Section 3-1: Environmental Protection

3-1-00 Policy

10 Procedures

20 Guidance and Information

30 (Reserved)

3-1-00 Policy

The Department of Health and Human Services is committed to complying
with all applicable Federal, state, and local environmental laws,
statutes, and regulations; protecting the environment; and conserving
our environmental resources by being proactive and cost effective in our
environmental stewardship. It is HHS policy that pollution be prevented
or reduced at the source. All HHS organizations shall give first
priority to avoiding or reducing the generation of hazardous substances,
pollutants, and contaminants at the source. Pollution and hazardous
wastes that cannot be prevented or recycled must be treated in an
environmentally safe manner to reduce volume, toxicity, and/or mobility.
Only as a last resort should disposal or other release into the
environment be considered and employed. Such disposal or release must be
conducted in accordance with all applicable authorities and in an
environmentally safe manner. Managers and employees are expected to
execute their responsibilities in a way that is proactive and cost
effective in the protection and conservation of our environmental
resources and in a manner that complies with all applicable Federal,
state, and local environmental laws, statutes, and regulations.

3-1-10 Procedures

A. Goals and Objectives

The goals of HHS environmental efforts are to prevent harm to the
environment and enhance the quality of human health by conserving our
environmental resources. These goals are satisfied by meeting the
following objectives:

[Compliance]{.underline} - To comply with all applicable Federal, state,
and local environmental laws, statutes, and regulations;

[Conservation]{.underline} - To protect and conserve our environmental
resources through pollution prevention and hazardous waste minimization
through waste reduction and recycling;

[Pollution Prevention]{.underline} - To protect and conserve our
environmental resources through source reduction in facility management
and acquisition practices, where practicable, as a primary means of
achieving and maintaining compliance with applicable Federal, state, and
local environmental laws, statutes, and regulations; and

[Restoration]{.underline} - To repair damage to a site caused by human
activity, industry, or natural disasters to restore the site as closely
as possible to its natural condition before it was disturbed

B. ENVIRONMENTAL MANAGEMENT SYSTEMS (EMS)

In addition to what is contained in GAM 30, landholding OPDIVS are
required to develop an EMS where required by Executive Order 13423,
*Strengthening Federal Environmental, Energy, and Transportation
Management*. An EMS is a business management practice that allows an
organization to systematically manage and improve its environmental
program. Implementation reflects accepted quality management principles
based on the "Plan, Do, Check, Act," model using a standard process to
identify goals, establish supporting procedures, review progress, and
make adjustments to ensure continual improvement.

Elements of an EMS include:

-   Developing a policy endorsed by top management stating the
    organization's environmental commitments.

-   Identifying significant environmental aspects (*i.e.,*
    organizational activities that impact or potentially impact the
    environment).

-   Establishing objectives and targets to reduce these aspects/impacts
    and improve the overall system.

-   Developing programs and procedures to support the organization in
    meeting those targets and objectives.

-   Engaging top-level management in reviewing implementation and
    progress to identify areas for improvement.

3-1-20 Guidance and Information

See the HHS [GAM, Part 30---Environmental Protection---February
2000](http://www.hhs.gov/hhsmanuals/read/gam/part30/), for additional
guidance and information.

[Contractors]{.underline}. All OPDIVs shall provide, in all future
contracts between the organization and its relevant contractors, for the
contractor to supply all information the OPDIV deems necessary for it to
comply with this requirement. In addition, to the extent that compliance
with any environmental law, regulation, and/or Executive Order is made
more difficult due to lack of information from existing contractors, an
OPDIV shall take practical steps to obtain the information from such
contractors that is needed to comply.

Section 3-2: Emergency Planning and Community Right-To-Know Act of 1986
(EPCRA) Requirements

3-2-00 Policy

10 (Reserved)

20 Guidance and Information

30 (Reserved)

3-2-00 Policy

EPCRA\'s provisions form two primary programs: 1) emergency planning,
and 2) community right-to-know. EPCRA establishes a mechanism for
providing the public with important information on the hazardous and
toxic chemicals in their communities, and it creates emergency planning
and notification requirements to protect the public in the event of a
release of extremely hazardous substances. The law requires local
communities to prepare plans for dealing with emergencies relating to
the release of extremely hazardous substances from facilities within
those communities. EPCRA also provides the public and local and state
governments with the right to obtain information concerning the types,
amount, location, storage, use, disposition, and possible health effects
from the release of hazardous and extremely hazardous substances from
facilities that are in their communities. Executive Order 12856
("Federal Compliance With Right-to-Know Laws and Pollution Prevention
Requirements", Aug 3, 1993) requires all Federal agencies to comply with
EPCRA.

20. GUIDANCE AND INFORMATION

Facilities that are subject to EPCRA are required to provide information
and reports to EPA and state and local groups. Five distinct reporting
requirements are contained in EPCRA:

(1) Emergency planning (GAM 30-60-20);

(2) Notification of release (GAM 30-60-30);

(3) Material safety data sheet submission (GAM 30-60-40);

(4) Emergency and hazardous chemical inventory reporting (GAM 30-60-50);
    and

(5) Toxic chemical release reports (GAM 30-60-70).

Each of these reporting requirements and other facility responsibilities
are described in GAM 30-60,
<http://www.hhs.gov/hhsmanuals/read/gam/part30/>. It is not intended
that these cited GAM provisions be used as the sole source of
information for these EPCRA compliance requirements, but only as a
starting point. The Department recognizes that any of the authorities
and requirements described in these cited GAM provisions may have been
revised since the issuance of GAM Chapter 30 in February 2000.
Therefore, the current specific EPCRA statutory and regulatory
provisions and any relevant Executive Orders should also be reviewed
when any specific question or issue arises.

Section 3-3: ENERGY AND WATER MANAGEMENT

3-3-00 Policy

10 Procedures

20 Guidance and Information

30 Reporting Requirements

3-3-00 Policy

The purpose of this section is to provide policy directives and
procedures for the efficient use of energy and water at facilities
associated with the Department of Health and Human Services (HHS). The
section outlines the Department-wide energy and water management program
that provides the foundation and direction for the Operating Divisions
(OPDIVs) and individual facility energy and water conservation programs.
All HHS personnel shall support the goals of energy and water
conservation and cooperate with program initiatives.

In August 2005, the Energy Policy Act (EPACT) of 2005 was signed. EPACT
2005 requires a reduction in energy use of 2% per year when compared to
a 2003 baseline.

