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.:

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.

Procurement Originator Signature Name (Printed) Office Symbol Date

FA461019RA027

Attachment 5