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GREEN BUILDING MATERIALS CERTIFICATION FORM
PROJECT NAME: ___________________________
CONTRACTOR:  ____________________________________________
SPEC SECTION(S):  _________________________
CONTACT NAME:  _________________________________________
TEL. NO:  ___________________________
SUBMITTAL NO:  __________________________
Contains
Recycled
Content?
For Wood Products
[Y/N]
Product
Vendor or Manufacturer
Total
Installed
COST
Material
COST
[excluding
labor +
equip.]
% post
con-
sumer1
% post
indust-
trial2
Manufacture
Location3
Raw Material
Origin4
Contains
Rapidly
Renew-
ables?5
[note %]
FSC
Certi-
fied?6
No added
urea-
formalde-
hyde?
VOC
Content7
[adhesives,
sealants,
paints,
coatings]
CF 810 C&J
Foam
Hilti Inc
NK
NK
Finland
NK
No
N/A
N/A
115.5 g/l
CF 812 W&D
Foam
Hilti Inc
NK
NK
Finland
NK
No
N/A
N/A
139.7 g/l
CF 512 Cold
Weather Pro
Foam
Hilti Inc
NK
NK
Ohio
NK
No
N/A
N/A
126.5 g/l
NK=Not Known   N/A=Not Applicable