On January 24th, 2007, President George W. Bush signed Executive Order
13423, "Strengthening Federal Environmental, Energy, and Transportation
Management." This EO addresses a wide array of environmental and
energy-related management areas including energy efficiency, water
conservation, green procurement, toxics reduction, recycling, renewable
energy, sustainable buildings, electronic stewardship, and fleet fuel
efficiency. It also calls for more widespread use of EMS as the
framework to manage and continually improve these sustainable practices.
(Executive Order 13423 superseded EOs 13101, 13123, 13134, 13148, and
13149.)

In terms of facility energy management, this EO is significantly more
stringent than the EPACT of 2005. The EO sets forth the following energy
management and water conservation goals:

-   ENERGY EFFICIENCY: Reduce energy intensity by 3 % annually through
    2015 or by 30% by 2015.

-   GREENHOUSE GASES: By reducing energy intensity by 3% annually or 30%
    by 2015, reduce greenhouse gas emissions.

-   RENEWABLE POWER: At least 50% of current renewable energy purchases
    must come from new renewable sources (in service after January 1,
    1999).

-   BUILDING PERFORMANCE: Construct or renovate buildings in accordance
    with sustainability strategies, including resource conservation,
    reduction, and use; siting; and indoor environmental quality.

-   WATER CONSERVATION: Reduce water consumption by 2% annually through
    2015.

The EO also establishes additional goals that, while not pertaining
directly to facility energy and water use, will have an overall impact
on energy and water. These additional goals are as follows:

-   ELECTRONICS MANAGEMENT: Annually, 95% of electronic products
    purchased must meet Electronic Product Environmental Assessment Tool
    standards where applicable; enable Energy Star® features on 100% of
    computers and monitors; and reuse, donate, sell, or recycle 100% of
    electronic products using environmentally sound management
    practices.

-   PROCUREMENT: Expand purchases of environmentally-sound goods and
    services, including biobased products.

-   POLLUTION PREVENTION: Reduce use of chemicals and toxic materials
    and purchase lower risk chemicals and toxic materials from top
    priority list.

-   ENVIRONMENTAL MANAGEMENT SYSTEMS: By 2010, increase to at least
    2,500 the number of Federal operations that implement environmental
    management systems, up from about 1,000 today.

-   ALTERNATIVE FUEL USE: Increase alternative fuel consumption at least
    10% annually.

-   VEHICLES and PETROLEUM CONSERVATION: Increase purchase of
    alternative fuel, hybrid, and plug-in hybrid vehicles when
    commercially available and reduce petroleum consumption in fleet
    vehicles by 2% annually through 2015.

The Executive Order establishes stringent goals, practices, and
reporting requirements for environmental, energy, and transportation
performance and accountability.

Each OPDIV is hereby tasked with responsibility to meet or exceed these
mandates for assigned facilities based on guidelines and policy issued
by the HHS Office of the Secretary, Energy Program Officer.

A. MANAGEMENT

It is the policy of HHS and its OPDIVs to manage its facilities in the
most energy and water efficient manner consistent with: 1) Federal
energy and water efficiency requirements, 2) safety of personnel and
protection of facilities, 3) reliability and maintainability of its
building operating systems, 4) protection of the environment (*e.g*.,
reduction of emissions, elimination of CFC refrigerants), 5) maximum
effectiveness of its employees, and 6) the mission of HHS, the OPDIVs,
and individual facilities.

Management encompasses the full scope of energy and water impacting
activities, including design, construction, and renovation of buildings;
purchase and operation of building equipment, energy consuming personal
property, and fuel sources; and employee actions. OPDIVS and facility
managers will comply with specific requirements of applicable energy and
water conservation-related laws, regulations, and executive orders. Life
Cycle Cost (LCC) alternatives will be considered and will be pursued
whenever feasible in order to achieve greater energy conservation than
standards require. OPDIVs are encouraged to favorably consider
additional capital expenditures and/or personnel costs for activities
that will reduce overall energy usage. OPDIVs and facilities will
evaluate energy conservation opportunities at least annually and prepare
and fund a plan to implement the most significant of the identified
opportunities.

B. Applicability

The Department of Health and Human Services (HHS) energy and water
management program provides policy guidance, tools, and assistance to
the OPDIVs for energy and water conservation. The Department program
coordinates the efforts of the OPDIVs and serves as a model for
individual OPDIV and facility programs. The program is managed by the
Office of the Secretary, Assistant Secretary for Administration and
Management, Office for Facilities Management and Policy.

Each HHS OPDIV is required to develop a centralized energy and water
management program consistent with the applicable laws, regulations,
guidelines, and policies, as well as the agency program described in
this chapter. The purpose of the OPDIV program is to coordinate the
efficiency efforts and provide specific guidance to facility managers,
engineers, architects, managers, procurement officials, and others
involved in energy and water efficiency operators, and users within the
OPDIV. Individual facilities may establish their own energy and water
efficiency program based on the goals of the Department program while
using the existing tools and resources.

The policies and procedures described in this chapter are applicable to
all HHS owned space and General Services Administration (GSA) delegated
space or privately leased space for which HHS pays the utility costs.

In all new lease agreements (except leased space from Tribal
organizations), the OPDIVs must require the lessors to implement all
energy conservation improvements to the building that have a payback
period less than the term of the lease or 10 years, whichever is the
shorter period. In GSA leased space, GSA will be the lead agency in
creating or renewing leases and in designating operating procedures to
minimize energy usage unless HHS has delegated management authority.

3-3-10 Procedures

A. Energy Consumption and Greenhouse Gas Emission Reduction

Energy and water consumption and greenhouse gas emission reduction in
each HHS facility is the responsibility of the OPDIV Facility Director.
The Facility Director should plan to reduce facility energy and water
consumption and greenhouse gas emissions to meet Federal requirements
through a multifaceted approach including, but not limited to, the
following:

-   Maximize use of available alternative financing contracting
    mechanisms, including ESPCs and utility energy service contracts.

-   Consider the LCC of combinations of projects, particularly to
    encourage bundling of energy efficiency projects with renewable
    energy projects.

-   Operate the existing building equipment in the most energy efficient
    manner to minimize operating hours and temperature setpoint extremes
    while maximizing productivity in the space.

-   Conduct Energy Audits.

-   Analyze and implement energy and water conservation projects
    identified in audits.

-   Establish an energy awareness program for all employees.

-   Monitor utility billing and energy consumption to evaluate progress
    toward conservation goals and eliminate the potential for billing
    errors.

-   Construct new facilities and perform building renovations to comply
    with Federal energy performance standards.

