HomeMy WebLinkAbout013002 LEED Material Intake Form.pdf Giant Eagle Market #6550 The Bridges, Carmel, Indiana
Building Shell Bid & Permit
DLA Project 2014040.00
August 12, 2014
LEED MATERIAL INTAKE FORM 013002 - 1
SECTION 013002 – LEED MATERIAL INTAKE FORM
VERSION: LEED 2009 (v3) FOR RETAIL: NEW CONSTRUCTION AND MAJOR RENOVATIONS
SUBMITTAL NUMBER: ________________
DATE: _______________________________
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*COMPLETE AND ATTACH THIS FORM TO ALL SUBMITTALS FOR DIVISIONS 02-10 AND 31-32*
Specification Section Title and No.:
Product Name: Manufacturer:
Product Cost $
(Include cost of product, delivery to site, and taxes; excluded O&P, labor, and equipment used for site
installation)
Distance Between Project and Extraction/Harvest (in Miles):
Distance Between Project and Manufacturer (in Miles):
Recycled Content - % Post Consumer
Recycled Content - % Pre Consumer
Contains Certified Wood Product: Yes No Not Applicable Third Party Certification No.:
Composite wood contains added Urea-formaldehyde: Yes No Not Applicable
Adhesives, Sealants, and Sealant Primers comply with VOC limits: YesNoNot Applicable
Interior Paints and Coatings comply with VOC limits: YesNo Not Applicable
Carpet, adhesive, and cushions comply with CRI Green Label Plus Program: Yes No Not Applicable
Ceiling and Wall Systems, gypsum board, insulation, acoustical ceilings, meet the testing and product requirements of the
California Department of Health Services Standard Practice for Testing of Volatile Organic Emissions from Various
Sources Using Small-Scale Environmental Chambers, including 2004 Addenda:
Yes No Not Applicable
Attach one of the following documents to clearly show compliance with LEED requirements:
Product Cut Sheet
Product Literature
Letter from Manufacturer
Note: LEED documentation shall be submitted together with other submittal documentation
required by the Specifications.
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END OF SECTION 013002