Attch_5_RMDF.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 17-1135B – Replace Generator B23215

X No materials identified at this time.

The EPA-designated items being procured are:

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

___Coal fly ash ___Ground granulated blast furnace slag ___Cenospheres or ___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

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 ___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// Richard Heslop 30CES/CENMP 21/07/2017 Procurement Originator Signature Name (Printed) Office Symbol Date http://www.epa.gov/cpg/products.htm 1504539640A Typewritten Text

1504539640A Typewritten Text FA4610-17-R-0016 Attachment 5

1169237200C Typewritten Text XUMU 17-1134B - Replace Distribution Sys