-   Procure low cost fuel from deregulated markets, where available.

-   Select Energy Star® and other energy efficient products (in the
    upper 25 percent of energy efficiency) when acquiring energy-using
    materials and equipment.

-   Limit the number of personal appliances (*e.g*., refrigerators,
    water coolers) brought into the facility.

-   Enforce restrictions on personal space heaters and reduce the need
    for this equipment by ensuring building equipment and systems are
    operating properly.

-   Encourage use of energy saving software for personal computers.

-   Encourage all employees to turn off lights and other equipment at
    the end of the day.

-   As required by EPACT 2005, separately meter all buildings as
    provided for in Departmental guidance.

-   Develop a water conservation plan to implement projects to reduce
    water consumption.

Number range CHAPTERB. Energy Auditing

Each agency is required to continue conducting energy and water audits
for approximately 10 percent of their facilities each year, either
independently or through ESPCs or utility energy efficiency service
contracts. HHS will integrate the Energy Star® Building rating tool
and/or the LEED Existing Buildings Criteria into these facility audits,
whenever possible.

There are several resources available to complete a comprehensive energy
audit. Facilities are encouraged to take advantage of low cost
comprehensive facility audits, such as those provided by DOE, GSA, or
local utilities. If a facility is considering an ESPC, the comprehensive
energy audit may be performed by the company interested in the contract
(*i.e*., a utility or energy services company) and then financed as part
of the contract agreement. Often there are barriers involved when
pursuing any of these audit options, such as time constraints,
unfavorable utility stipulations, or unavailability of these options. At
that point, facilities will turn to either in-house audits using energy
simulation software or contract with an engineering company to perform
the audit.

> 1\. [Local Utility]{.underline}: The first resource a facility should
> pursue is their local utility to see what type of, if any, programs
> are available specifically for comprehensive facility audits. Local
> utility companies, both electric and gas, may offer low cost facility
> audits. Utility companies vary widely in the type of programs they
> offer for energy management. In some cases, the utility company may
> offer to pay a portion of the cost for a facility audit. When
> consulting with the utility company, it is important to specifically
> ask what type of audit will be performed. For example, an electric
> utility may only look at the lighting or electrical systems. This is
> not a comprehensive audit since it does not reflect the entire
> building as a whole system.
>
> 2\. [Federal Resources]{.underline}: If a utility audit is not
> feasible, then the facility should consider a federal program, through
> either DOE or GSA. DOE FEMP has developed the SAVEnergy Program to
> conduct energy and water audits and present action plans that will
> facilitate project implementation and maximize both energy and dollar
> savings. SAVEnergy Audits are not available for direct leased
> facilities. DOE FEMP will pay a portion of the audit cost to their
> contractor while the facility uses direct agency funding to make up
> the rest. It is important to note that DOE FEMP does not guarantee
> that all requests will receive audit funding. Request forms are
> reviewed and judged upon factors such as high energy costs, funding
> availability, aggressive utility demand side management programs, and
> on-site energy management leadership. Only those facilities with high
> opportunities are chosen for comprehensive audits. Request forms are
> available from the DOE FEMP website at
> <http://www1.eere.energy.gov/femp/services/assessments_savenergy.html>.
>
> 3\. [ESPC/UESC Audit:]{.underline} Often the only means by which a
> facility can implement energy and water efficiency projects is by
> using an alternative financing contract (ESPC or UESC). The utility or
> company involved in the alternative financing contract will often
> offer the completion of a comprehensive energy audit in their
> proposal, and most include the performance of an audit in their price
> as a standard line item. The cost of the audit can be paid up-front or
> financed in the contract agreement with the recommended projects.
> Therefore, if a facility is strongly considering an ESPC or UESC, the
> most cost-effective manner of completing a comprehensive energy audit
> is with the interested company or utility.
>
> 4\. [In-House Audit:]{.underline} Another resource for comprehensive
> facility audits is an in-house audit. Many facilities have an
> engineering design or operations staff that is fully capable of
> performing a comprehensive facility audit. In many cases, these
> facilities have already performed numerous studies and evaluations of
> energy and water conservation projects. In order for an in-house audit
> to qualify as a comprehensive facility audit, it must meet the
> following requirements:
>
> a\. Generation of an energy simulation model, for use in developing
> and comparing energy conservation measures, from computer software
> such as ASEAM, FEDS, DOE2, Trane Tracer, Carrier;
>
> b\. Exploration of water conservation measures and renewable energy
> applications;
>
> c\. LCC comparisons of energy and water conservation measures;
>
> d\. Analysis of operation and maintenance procedures for energy
> efficiency; and
>
> e\. A complete report stating method of audit, energy and water
> conservation measures analyzed, economic justification, and
> implementation plan of recommendations.
>
> DOE FEMP distributes, free of charge, many computer programs and
> publications that can assist agencies in performing in-house audits.
> More information on these programs can be found on the FEMP website at
> <http://www1.eere.energy.gov/femp/information/access_tools.html>.
>
> 5\. [Engineering Firm Audit:]{.underline} The final resource for the
> completion of comprehensive energy audits is an engineering firm.
> There are many companies, from small consulting firms to large energy
> service companies, who can perform energy audits. The major drawback
> with using an outside company is the initial funding required to
> contract for their services. As mentioned previously, a local utility
> company may help to offset the cost for the audit. Otherwise, the
> agency is required to budget funding appropriately in order to comply
> with audit requirements. The GSA Energy Services schedule can be used
> to expedite contracting with an engineering firm to perform a
> comprehensive audit.

C. Energy Efficiency and Water Conservation Project Implementation

Agencies and facilities will utilize LCC energy measures to meet the
greenhouse gas emissions, energy consumption, and water consumption
reduction goals. The implementation of energy efficiency and water
conservation projects is the foundation of compliance with the Executive
Order.

D. Energy Accounting

All HHS facilities responsible for the direct payment of utility bills
must report energy consumption and cost data on an annual basis to the
OPDIV energy office. The OPDIV energy office is then required to report
this information to the HHS Energy Officer in the annual energy report.
Therefore, it is extremely important that the facility or energy manager
coordinate the consolidation of energy consumption and cost data for all
types of energy including electricity, natural gas, fuel oil, propane,
coal, purchased steam, and water.

The facility or energy manager should review energy consumption and cost
data monthly and compare usage to previous months and corresponding
timeframes in prior fiscal years. Monitoring usage rates can highlight
areas of concern and consumption anomalies in the building operating
plan such as high consumption during off peak hours, unusually high
usage peaks, or prolonged excessive consumption. These problems may not
be apparent during day-to-day activities, but could be revealed by
analysis of monthly utility bills. Careful review of utility bills may
also disclose errors by the utility company.

