Attachment_B_ENVIRONMENTAL_Forms.pdf
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- Attached to
- Construct ACA Alert Crew Quarters Federal contract opportunity
- Solicitation number
- W91364-16-R-0001
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Attachment B Environmental Forms
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Section 3.7
Category Product Product Type Content Levels Building Construction, Renovation, and Maintenance
Building insulation (R, ES)
Rock wool
75% recovered slag
Fiberglass 20-25% recovered glass
Cellulose loose-fill and spray-on
75% postconsumer paper
Perlite composite board 23% postconsumer paper
Rigid foam 9% recovered material
Foam-in-place 5% recovered material
Glass fiber reinforced 6% recovered material
Phenolic rigid foam 5% recovered material
Plastic, non-woven batt
100% recovered and/or postcon-sumer plastics
Plastic Insulating Foam for Residential and Com-mercial Construction (BP)
7% - Minimum Biobased Content
Cement and concrete (R)
Coal fly ash
See EPA guidance at www.epa.gov/cpg
Ground granulated blast furnace slag www.epa.gov/cpg
Cenospheres
Sililca fume www.epa.gov/cpg
Composite Panels (BP) Acoustical 37% - Minimum Biobased Content
Interior Panels 55% - Minimum Biobased Content
Plastic Lumber 23% - Minimum Biobased Content
Structural Interior Panels 89% - Minimum Biobased Content Structural Wall Panels 94% - Minimum Biobased Content
Floor tiles (R) 90-100% postconsumer rubber
90-100% recovered plastic
Flowable fill (R) www.epa.gov/cpg
Laminated paperboard (R) Paperboard 100% postconsumer paper
Structural fiberboard Paper 80-100% recovered material
Modular threshold ramps (R)
Steel
25-100% recovered steel, including 16-67% postconsumer content
Aluminum 10% recovered aluminum
Rubber 100% postconsumer rubber
Nonpressure pipes (R)
HDPE
100% postconsumer High Density Polyethylene
PVC
25-100% recovered Polyvinyl Chloride, including 5-15% post-consumer content
Concrete
Rubber 90-100% postconsumer rubber or rubber blends
Plastic
90-100% recovered plastic or plas-tic blends
Roofing materials (R, BP, ES/FEMP)
Aluminum www.epa.gov/cpg 20-90% recovered aluminum, in-cluding 20-90% postconsumer content
Fiber
50-100% recovered fiber or fiber composite, including 50-100% postconsumer content
100% recovered rubber, including 12-100% postconsumer content
Plastic/composites
Wood/composites
Concrete
100% postconsumer plastic or plastic/rubber composite 100% recovered wood/plastic composite See EPA guidance at www.epa.gov/cpg
Plastic (polyol) 20% biobased content ENERGY STAR and FEMP
Ceiling Fans (ES) ENERGY STAR Windows (ES/ FEMP) ENERGY STAR and FEMP
Doors and Skylights (ES) ENERGY STAR Fluid-Filled Transformers
(BP)
Syntheric Ester-Based
66% - Minimum Biobased Content
Vegetable Oil-Based 95% - Minimum Biobased Content
Bathroom Fixtures
Bathroom sink faucets (WS/
FEMP)
FEMP and WaterSense
Showerheads (WS/FEMP) FEMP and WaterSense
Toilets (WS) WaterSense Urinals (WS/ FEMP) FEMP and WaterSense
Shower and restroom divid-ers/partitions (R)
20-100% recovered plastic, includ-ing 20-100% postconsumer content
HVAC Room AC (ES/ FEMP) ENERGY STAR and FEMP
Air-Source Heat Pumps (ES/
FEMP)
ENERGY STAR and FEMP
Geothermal or Ground-Source Heat Pumps (ES/ FEMP)
Boilers (ES/ FEMP) ENERGY STAR and FEMP
Furnaces (ES/ FEMP) ENERGY STAR and FEMP
Light Commercial Heating and Cooling (ES)
ENERGY STAR
Ventilating Fans (ES) Commerical Unitary Air Con-ditioners (FEMP)
FEMP
Air-Cooled Chillers (FEMP)
Water-Cooled Chillers
(FEMP)
Commercial Heat Pumps
Centrifugal Pumping System
Electric Water Heaters
Gas Water Heaters (FEMP) FEMP Programmable Thermostats
(ES)
Appliances Commercial Dishwashers
(ES)
Clothes washers (ES/ FEMP) ENERGY STAR and FEMP
Dishwashers (ES/ FEMP) ENERGY STAR and FEMP
Miscellaneous Water tank coatings (BP) 59% biobased content
Concrete and Asphalt Release Fluids (BP)
87% - Minimum Biobased Content
Fire Suppression and Explo-sion Protection
Total flooding agents
SNAP
Streaming applications SNAP Halon substitute manufac-turers
SNAP
Landscaping Products
Compost (R) Yard trimmings, food waste, manure, biosolids, or other recovered organic materials
100% recovered organic materials
Hoses (R)
Garden hose
60-65% postconsumer rubber and/or plastic
Soaker hose
60-70% postconsumer rubber and/or plastic
Hydraulic mulch (R)
Paper-based hydraulic mulch
100% postconsumer paper
Wood-based hydraulic mulch
100% recovered wood and paper
Lawn and garden edging (R)
30-100% recovered plastic and/or rubber, including 30-100% post-
Plastic lumber landscaping timber and posts (R)
