Atach_12_Recovered_Materials_Determination.pdf

RECOVERED MATERIALS DETERMINATION

PROCUREMENT REQUEST NUMBER

INSTRUCTIONS The procurement request originator will complete this form. In Sections I-A, I-B, and I-C, check off which items apply to the procurement request.

In Section II, check whether the procurement is subject to Green Procurement and sign and date the form. The completed form then becomes part of the contracting office's file.

SECTION I-A. Environmental Protection Agency's Comprehensive Procurement Guidelines Recycled-Content Products

PAPER AND PAPER PRODUCTS PARK AND RECREATION PRODUCTS

Commercial/Industry Sanitary Tissue Products Park Benches and Picnic Tables

Miscellaneous Papers Plastic Fencing

Newsprint Playground Equipment

Paperboard and Packaging Playground Surfaces

Printing and Writing Papers Running Tracks

VEHICULAR PRODUCTS LANDSCAPING PRODUCTS

Re-refined Lubricating Oils Garden and Soaker Hoses

Engine Coolants Hydraulic Mulch

Retread Tires Plastic Lumber Landscaping Timbers and Posts

Lawn and Garden Edging

CONSTRUCTION PRODUCTS

Building Insulation Products

Compost From Yard Trimmings or Food Waste

Carpet (Polyester)

Carpet Cushion

NONPAPER OFFICE PRODUCTS

Binders, Clipboards, File Folders, Clip Portfolios, and Presentation Folders

Office Furniture

Consolidated and Reprocessed Latex Paint

Office Recycling Containers

Floor Tiles

Office Waste Receptacles

Flowable Fill

Plastic Desktop Accessories

Laminated Paperboard

Plastic Envelopes

Modular Threshold Ramps

Plastic Trash Bags

Nonpressure Pipe

Printer Ribbons

Patio Blocks MISCELLANEOUS PRODUCTS Railroad Grade Crossing Surfaces

Awards and Plaques

TRANSPORTATION PRODUCTS

Bike Racks

Channelizers

Blasting Grit

Delineators

Industrial Drums

Flexible Delineators

Manual-Grade Strapping

Parking Stops

Mats

Traffic Barricades

Pallets

SECTION II. CERTIFICATION

Green Procurement Program.

Green Procurement Program.

PROCUREMENT REQUEST

ORIGINATOR SIGNATURE

DATE

Cement and Concrete Containing Coal Fly Ash or Ground Granulated Blast Furnaces Slag or Cenospheres or Silica Fume

Roofing Materials

Shower and Restroom Dividers/Partitions

Structural Fiberboard

Traffic Cones

Toner Cartridges

Signage

Sorbents

Rebuilt Vehicular Parts

I hereby certify that:

SECTION I-B. Department of Agriculture Biopreferred Program Category

Building Materials

Construction and Road Maintenance

Furniture and Furnishings

Housewares and Cleaning

Industrial Supplies

List Specific Items:

Landscaping and Agriculture

Office Supplies

Personal Care and Toiletries

The Great Outdoors

Utilities

SECTION I-C. Energy and Water Efficient Products

EnergyStar

Uses < 1 Watt in Standby Mode

Water Efficient Product

Renewable Energy Source

Energy Efficient Product

RO

PRINTED NAME, TITLE, AND OFFICE SYMBOL

JBSA's Other (List name)The procurement action is subject to and complies with

The procurement action is not subject to the JBSA Other (List name)