3-3-20 Guidance and Information

A. Energy Management Training

A key individual must be appointed at each HHS land holding OPDIV as the
ODIV Energy Coordinator to serve as the focal point for all energy
matters and to manage and monitor energy consumption and conservation.
These individuals should become trained energy managers as defined
below.

The Energy Policy and Conservation Act (EPACT) requires executive
departments and agencies to establish and maintain programs to ensure
that facility energy managers are \"trained energy managers.\" This
entails demonstrated proficiency or a completed course of study in all
of the following areas:

-   Fundamentals of building energy systems

-   Building energy codes and applicable professional standards

-   Energy accounting and analysis

-   LCC methodology

-   Fuel supply and pricing

-   Instrumentation for energy surveys and audits

Demonstrated proficiency can be verified by on-the-job performance in
current or previous positions or through certification as an energy
manager by an appropriate professional organization such as the
Association of Energy Engineers or a public education institution.
Courses of study in the topics listed above may be through private or
public education institutions, a government agency program, a
professional association training program, or a private company.

In addition, HHS is required to ensure that all energy managers receive
training for implementing EO 13423, *Strengthening Federal
Environmental, Energy, and Transportation Management*, and its
provisions, and EPACT 2005.

B. Energy Awareness Program

The energy used by lights and miscellaneous equipment such as computers,
printers, refrigerators, freezers, and laboratory equipment is often a
very large percentage of a facility\'s total annual energy consumption.
The use of this equipment is normally controlled by the occupants.
Therefore, the most effective method of energy and water conservation in
this area is an employee energy awareness program consisting of
education, information, and support.

First, the occupants of the building must be educated on the amount of
energy that is used to operate the lights and miscellaneous equipment
and the role it plays in the energy costs of the entire facility. Next,
the occupants must be given direction and information on how they can
control these energy costs in their own offices and labs. Finally, the
occupants must receive support, feedback, and recognition for their
efforts in energy and water conservation.

Several tools are necessary for an energy and water awareness program to
be successful. There needs to be a primary tool for communication such
as a newsletter, flyer, or electronic mail. It is important that the
communication tool is available to all employees and is sent directly to
them, particularly in the early stages of the awareness program. Once a
communication tool is established, information can be given to the
employees about energy consumption, reduction tips, and various
activities. It is also very important to allow employees to use this
tool as a means of providing feedback to facility management.

Marketing tools work well to keep the awareness program visible
throughout the facility. These tools would include posters, stickers,
pamphlets, post-it notes, pens, magnets, etc. Many of these items are
available at no charge through FEMP energy conservation campaigns, local
utilities, large vendors or private companies, EPA, and professional
organizations.

The DOE FEMP "You Have the Power Campaign" was established to support
the President's goal of developing outreach programs that educate and
promote energy efficiency. A communications initiative, the campaign
raises awareness of the energy-saving activities at Federal agencies
across the country and around the world. Individual and group energy
efficiency efforts are championed through promotional materials,
successful public/private partnerships are showcased, and interagency
cooperation is highlighted. To learn more about participating in the
campaign or to request campaign materials, browse the website at
<http://www.eere.energy.gov/femp/services/yhtp/>.

A measurement tool should be in place to establish baseline awareness
habits and monitor progress towards improving these habits. Monitoring
tools may include off-hour audits or walk-throughs, security personnel
reports from after-hours rounds, or a building energy monitor program
where specific individuals are assigned to monitor the actions of fellow
employees. Monitoring must be completed on a routine basis and the
results must be communicated to the employees.

Recognition tools are strongly recommended to keep interest in the
awareness program. These may vary widely from having an OPDIV awards
program that recognizes leaders in energy and water conservation to a
spoken or written word from high-level management, or to actual material
rewards.

The keys to a successful energy management program are to provide
statistical data and information, communicate your facility\'s energy
reduction goals, provide guidance and reduction tips, recognize
achievements, and keep it fun.

3-3-30 Reporting Requirements

HHS as an agency is required by EPACT 2005 to measure and report its
progress on an annual basis. The OPDIV reports will include descriptions
of how energy and greenhouse gas reduction goals are being met and will
also detail why certain strategies, if any, have not been used. Exempt
facilities will be listed and an explanation about these facilities'
status will be included. In addition, OPDIV budget submissions shall
specifically request funding necessary to achieve the goals of EO 13423
and EPACT 2005, including the costs associated with ESPCs, utility
energy service contracts, and implementing LCC measures. The HHS annual
energy report is generated as a summary document of the individual OPDIV
annual energy reports. Therefore, each facility must report energy
consumption and cost data, and energy management activities annually to
their corresponding OPDIV energy office. The OPDIV Energy Coordinator
must then submit an annual report to the HHS Energy Officer that
consolidates all of the information from the facilities.

Each agency's progress will be evaluated by OMB and DOE through an
energy scorecard and scoring system. The scoring criteria will include
the extent to which agencies are taking advantage of key tools. The
scorecards will be based on the annual energy reports submitted by HHS.
In turn, the OPDIVs will receive a report card based on these criteria.

The HHS Energy Officer distributes the annual energy report format and
guidelines in August of each year to the OPDIV Energy Coordinators. The
Energy Coordinators are then responsible for gathering the required
information from the individual facilities.

Section 3-4: Historic Preservation

3-4-00 Policy

10 Procedures

20 Guidance and Information

30 Reporting Requirements

3-4-00 Policy

It is the policy of HHS that OPDIVs and other HHS organizations whose
activities may affect a historic or cultural asset of the United States,
will comply with "The Secretary of the Interior's Guidelines and
Standards for Historic Preservation Programs" in order that all HHS
activities will be carried out in compliance with the National Historic
Preservation Act (NHPA) of 1966, as amended and other related laws and
Executive Orders. For HHS grants that affect historic properties please
see HHS Grants Policy.

A. Preserve America

Executive Order 13287, \"Preserve America,\" which was signed by the
President on March 3, 2003, established Federal policy to provide
leadership in preserving America\'s heritage by actively advancing the
protection, enhancement, and contemporary use of the historic properties
owned by the Federal Government, and by promoting intergovernmental
cooperation and partnerships for the preservation and use of historic
properties.

The Executive Order directs Federal agencies to improve their knowledge
about, and management of, historic resources in their care. It also
encourages agencies to seek partnerships with state, tribal, and local
governments and the private sector to make more efficient and informed
use of these resources for economic development and other recognized
public benefits.

