green building material leed

7/28/2019 Green Building Material Leed

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GREEN BUILDING MATERIAL LEED DATA FORM

Project: EEI Corp. - ADB ProjectArchitect:

CSI SpecificationSection: Concrete Masters, Inc. Product:Ready Mix Concrete

Supplier / Sub contractor Concrete Masters, Inc. Manufacturer:Concrete Masters, Inc.Contact : Jun D. Dellosa Contact : JunD. Dellosa

Tel. No.: 837-7777 Tel. No.:837- 7777Fax No. : 838-2208 Fax No.:838-2208www.

Product CertificationTick applicable credit compliance and fill out the required information.

MR c4. 1 / 4.2 RECYCLED CONTENT

The product has a recycled content.

Description of Recycled Content:Percentage of Post-Consumer (PO) Recycled Content (RC):Percentage of Pre-Consumer (PR) Recycled Content:

Only a part of the assembly contains recycled content.

Assembly Componentsw/ Description of RC: Weight % PO % PR

Totals by Quantity or Unit should beequalto 100% of assembly

Assembly RC = [ Material Weight (lbs) x Recycled Content (%) / Total Weight (lbs) / 100%]

NB: For Concrete Subs Separate Submittal Data Sheets are required for cementitious materials

in concrete (including Fly Ash). For All Subs Recycled content documentation must be attached. CSI Sections 14, 15, 16and 27 are exempt from this credit.

MR c5. 1 / 5.2 REGIONAL MATERIALS

All components of the product were extracted, harvested or recovered (source i.e. miningsite), as well as

manufatured (i.e. plant) within 500 miles (800 km) of the project site.

Harvest Location:Harvest Distance (Encircle unit used: mi /km)

Manufacture Location: TAGUIG ,METRO MANILAManufacture Distance (Encircle unit used :


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mi / km )

Green Building Material LEED Data Formpage 1 of 3Form Development by Davis Langdon and Seah Phils. Inc. Do not reproduce without prior permission.


Project: EEI Corp. - ADB Project

Architect:



Tel. No.: 837-7777 Tel. No.:837- 7777Fax No. : 838-2208 Fax No.:

838-2208www.

A portion of this product extracted, harvested or recovered ( source i.e. mining site), aswell as manufactured

(i.e. plant) within 500 miles (800 km) of the project site.

Raw Materials City or Town / ProvinceDistance

(mi / km) Encircle unit used

Coarse Aggregate Angono, Rizal 50Fine Aggregate Florida Blanca,

Pampanga120

Cement Bulacan 50Fly Ash Quezon Province 180

NB: Verification letter from the manufacturer must be attached. Materials in CSI Sections 2 -10contribute to this credit.

MR c7 CERTIFIED WOOD

The product has wood-based materials.The product is FSC certified.

Component Chain-of-Custody (COC) Certificate No.

NB: Materials in CSI Section 2 10 contribute to this credit.

COC Certified No. to come from the manufacturer if the product is FSC trademarked for thissubmittal. No. to come

from the supplier / vendor if the product is not fabricated in a FSC certified plant.

CERTIFIED BY (Manufaturer):

Print Name : Jun D. Dellosa


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Signature : __________________________Title : Technical ManagerDate : _____________________________



Project: EEI Corp. - ADB ProjectArchitect:



Tel. No.: 837-7777 Tel. No.:837- 7777Fax No. : 838-2208 Fax No.:838-2208www.

Installer Certification

EQ c4 LOW EMITTING MATERIALS

The product is one of the following and used on the interior of the building (inside theweatherproofing system).

Tick appropriate box and provide required information.

Adhessive and Sealants VOC contentg/LPaints and Coatings VOC content g/LCarpet Systems

Backing TypeCRI Identification No.

Composite wood and Agrifiber productNo Urea-formaldehyde resinsBinder Type

NB: Refer to LEED Specificatios for allowable VOC limits for each product.

Technical Data From the manufactrer must be attched. Materials In all CSI sections cancontribute to this credit

including MEPF.

CERTIFIED BY (Manufaturer):Print Name : Jun D. DellosaSignature : __________________________

Title : Technical Manager

Date : _____________________________


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Cost Certification

Total Installed Material Cost(Less Labor and Equipment):

CERTIFIED BY (Manufaturer):Print Name : Jun D. DellosaSignature : __________________________Title : Technical ManagerDate : _____________________________


green building material leed

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