75-100% recovered High Density Polyethylene, including 25-100% postconsumer content 100% recovered mixed plas-tics/sawdust, including 50% post-consumer content 95% recovered High Density Poly-ethylene/fiberglass, including 75% postconsumer content 95-100% other mixed recovered resins, including 50-100% postcon-sumer content
Fertilizers (BP) 71% - Minimum Biobased Content Landscape irrigation services
(WS)
WaterSense Weather- or sensor-based irrigation control technologies
(WS)
WaterSense
Roadway Construction
Cement and concrete (R)
Coal fly ash
Ground granulated blast furnace slag
Cenospheres
Sililca fume www.epa.gov/cpg
Railroad grade crossing sur-faces (R)
Concrete
15-20% recovered coal fly ash
Rubber 85-95% recovered tire rubber
Wood
90-97% recovered wood or wood composite, including 90-97% post-
100% recovered plastic or plastic composite, including 85-95% post-consumer content
Concrete and Asphalt Release Fluids (BP)
87% - Minimum Biobased Content
Building Finishes
Carpet (R)
Polyester carpet face fiber
25-100% recovered Polyethylene Terephthalate, including 25-100% postconsumer content
Carpet (BP)
Woven, tufted, or knitted fiber and a backing system
7% - Minimum Biobased Content
Carpet cushion (R)
Bonded polyurethane
15-50% old carpet cushion, includ-ing 15-50% postconsumer content
Carpet cushion (R) Jute 40% postconsumer burlap
Synthetic fibers 100% recovered carpet fabrication scrap
60-90% recovered tire rubber, in-cluding 60-90% postconsumer content
Reprocessed latex paint (R)
White, off-white, pastel colors
20% postconsumer content
Reprocessed latex paint (R)
Grey, brown, earthtones, and other dark colors
50-99% recovered material, includ-ing 50-99% postconsumer content
Consolidated latex paint (R) 100% postconsumer content
Mats (R)
85-100% recovered rubber, includ-ing 75-100% postconsumer content
100% recovered plastic, including 10-100% postconsumer content
Blends
100% postconsumer rubber/plastic composite
Compact Fluorescent Lamps (CFLs) (ES/ FEMP)
Light Fixtures (ES) ENERGY STAR
Decorative Light Strings (ES) ENERGY STAR LED Lighting ENERGY STAR Fluorescent Tube Lamps
Fluorescent Ballasts (FEMP) FEMP Fluorescent Luminaires
Downlight Luminaires
Industrial HID Luminaires
Lighting Controls (FEMP) FEMP
HAZMAT AUTHORIZATION FOR CONTRACTORS (Section 14.1)
NO HAZARDOUS MATERIAL WILL BE
DELIVERED, STORED, OR USED ON-SITE
UNTIL IT HAS BEEN AUTHORIZED BY
ENVIRONMENTAL, SAFETY, AND
OCCUPATIONAL HEALTH
Project:
Contractor:
Contractor will provide ALL of the information required below for each hazardous material (hazmat) item used on the job site; this form will be submitted to the Contracting Officer
Attach a current Material Safety Data Sheet (MSDS) for each item A copy of this form will be return to the contractor after all reviews have been completed At project close-out, provide the ACTUAL quantity of the item used during the project on the Hazmat Use
Summary Form This authorization is used strictly to gather information on hazardous materials usage to address regulatory reporting requirements, as well as ensure the health and safety of government employees. This authorization is NOT:
An indication that the material meets the intent of the project plans and specifications An evaluation or approval of the contractor’s environmental, safety, or health programs
Product Name: Product Part/Stock Number:
Material Unit of Issue (55-gallon drum, 5-gallon pail, 16 oz box, 10 lbs bag, etc.):
Storage Location:
Frequency of Use (one-time, one week, throughout project):
Location of Use (if other than on the immediate project site):
Proposed Quantity of Material to be Used On-Site (gallons, pounds, etc.):
Brief Description of Use (what is the hazmat being used for):
Intended Disposal (how will excess material, empty containers, and clean up materials be disposed of):
FOR ESOH OFFICE USE (use reverse if needed) This item is exempt from Hazmart tracking; no further evaluation required; contractor does not need to track use Authorized Bioenvironmental Engineering - Comments Authorized with comment Change requested
Signature
Authorized Environmental Management - Comments Subject to EPCRA 312
Subject to EPCRA 313
Authorized with comment Change requested
Signature
Authorized Safety/Fire Protection - Comments Authorized with comment Change requested
Signature
CONTRACTOR HAZMAT USE SUMMARY (Section 14.2)
Contractor will provide ALL of the information required below for each hazardous material (hazmat) item used on the job site; this form will be submitted to the Contracting Officer
Provide enough information that quantities can be converted to total pounds.
Product Name: Product
Part/Stock Material Unit of Issue (55-gallon drum, 5-gallon pail, ACTUAL total quantity of product used throughout the project
Section 15.5
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