The Executive Order shines a spotlight on the value of heritage tourism
to the nation through historic preservation, recognition of important
natural assets, public education, and economic activity. It directs the
Secretary of Commerce, working with other agencies, to use existing
authorities and resources to assist in the development of local and
regional heritage tourism programs that are a significant feature of
many state and local economies.

It is the policy of the Federal Government to provide leadership in
preserving America\'s heritage by actively advancing the protection,
enhancement, and contemporary use of the historic properties owned by
the Federal Government, and by promoting intergovernmental cooperation
and partnerships for the preservation and use of historic properties.
The Federal Government shall recognize and manage the historic
properties in its ownership as assets that can support department and
agency missions while contributing to the vitality and economic
well-being of the Nation\'s communities and fostering a broader
appreciation for the development of the United States and its underlying
values. Where consistent with executive branch department and agency
missions, governing law, applicable preservation standards, and where
appropriate, executive branch departments and agencies, (\"agency\" or
\"agencies\") shall advance this policy through the protection and
continued use of the historic properties owned by the Federal
Government, and by pursuing partnerships with state and local
governments, Indian tribes, and the private sector to promote the
preservation of the unique cultural heritage of communities and of the
Nation, and to realize the economic benefit that these properties can
provide. Agencies shall maximize efforts to integrate the policies,
procedures, and practices of the National Historic Preservation Act
(NHPA) and this order into their program activities in order to
efficiently and effectively advance historic preservation objectives in
the pursuit of their missions.

B. FEDERAL MANDATES

Relevant statutes and regulations include but are not limited to:

-   Executive Order 13287, *Preserve America*

-   National Historic Preservation Act (NHPA) of 1966

-   Protection of Historic Properties Section 110

-   Protection of Historic Properties Section 106, 36 CFR Part 800

-   36 CFR 61, Professional Qualifications for Historic Projects

-   36 CFR 67, The Secretary of the Interior\'s Standards for
    Rehabilitation

-   36 CFR 68, The Secretary of the Interior\'s Standards for the
    Treatment of Historic Properties

3-4-10 Procedures

A. Building Preservation Partnerships

The following procedures apply to Executive Order 13287, *Preserve
America.*

When carrying out its mission activities, each OPDIV, where consistent
with its mission and governing authorities, and where appropriate, shall
seek partnerships with state and local governments, Indian tribes, and
the private sector to promote local economic development and vitality
through the use of historic properties in a manner that contributes to
the long-term preservation and productive use of those properties. Each
OPDIV shall examine its policies, procedures, and capabilities to ensure
that its actions encourage, support, and foster public-private
initiatives and investment in the use, reuse, and rehabilitation of
historic properties, to the extent such support is not inconsistent with
other provisions of law, the Secretary of the Interior\'s Standards for
Archeology and Historic Preservation, or essential departmental and
OPDIV mission requirements.

B. Improving HHS Planning and Accountability

Accurate information on the state of HHS owned historic properties is
essential to achieving the goals of this order and to promoting
community economic development through local partnerships. Each
HHS/OPDIV with real property management responsibilities shall prepare
an assessment of the current status of its inventory of historic
properties required by section 110(a)(2) of the NHPA (16 USC
470h-2(a)(2)), the general condition and management needs of such
properties, and the steps underway or planned to meet those management
needs. The assessment shall also include an evaluation of the
suitability of the OPDIV\'s types of historic properties to contribute
to community economic development initiatives, including heritage
tourism, taking into account HHS/OPDIV mission needs, public access
considerations, and the long-term preservation of the historic
properties. The first status reports required by E.O. 13286, were due to
the Chairman of the Advisory Council on Historic Preservation (Council)
and the Secretary of the Interior by September 30, 2005. Follow-up
reports are due every third year thereafter.

C. Improving Federal Stewardship of Historic Properties

Each OPDIV shall ensure that the management of historic properties in
its ownership is conducted in a manner that promotes the long-term
preservation and use of those properties as Federal assets and, where
consistent with OPDIV missions, governing law, and the nature of the
properties, contributes to the local community and its economy.

1.  Where consistent with OPDIV missions and the Secretary of the
    Interior\'s Standards for Archeology and Historic Preservation, and
    where appropriate, agencies shall cooperate with communities to
    increase opportunities for public benefit from, and access to,
    federally owned historic properties.

2.  The Council is directed to use its existing authority to encourage
    and accept donations of money, equipment, and other resources from
    public and private parties to assist other agencies in the
    preservation of historic properties in Federal ownership to fulfill
    the goals of the NHPA and this order.

3.  The National Park Service, working with the Council and in
    consultation with other agencies, shall make available existing
    materials and information for education, training, and awareness of
    historic property stewardship to ensure that all Federal personnel
    have access to information and can develop the skills necessary to
    continue the productive use of Federally owned historic properties
    while meeting their stewardship responsibilities.

4.  The Council, in consultation with the National Park Service and
    other agencies, shall encourage and recognize exceptional
    achievement by such agencies in meeting the goals of the NHPA and
    this order.

3-4-20 Guidance and Information

OPDIVs have or should be developing reporting systems to fulfill the
assessment and reporting requirements of subsections 3(a)-(c) of EO
13287. To assist agencies, the Council, in consultation with the
Secretary of the Interior, has prepared advisory historic preservation
program guidelines for agencies to use at their discretion.

The Secretary of Health and Human Services has designated the DAS, OFMP
as the HHS senior policy level official to have policy oversight
responsibility for the agency\'s historic preservation program. The DAS,
OFMP has further designated a qualified subordinate employee to serve as
the agency\'s Federal Preservation Officer in accordance with section
110(c) of the NHPA. The Federal Preservation Officer is qualified
consistent with guidelines established by the Secretary for that
position and has access to adequate expertise and support to carry out
the duties of the position.

A. Promoting Preservation Through Heritage Tourism

1.  To the extent permitted by law and within existing resources, the
    Secretary of Commerce, working with the Council and other agencies,
    shall assist states, Indian tribes, and local communities in
    promoting the use of historic properties for heritage tourism and
    related economic development in a manner that contributes to the
    long-term preservation and productive use of those properties. Such
    assistance shall include efforts to strengthen and improve heritage
    tourism activities throughout the country as they relate to
    federally owned historic properties and significant natural assets
    on Federal lands.

