities, and the quantity in pounds or gallons used during the calendar year. The template includes a table with multiple rows for entering material data. Contractors must certify that hazardous materials removed from the installation will be used or reused for their intended purpose. The form requires signatures from both prime and subcontractor companies, along with contact information including phone, fax, and submission date. A designated contractor administrator must also be identified with corresponding contact details. The form is expandable to multiple pages as needed to accommodate additional hazardous materials entries.