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		| Manufacturer-Specific Questionnaire for BEES Online | 
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		| Company Contact Information | 
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 | Person in Charge of Completing Questionnaire: | 
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 | Your address: | 
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 | Tel: | 
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 | Email: | 
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		| Site Information | 
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 | Site Name: | 
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 | Products Produced at the site | Name of Product | Quantity Produced per Year | 
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		| Published LCA Data on Your Product | 
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		| Is there an LCA study or published EPD we can refer to? | 
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 | Questionnaire updated January 2020 | 
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		| 1.  Product Data | 
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		| I | Bill of Materials (BOM) | 
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 | Units | Quantity | Distance (miles) | Mode | Notes: | 
	
		| a | Product mass per square area (ft2, m2…) | 
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		| b | Product density | 
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		| c | BEES product thickness (if applicable) | 
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		| d | List materials in the product. Feel free to delineate by functional layers of the product. | 
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		| II | Packaging | 
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 | Response: | Notes: | 
	
		| a | Describe how the product is packaged | 
 | Example: sheets of 5' x 20' rolled onto a recycled cardboard core and wrapped in plastic film. | 
	
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 | Transport of Materials to the Site | 
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		| b | Packaging materials and quantity per amount of packaged product described in (a) | Units | Quantity | Distance (miles) | Mode | Notes: | 
	
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		| III | Product Lifetime, Transport, and Other Data | 
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 | Units | Quantity | 
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		| a | Is this product for the commercial market, residential market, or both? | 
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		| b | Expected Lifetime of the Product: | yr | 
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 | Example: manufacturer warranty, knowledge of installed product in place … | 
	
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		| c | Product indoor volatile organic compound (VOC) emissions | 
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		| d | Avg. distance product is transported to customer in N.America: | 
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		| e | Is the product recyclable? | Yes / No | 
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		| f | Manufacturer suggested retail price (average in N.America): | $ | 
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 | provide pricing that excludes installation costs | 
	
	
	
	
	
	
	
	
	
	
	
		| 2.  Plant & Manufacturing Data | 
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		| General | Response: | 
	
		| Briefly describe the manufacturing process for your BEES product: | 
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 | Data Quality | Transport of Materials to the Site | 
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 | Units | Quantity | Source | Type | Year | Distance (miles) | Mode | Notes: | 
	
		| Products | . | 
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		| Products | Building Product for BEES | 
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 | Provide the number of products or units produced in reporting year | 
	
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		| Inflows | . | 
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		| Ancillary | Water use for cooling or steam prioduction | 
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		| Materials & | Fresh water used for processing | 
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 | If you recirculate water, provide make-up amount | 
	
		| Water | Reclaimed water used for processing | 
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 | Lubricants | 
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		| Purchased Energy: | Electricity | 
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 | Steam | 
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 | Compressed Air | 
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 | Others (please specify) | 
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		| Purchased Fuels: | Coal | 
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 | Coke | 
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 | Natural Gas | 
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 | Fuel Oil | 
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 | Diesel Oil | 
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 | Gasoline | 
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 | Others (please specify) | 
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		| Outflows | 
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		| Solid Waste: | Solid waste categories | 
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 | Non-hazardous solid waste | 
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 | Hazardous solid waste | 
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		| 
 | What percent of the product (trimmings, etc.) is generated at manufacturing and is disposed of as waste? | % | 
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		| Recovered Matter: | Recovered Matter (please specify): | 
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 | Fate of rec'd material | 
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 | What percent of the product (trimmings, etc.) is generated at manufacturing and is recovered? | % | 
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		| Air Emissions: | Reported emissions (to  TRI or other agency that requires you to report) | 
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 | Flue gas (volume) | 
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 | Note: Any fuel-related emissions can be left out, unless they are part of your reported inventory emissions data | 
	
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		| Water Effluents: | Water effluent data  if available | 
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 | Wastewater total (volume) | 
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 | BOD | 
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 | COD | 
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		| 3.  Installation and Maintenance Data | 
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		| I | Installation data provided on the basis of: | 
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		| General | Response: | 
	
		| Describe how is the product installed: | 
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 | Units | Quantity per area basis above | Notes: | 
	
		| Inflows | 
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		| Installation | Water | 
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		| Materials | Adhesive | 
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 | Average VOC content of adhesive | 
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 | Is there a low-VOC adhesive alternative? | 
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 | Fasteners, e.g. nails (material: __________) | 
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 | If weight per area is not available, provide number needed, gauge, and length | 
	
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 | Underlayment | 
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 | Others (please specify) | 
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		| Energy | Electricity | 
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 | Steam | 
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 | Compressed Air | 
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 | Others (please specify) | 
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		| Fuels | Propane | 
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 | Fuel Oil | 
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 | Diesel Oil | 
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 | Gasoline | 
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 | Others (please specify) | 
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 | Units | Quantity per area basis above | Notes | 
	
		| Outflows | 
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		| Air emissions | Air emissions | 
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 | VOC | 
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 | Others: | 
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		| Waste | What percent of the product is wasted due to installation (trim waste, etc.) | % | 
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 | How is this managed? | Example: landfill, recycled, etc. | 
	
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		| II | Maintenance | 
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		| General | Response: | 
	
		| Provide recommended maintenance guidelines for your product. Include names of recommended or generic cleaning / finishing products | 
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		| 4. Utilities | 
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		| List the Utility (e.g., cogenerator, wastewater treatment plant, etc.) below and provide data in each approporiate column | 
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		| Identify the Utility | Describe what each utility on site does | 
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 | Allocation to the product: | 
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		| Utility provides | Example: Column D Utility: __WW treatment plant__ | Example: the WWTP treatment plant treats the water from our nylon spinning and dye plants. | 
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		| services to the | Column D Utility: _________________ | 
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		| following processes | Column I Utility: _________________ | 
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		| on your site: | Column N Utility: _________________ | 
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		| 
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 | Utility 1: _______ | DQ | 
 | Utility 2: _______ | DQ | 
 | Utility 3: _______ | DQ | Transport of Materials to the Site | 
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		| 
 | 
 | Units | Quantity | S | T | Y | Units | Quantity | S | T | Y | Units | Quantity | S | T | Y | Distance (miles) | Mode | Notes: | 
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		| Inflows | 
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		| Raw Materials: | Water | 
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 | N/A | N/A | 
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		| Purchased Energy: | Electricity | 
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 | Steam | 
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 | Compressed Air | 
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 | Others (please specify) | 
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		| Purchased Fuels: | Natural Gas | 
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 | Fuel Oil | 
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 | Diesel Oil | 
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 | Gasoline | 
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 | Others (please specify) | 
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		| Pollutants: | Pollutant Flows | 
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 | Wastewater | 
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		| Solid Waste: | Total Solid Waste | 
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 | Solid Waste | 
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