2.  Where consistent with OPDIV missions and governing law, and where
    appropriate, OPDIVS shall use historic properties in their ownership
    in conjunction with state, tribal, and local tourism programs to
    foster viable economic partnerships, including, but not limited to,
    cooperation and coordination with tourism officials and others with
    interests in the properties.

B. National and Homeland Security Considerations

Nothing in this section shall be construed to require any agency to take
any action or disclose any information that would conflict with or
compromise national and homeland security goals, policies, programs, or
activities.

C. Definitions

For the purposes of this section, the term \"historic property\" means
any prehistoric or historic district, site, building, structure, or
object included on or eligible for inclusion on the National Register of
Historic Places in accordance with section 301(5) of the NHPA (16 USC
470w(5)). The term \"heritage tourism\" means the business and practice
of attracting and accommodating visitors to a place or area based
especially on the unique or special aspects of that locale\'s history,
landscape (including trail systems), and culture. The terms \"Federally
owned,\" \"in Federal ownership,\" and similar terms, as used in this
order, do not include properties acquired by agencies as a result of
foreclosure or similar actions and that are held for a period of less
than five years.

3-4-30 Reporting Requirements

Each OPDIV with real property management responsibilities reported
September 30, 2005, and is responsible for reporting every year
thereafter on its progress in identifying, protecting, and using
historic properties in its ownership. The report should be provided to
OFMP, which is responsible for consolidating the reports and sending to
the Council. The Council shall incorporate this data into a report on
the state of the Federal Government\'s historic properties and their
contribution to local economic development and submit this report to the
President. The main topic areas to be addressed are:

1.  What types of historic properties does your agency own or manage and
    how is this information collected and maintained?

2.  How would you characterize the distribution and general condition of
    these properties?

3.  What reporting mechanisms and systems are used by your agency for
    carrying out its resource management responsibilities?

4.  Does your agency coordinate its data gathering for historic
    properties under its ownership or control with required Federal
    audit, accounting, and financial management reporting?

5.  How is your agency fulfilling its historic preservation program
    responsibilities under Section 110 of NHPA?

6.  How is your agency complying with Section 111 of NHPA when historic
    properties are transferred, leased, or sold?

7.  If your agency does not currently have a historic preservation
    program or procedures for complying with Sections 110 and 111, what
    future actions will be taken to meet these statutory requirements?

8.  What issues regarding your agency's mission, internal policies,
    location of its inventory of historic properties, or use of such
    properties could potentially hinder the agency's ability to
    contribute to community economic development initiatives?

9.  Does your agency have programs and policies that help it to identify
    historic preservation opportunities and promote preservation through
    partnerships?

10. How would your agency characterize its overall progress in meeting
    its property management and stewardship responsibilities since
    filing its last Executive Order 13287, Section 3 Report?

Section 3-5: ARCHITECTURAL BARRIERS COMPLIANCE

3-5-00 Policy

10 Procedures

20 Guidance and Information

30 (Reserved)

3-5-00 Policy

A. The Architectural Barriers Act (ABA) of 1968

Most Federal buildings and certain federally funded buildings are
covered by the Architectural Barriers Act (ABA) of 1968. This act is
enforced by the Access Board and requires that covered federally funded
buildings and facilities be accessible to persons with disabilities. The
Board was created to enforce the ABA, which it does through the
investigation of complaints.

3-5-10 Procedures

A. Existing Facilities

The [ABA Guidelines]{.underline} cover new construction and planned
alterations and do not apply to existing facilities except where
altered. Existing facilities built or altered according to earlier
versions of the ABA standards will not necessarily have to meet the
updated version except where they are subsequently altered or renovated.
(Additional information on accessibility requirements for persons with
disabilities is provided in Chapter 3 of Volume I).

B. Complaint Handling

> 1\. Complaints of inaccessible conditions received by HHS OPDIVS from
> employees or facility users should be resolved at the OPDIV level,
> when possible. Otherwise, they may be forwarded to OFMP for review and
> resolution.
>
> 2\. Complaints received from the Architectural and Transportation
> Barriers Compliance Board (ATBCB) shall be forwarded to the
> appropriate agency facilities office for review and necessary action.
>
> 3\. Complaints received by OFMP that require site investigation to
> determine validity or means of resolution will be forwarded to the
> appropriate OPDIV facilities office for investigation and action. An
> interim reply will be prepared and sent by OFMP to the party
> submitting the complaint (*i.e*., the ATBCB or the complainant).
>
> 4\. Upon completion of its investigation, the OPDIV facilities office
> will notify the ATBCB or complainant, as appropriate, of the results.
> A copy of final resolution shall be furnished to OFMP. In cases where
> remedial action is required, the facilities office will notify the HHS
> OPDIV official responsible for operating or funding the facility of
> any standards violation, and any necessary remedial action.

3-5-20 Guidance and Information

Facilities not constructed with Federal funds, but which house federally
conducted programs and activities, are covered by Section 504 of the
Rehabilitation Act of 1973 (29 USC 794) which is enforced by the Office
for Civil Rights (OCR). Effective May 8, 2006, the Uniform Federal
Accessibility Standards (UFAS) were replaced by the Architectural
Barriers Act (ABA) Accessibility Guidelines, codified at 36 C.F.R. Part
1191 (ABA Chapters 1, 2 and 3 through 10) (the ABA Accessibility
Guidelines are available atNumber range CHAPTER
[www.access-board.gov.](http://www.access-board.gov./) The General
Services Administration adopted the ABA Accessibility Guidelines as
enforceable standards in November of 2005. These new standards apply to
construction and alterations that commence on or after May 8, 2006 and
to leases entered into on or after that date. For construction or
alteration projects that began before May 8, 2006 and for projects whose
designs were substantially complete before that date, reliance on the
UFAS standards would be permissible.

For guidance and information contact:

The United States Access Board

1321 F. Street, N.W. Suite 1000

Washington DC 20004-1111

\(800\) 872-2253 (v)

\(800\) 993-2822 (TTY)

Fax: (202) 227-0081

[www.access-board.gov](http://www.access-board.gov/)

e--mail: <info@access-board.gov>

Section 3-6: Waste Management

3-6-00 Policy

10 Procedures

20 Guidance and Information

30 (Reserved)

3-6-00 Policy

This section establishes HHS policy and responsibilities for compliance
with statutory and procedural requirements for solid waste management
including disposal, waste minimization, recycling, and resource recovery
requirements. The Solid Waste Disposal Act (SWDA), as amended by the
Resource Conservation and Recovery Act (RCRA), establishes requirements
concerning the disposal and management of solid wastes.

