Choose from: Small Quantity Generator, Large Quantity Generator, Promoter, Common Sense, Suggestion

3. Person(s) or Organization Being Nominated: (Specify Division/Organization of each individual)

4. Project Title:

5. Project Description: (use back of sheet if necessary)

6. Calendar Year Of Project:

7. Project Contact:

• Name:
• Phone Number:

8. Person Submitting Award Nomination (if different from above):

• Name:
• Phone Number:

9. Project Status:

Choose from: Suggestion, Conceptual Planning, Engineering/Design, Procurement, Construction, Start-up, Implementation Complete

10. Type of Waste Affected

           Hazardous (Y/N/U):          EPA Identification Numbers:  
           Mixed (Y/N/U):              EPA Identification Numbers:  
           TSCA (Y/N/U):                      Low-level TSCA (Y/N/U):  
           Transuranic (Y/N/U):               Solid Low-level (Y/N/U):  
           Liquid Low-level (Y/N/U):          Process (Y/N/U):  
           Industrial/Sanitary (Y/N/U):       Air Emissions (Y/N/U):  
           Other (specify):  

11. Will Project Reduce Waste? (Y/N): _ _ _ _ _

12. Will Project Conserve Energy? (Y/N): _ _ _ _ _ Water? (Y/N): _ _ _ _ _

13. Waste Reduction/Resource Conservation Method(s) Used

           Inventory Management (Y/N):        Recycling and Reuse (Y/N):  
           Procedures (Y/N):                  Segregation (Y/N):  
           Maintenance Program (Y/N):         No Method Used (Y/N):  
           Material Substitution and Process Modification (Y/N):  
           Treatment (Y/N):  
           Other (specify):  

14. Current Quantity Generated Per Year (Specify units.)

        Waste Weight Generated Per Year:               Energy Used Per Year:  
    or/ Waste Volume Generated Per Year:               Water Used Per Year:  

        Waste Weight Reduced Per Year:             Energy Saved Per Year:
    or/ Waste Volume Reduced Per Year:             Water Saved Per Year:  

16. Estimated Project Cost ($):

17. Type of Project Funding:

Choose from: General Plant Equipment (GPE), Expense, General Plant Project (GPP), Other

18. Estimated Cost Savings ($):

One Time Savings (Y/N): _ _ _ _ _ Annual Savings (Y/N): _ _ _ _ _

19. Organization/Area Benefiting From Project

ORNL (Y/N): _ _ _ _ _ Private Industry (Y/N): _ _ _ _ _
DOE (Y/N): _ _ _ _ _ Other (specify): _ _ _ _ _

20. Additional Comments: