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
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 .