[Authorities and References]{.underline}

-   Resource Conservation and Recovery Act of 1976 (42 USC 6901 et
    seq.).

-   Solid Waste Disposal Act of 1965, as amended of 1976 (42 USC 6901 et
    seq.).

-   Clean Air Act (CAA) of 1970, as amended (42 USC 7401 et seq.).

-   Pollution Prevention Act (PPA) of 1990 (42 USC 13101 et seq.).

-   Executive Order (EO) 12873, Federal Acquisition, Recycling, and
    Waste Prevention, October 20, 1993.

-   Executive Order (EO) 13423, Strengthening Federal Environmental,
    Energy and Transportation Management, January 24, 2007.

3-6-10 Procedures

The HHS facility will design solid waste disposal programs as total
systems that consider the relative economic advantages of the latest
technology as well as the potential for resource recovery. The program
will explore shredding, compacting, energy recovery, and similar
processes. A facility solid waste management plan must be developed
addressing each of the following: Material Reuse, Recycling, Energy
Recovery, Disposal, and Source Reduction.

All HHS organizations and tenants must participate in a facility
recycling program. A facility-recycling program shall be established for
the following purposes:

-   To protect the environment and prevent the depletion of valuable
    natural resources.

-   To comply with Federal, state, and local environmental laws and
    regulations.

-   To reduce the volume of waste disposed in landfills.

-   To reuse readily available resources.

-   To avoid excessive costs for the disposal of solid waste by other
    means.

-   To obtain proceeds from the sale of recyclable material.

3-6-20 Guidance and Information

See HHS [GAM, Part 30 - Environmental Protection - February
2000](http://www.hhs.gov/hhsmanuals/read/gam/part30/), for more guidance
on this topic.

Number range CHAPTERSECTION 3-7: PEST CONTROL

3-7-00 Policy

10 Procedures

20 Guidance and Information

30 Reporting Requirements

X3-7-A Sample Pesticide Authorized User List

X3-7-B Sample Planned Pesticide/Herbicide Use Sheet

3-7-00 Policy

This section presents information regarding facilities operations
requirements associated with Pest and Weed control and establishes HHS
policy and responsibilities for complying with the legal use of
pesticides and herbicides at HHS facilities. Environmental compliance
with respect to use of pesticides and herbicides must be integrated with
occupational health and safety policies and regulations.

3-7-10 Procedures

Properly implemented recurring pest and weed control services will
eliminate or greatly reduce nuisance pests and in some cases prevent the
intrusion of unwanted pests into buildings, lawns, plants and trees.
Pests include any insects, rodents, vertebrates, vegetation, decay
organisms, birds, animals, mollusks, and reptiles that are disease
vectors or nuisances or are harmful to humans and their surroundings.
Pest control actions shall include mechanical, chemical, physical, or
construction as necessary to prevent/remove the identified pest.

[Product Technical Specification Changes]{.underline}. It may become
necessary to alter technical specifications and products used when:

1.  Newer, safer, and more effective methods become available.

2.  More selective pesticides become available.

3.  Less toxic and less persistent pesticides become available.

[Performance Requirements]{.underline}. Work shall be accomplished in
accordance with applicable federal and state regulations and guidelines
at a minimum. Common categories of facilities or land treatment include:
Fire Ant Control, Mole Cricket Control, Mosquito Control, Animal
Control, Weed Control, Plant & Tree Care, and Structural Pest Control
Inspection and Treatment.

[Pesticide Disposal]{.underline}. Every effort must be made to ensure
that pesticides do not become hazardous waste (HW). Excess
EPA-registered pesticides should be returned to the supplier,
transferred to another HHS facility that is able to use the material, or
transferred to another OPDIV.

A. Environmental Protection and Safety Requirements

Programs shall minimize environmental impact by using integrated pest
management techniques. Proper safety precautions shall be specified and
implemented including posting of appropriate warning/caution signs, use
of barriers, etc., to provide sufficient warning to people in the
vicinity of applied treatments, and to prevent potential dangers or
hazardous situations. Pesticides shall be properly handled and
transported, including use of proper identification on both sides of
vehicles carrying pesticides.

B. Pest Management Plans

Pest management plans shall be implemented that utilize integrated pest
management techniques. An approved list of pesticides and pest control
products shall be maintained and complied with as the Pesticide
Authorized User List (AUL). See a sample authorized user list at Exhibit
X3‑7‑A. OPDIVs shall ensure that within their areas of responsibility:

-   knowledgeable persons are designated to exercise control over the
    AUL, and

-   AULs are kept current and are complied with at each independent
    site.

An example of a product information form for requesting additions to the
AUL is provided as\
Exhibit X3‑7‑B.

> C. Licensing, Permits, and Personnel Qualifications

Contractor and in-house pest control operators and applicators shall be
licensed by the state in which work is to be performed and such license
shall specify those categories of pest control in which the licensee is
qualified and authorized to perform pest control services. As a minimum,
all requirements with respect to business licensing, certifications,
employee identifications, and actual work performance shall fully comply
with state laws and regulations applicable to the state in which the
work is performed.

D. Definitions

[Integrated Pest Management Plan (IPMP)]{.underline} - A planned program
incorporating continuous monitoring, education, record-keeping, and
communication to prevent pests and disease vectors from causing
unacceptable damage to operations, human, property, material, or the
environment. IPMP uses targeted, sustainable (effective, economical,
environmentally sound) methods including education, habitant
modification, biological control, genetic control, cultural control,
mechanical control, physical control, regulatory control, and, where
necessary, the judicious use of least hazardous pesticides.

[Pesticide]{.underline} - Any substance or mixture of substances
intended for preventing, destroying, repelling, or mitigating any pest,
and any substance or mixture of substances intended for use as a plant
regulator, defoliant, or desiccant.

[Vector]{.underline} -- Organisms that play a role in the transmission
of a pathogen/infective agent from one host to another (between humans
or from animals to humans).

E. Authorities/References

1.  Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) of 1972,
    as amended (Public Law 92- 516, 7 USC 136 et seq.).

