Att_3_RMDF_9192_Plumbing.pdf

Recovered Materials Determination Form (RMDF) – Instructions

The procurement originator shall complete this checklist when EPA-designated recycled-content products are being procured (except for procurements below the micro purchase threshold). This checklist will help the contractor/vendor with identification of the products to be procured. Information about the products listed below can be found at the EPA website, http://www.epa.gov/cpg/products.htm. This completed checklist shall become part of the contract file.

Procurement Request / Project No: XUMU 12-1259B, Replace Piping Bldg 9192

No materials identified at this time.

The EPA-designated items being procured are:

Construction Products _X _ Building insulation products _ _Carpet (polyester) _ _Carpet cushion _X_Cement and concrete containing:

_X_Coal fly ash ___Ground granulated blast furnace slag ___Cenospheres or ___Silica fume

___Consolidated and reprocessed latex paint _ X__Floor tiles ___Flowable fill ___Laminated paperboard ___Modular threshold ramps _ X__Nonpressure pipe ___Patio blocks ___Railroad grade crossing surfaces ___Roofing materials __X_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

Non-Paper 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 (tray liners) ___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 _X_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

I hereby certify the Statement of Work/Specifications for the requisition of products listed above complies with preference standards for recycled-content materials in force at VAFB.

// Signed// Jordan Hampton 30CES/CENMP 26 Jan 2015 Procurement Originator Signature Name (Printed) Office Symbol Date

FA4610-15-R-0014

Attachment 3 http://www.epa.gov/cpg/products.htm