17._Attachment_G_Recovered_Materilas_Form.pdf

Attachment G

Recovered Materials Report Form

DE-SOL-0009564

3/8/2004

WESTERN AREA POWER ADMINISTRATION

RECOVERED MATERIAL CONTENT (RMC) REPORT FORM

Check Purchase Type:

Credit Card/Check

Purchase Order P. O. Number:

Contract Contract Number:

Instructions: All sections of this form must be filled out. Complete the following table by providing dollar amounts for each product designated by EPA (https://www3.epa.gov/epawaste/conserve/tools/cpg/history.htm ) as an Affirmative Procurement Item (see list on back of this form).

WAPA Purchasers: Forward a copy of this form to the Pollution Prevention (P2) Coordinator in your

Region’s Office of Environment.

Contractors: This form must be submitted to the COR prior to final payment.

CORs: File form in project file and forward a copy to the P2 Coordinator in your Region.

Product (See back of this form)

Purchase Date

Dollars for Products with RMC

Dollars for Products without RMC *

Exemption

Code **

* For purchases WITHOUT RMC provide Detailed Justification using one or more of the exceptions listed below:

(NOTE: IF A SINGLE PURCHASE IS OVER $2500 AND THE ITEM DOES NOT CONTAIN RMC, then the green acquisition advocate [GAA] signature is required on the Recovered Material Content Exemption Justification Form prior to, or as soon as possible after purchase.)

** Exemption Codes – RCRA Section 6002(c)(1) allows a procuring agency the flexibility not to purchase an EPA-designated item with recovered materials content if any of the following conditions apply:

1) The agency is unable to secure a satisfactory level of competition.

2) The item is not reasonably available within a reasonable period of time.

3) The item fails to meet the performance standards set forth in the agency’s specification.

4) The item is available only at an unreasonable price.

Report Prepared by: (Print/Type Name) (Signature) Date https://www3.epa.gov/epawaste/conserve/tools/cpg/history.htm

12/09/2013

PRODUCTS DESIGNATED BY EPA AS

AFFIRMATIVE PROCUREMENT ITEMS

(http://www.epa.gov/cpg)

Construction Products

Building insulation products

Carpet Carpet cushion

Cement and concrete containing:

-Coal fly ash

-Ground granulated blast furnace slag

-Cenospheres

-Silica fume

Consolidated and reprocessed latex paint Floor tiles

Flowable fill Laminated paperboard

Modular threshold ramps

Nonpressure pipe Patio blocks

Railroad grade crossing surfaces

Roofing materials

Shower and restroom dividers/partitions

Structural fiberboard

Landscaping Products

Compost made from yard trimmings or food waste Garden and soaker hoses Hydraulic mulch Lawn and garden edging Plastic lumber landscaping timbers and posts

Nonpaper Office Products

Binders, clipboards, file folders, clip portfolios, and presentation folders Office furniture Office recycling containers Office waste receptacles Plastic desktop accessories Plastic envelopes Plastic trash bags Printer ribbons Toner cartridges

Paper and Paper Products

Commercial/industrial sanitary tissue products Miscellaneous papers Newsprint Paperboard and packaging products Printing and writing papers

Park and Recreation Products Park benches and picnic tables Plastic fencing Playground equipment Playground surfaces Running tracks

Transportation Products Channelizers Delineators Flexible delineators Parking stops Traffic barricades Traffic cones

Vehicular Products

Engine coolants Rebuilt vehicular parts Re-refined lubricating oils Retread tires

Miscellaneous Products

Awards and plaques Bike racks Blasting grit Industrial drums Manual-grade strapping Mats Pallets Signage Sorbents http://www.epa.gov/cpg/products/building.htm http://www.epa.gov/cpg/products/carpet.htm http://www.epa.gov/cpg/products/carpcush.htm http://www.epa.gov/cpg/products/cement.htm http://www.epa.gov/cpg/products/cement.htm http://www.epa.gov/cpg/products/cement.htm http://www.epa.gov/cpg/products/cement.htm http://www.epa.gov/cpg/products/cement.htm http://www.epa.gov/cpg/products/paint.htm http://www.epa.gov/cpg/products/paint.htm http://www.epa.gov/cpg/products/floor.htm http://www.epa.gov/cpg/products/flow-fil.htm http://www.epa.gov/cpg/products/fiberbrd.htm http://www.epa.gov/cpg/products/ramps.htm http://www.epa.gov/cpg/products/pipe.htm http://www.epa.gov/cpg/products/floor.htm http://www.epa.gov/cpg/products/rail.htm http://www.epa.gov/cpg/products/roof.htm http://www.epa.gov/cpg/products/shower.htm http://www.epa.gov/cpg/products/fiberbrd.htm http://www.epa.gov/cpg/products/compost.htm http://www.epa.gov/cpg/products/compost.htm http://www.epa.gov/cpg/products/garden.htm http://www.epa.gov/cpg/products/garden.htm http://www.epa.gov/cpg/products/mulch.htm http://www.epa.gov/cpg/products/edging.htm http://www.epa.gov/cpg/products/timbers.htm http://www.epa.gov/cpg/products/timbers.htm http://www.epa.gov/cpg/products/binders.htm http://www.epa.gov/cpg/products/binders.htm http://www.epa.gov/cpg/products/binders.htm http://www.epa.gov/cpg/products/furniture.htm http://www.epa.gov/cpg/products/office.htm http://www.epa.gov/cpg/products/office.htm http://www.epa.gov/cpg/products/desktop.htm http://www.epa.gov/cpg/products/envelope.htm http://www.epa.gov/cpg/products/trashbag.htm http://www.epa.gov/cpg/products/ribbons.htm http://www.epa.gov/cpg/products/toner.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/paper.htm http://www.epa.gov/cpg/products/pk-bench.htm http://www.epa.gov/cpg/products/fencing.htm http://www.epa.gov/cpg/products/plgrndeq.htm http://www.epa.gov/cpg/products/playgrnd.htm http://www.epa.gov/cpg/products/running.htm http://www.epa.gov/cpg/products/channel.htm http://www.epa.gov/cpg/products/channel.htm http://www.epa.gov/cpg/products/channel.htm http://www.epa.gov/cpg/products/parking.htm http://www.epa.gov/cpg/products/barricds.htm http://www.epa.gov/cpg/products/cones.htm http://www.epa.gov/cpg/products/engine.htm http://www.epa.gov/cpg/products/vehicle.htm http://www.epa.gov/cpg/products/lubricat.htm http://www.epa.gov/cpg/products/retread.htm http://www.epa.gov/cpg/products/awards.htm http://www.epa.gov/cpg/products/bikes.htm http://www.epa.gov/cpg/products/grit.htm http://www.epa.gov/cpg/products/drums.htm http://www.epa.gov/cpg/products/strappin.htm http://www.epa.gov/cpg/products/mats.htm http://www.epa.gov/cpg/products/pallets.htm http://www.epa.gov/cpg/products/signage.htm http://www.epa.gov/cpg/products/sorbents.htm