2.  Resource Conservation and Recovery Act (RCRA) of 1976, as amended
    (42 USC 6901 et seq.).

3.  Federal Water Pollution Control Act of 1972, as amended by the Clean
    Water Act of 1977 (33 USC 1251 et seq.).

4.  Emergency Planning and Community Right-to-Know Act (EPCRA) of 1986
    (42 USC 11001 et seq.).

5.  Toxic Substances Control Act (TSCA) of 1976 (15 USC 2601 et seq.).

6.  Endangered Species Act (ESA) of 1973 (16 USC 1531 et seq.).

7.  Migratory Bird Treaty Act of 1918, as amended (16 USC 703 et seq.).

8.  Federal Noxious Weed Act of 1974 (7 USC 2801 et seq.).

9.  National Environmental Policy Act (NEPA) of 1969 (42 USC 4321 et
    seq.).

F. Responsibilities

All HHS personnel whose duties involve aspects of pest and weed control
shall carry out the following responsibilities to the extent of their
respective span of control and level of organizational authority:

-   Establish and coordinate programs to achieve, maintain, and monitor
    compliance with applicable Federal, state, and local statutory and
    regulatory requirements for pest management.

-   Emphasize techniques to reduce pesticide risk and prevent pollution.
    Monitor pesticides to ensure the pesticides available are least
    hazardous and comply with applicable Federal, state, and local laws.

-   Ensure, through staff assistance visits and Environmental Compliance
    monitoring, departmental/ regional cooperation and compliance with
    Federal, state, and local regulatory agencies with regard to
    pesticide management regulations.

-   Ensure procedures are established so that recommendations from
    onsite pest management program reviews will result in appropriate
    corrective action.

-   Coordinate pest management actions, as appropriate, with state and
    local governments involved with pest management when human health is
    an issue.

-   Cooperate with state and local government agencies involved with
    pest management.

-   Conduct special environmental compliance and protection studies with
    regard to pest management to assist in establishing policy or
    initiating actions.

-   Exercise oversight and review of pest management programs within
    assigned area of responsibility.

-   Establish surveillance programs to assess potential adverse
    environmental or public health effects from pesticide use and
    monitor the health and safety of persons who apply pesticides.

-   Ensure that all pest management operations performed at the facility
    are properly recorded, and that all records are properly maintained.

3-7-20 Guidance and Information

Warranty of Structural Pest Control Treatment: typically, a five-year
written warranty is required from commercial service providers to
warrant the areas treated against existing and new infestations of
subterranean termites or powder post beetles. The warranty shall state
that chemical concentrations, rates, and methods of application complied
with the EPA label. The warranty period shall commence from the date of
satisfactory completion of the work. Visual sightings of pests,
additional damage, new mud tubes, or other signs of living pests within
the structure during the warranty period shall be grounds for
re-treatment under warranty.

3-7-30 REPORTING REQUIREMENTS

Every HHS organization responsible for providing Pest Control services
shall have a written Integrated Pest Management Plan (IPMP) that
establishes an early prevention program to eliminate and control pest
infestations. All necessary safety, environmental, and regulatory
specifications and requirements shall be implemented in a manner which
offers maximum protection to human life and property with special
emphasis on protecting the environment. OPDIVs and other HHS activities
have discretion to publish umbrella IPMPs that adequately address the
issues at their sites, so long as the sites operate in accordance with
those plans. Facilities shall maintain complete daily pesticide
application and pest management operations records as required by FIFRA
and 7 USC 136i-1 and ensure that these records are archived after 2
years for permanent retention.

  -------------------- ----------------- ------------------ ---------------
  **SAMPLE PESTICIDE                                        
  AUTHORIZED USER                                           
  LIST**                                                    

  **Pesticide**        **Common Name**   **Intended Use**   **Approved**

  Acephate             Orthene           Roaches, Ants      Yes

  Altosid Briquettes   Methoprene        Mosquito Larvae    Yes

  Amdro Fire Ant       Hydramethylnon    Ants               Yes

  Aqua Bac             Bti               Larvicide          Yes

  Avitrol              4-Aminopyridine   Birds              Yes

  Award                Fenoxycarb        Ant Bait           Yes

  Banner/Maxx          Propiconazde      Fungicide          Yes

  Bayleton 50%         Triadimefon       Turf Fungus        Yes

  Baytex               Fenthion          Mosquitoes         Yes

  Bentgrass Select.    Dimethylamine     Herbicide          Yes
                       Salt                                 

  Bird-Proof           Polybutene 49%    Bird Repellent     Yes

  CB-80 Extra          Pyrethrins 5%     Roaches            Yes

  Diazinon 4E          Diazinon          Roaches            Yes

  Diazinon 5G          Diazinon          Ants               Yes
  -------------------- ----------------- ------------------ ---------------

PLANNED PESTICIDE/HERBICIDE USE SHEET (non-mandatory sample)

+-----------------+----------------------------------------------------+
| **Activity      | ***Enter site name, Location***                    |
| Name:**         |                                                    |
+-----------------+----------------------------------------------------+
| Applicator:     |                                                    |
+-----------------+----------------------------------------------------+
| Target Pest:    |                                                    |
+-----------------+----------------------------------------------------+
| Purpose:        |                                                    |
+-----------------+----------------------------------------------------+
| Trade Name:     |                                                    |
+-----------------+----------------------------------------------------+
| Common Name:    |                                                    |
+-----------------+----------------------------------------------------+
| EPA Regulation  |                                                    |
| No.:            |                                                    |
+-----------------+----------------------------------------------------+
| Formulation:    |                                                    |
+-----------------+----------------------------------------------------+
| CONC AI:        |                                                    |
+-----------------+----------------------------------------------------+
| Possible        |                                                    |
| Source(s):      |                                                    |
+-----------------+----------------------------------------------------+
| Use %:          |                                                    |
+-----------------+----------------------------------------------------+
| Dilutent:       |                                                    |
+-----------------+----------------------------------------------------+
| Rate:           |                                                    |
+-----------------+----------------------------------------------------+
| Method:         |                                                    |
+-----------------+----------------------------------------------------+
| Units Treated:  |                                                    |
+-----------------+----------------------------------------------------+
| Site:           |                                                    |
+-----------------+----------------------------------------------------+
| Months:         |                                                    |
+-----------------+----------------------------------------------------+
| Sensitive       |                                                    |
| Areas:          |                                                    |
+-----------------+----------------------------------------------------+
| Inspection      |                                                    |
| Methods:        |                                                    |
+-----------------+----------------------------------------------------+
| Other Controls: |                                                    |
+-----------------+----------------------------------------------------+
|                 |                                                    |
+-----------------+----------------------------------------------------+
| Date:           | Approved  Disapproved                            |
| \_\_\_\_\_\_\_\ |                                                    |
| _\_\_\_\_\_\_\_ |                                                    |
+-----------------+----------------------------------------------------+
|                 | Authorized                                         |
|                 |                                                    |
|                 | Signature and Title:                               |
|                 | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_           |
|                 | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
+-----------------+----------------------------------------------------+