J-0200000-06 HAZARDOUS MATERIAL INVENTORY LOG.docx

DOCX document 16 KB Posted

Attached to
Regional 8(a) Janitorial Services
Solicitation number
N40080-25-R-2233
Issued by

About this file

This is a Hazardous Material Inventory Log template (EPCRA 312 & 313 Worksheet) designed for contractors to document hazardous materials and waste at project sites. The form requires contractors to provide company name, contract number, and project title, then systematically record each hazardous material brought onto or used at the installation. For each product, contractors must document the manufacturer, maximum amount stored on site, amount used (with units), specific gravity or weight-to-volume ratio, toxic chemical ingredients (cross-referenced to Material Safety Data Sheets), Chemical Abstract Service (CAS) numbers, percentage of toxic chemicals by weight, and number of days the material remains on site. The form includes certification options allowing contractors to attest that no hazardous materials will be brought onto the installation and/or no hazardous waste will be generated from the project.

The template requires submission information including the contractor's name, phone, and fax number, along with the contract administrator's contact details and page numbering. This appendix is a standard documentation tool for compliance with Environmental Protection Agency Reporting and Community Right-to-Know Act requirements and is likely required as part of the custodial services contract performance, though it does not specify required products or services beyond hazardous material management documentation procedures.

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Text version

ATTACHMENT J-0200000-08

HAZARDOUS MATERIAL INVENTORY LOG

CONTRACTOR HAZARDOUS MATERIAL INVENTORY LOG

(EPCRA 312 & 313 Worksheet)

COMPANY NAME: _______________________________________________________________ CONTRACT NO: _________________________

PROJECT TITLE: ____________________________________________________________________________________________________________

Product Name or Trade Name
Manufacturer
Max Amount of Product Stored on Site
Amount of Product Used (e.g., Gallons, Pounds)
Specific Gravity (or wt/volume)
Toxic Chemical Ingredient in Product (Refer to MSDS & List Individually)
Toxic Chemical CAS # (Refer to MSDS)
% Toxic Chemical by Weight
Days On Site

( ) Contractor(s) certifies that no hazardous materials will be brought onto the installation and/or used at the project site.

( ) Contractor(s) certifies that no hazardous waste will be generated from this project.

Submitted By: _______________________________________ Phone: ___________________ Fax: ___________________ Date: __________

Contract Administrator: _______________________________ Phone: ____________________ Fax: ___________________

Page ______ of ______

File details come from the government source that posted it. Updated .