2. Date of Entry or Revision:

3. Person(s) or Organization Being Nominated: (Please include Division name for each individual.) Nominee(s) Division or Organization

4. Project Title:

5. Project Description:
(Press Return at the end of each line to see your text better.)

6. Calendar Year Of Project:

7. Project Contact:

Name:   Phone Number:   UID:

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

Name:   Phone Number:   UID:

9. Project Status: Choose From: Suggestion Conceptual Planning Engineering/Design Procurement Construction Start-up Implementation Complete

10. Type of Waste Affected: (Check all that apply.)

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

11. Will Project Reduce Waste?: Yes   No   Uncertain

12. Will Project Conserve Energy?: Yes   No   Uncertain
      Will Project Conserve Water?:  Yes   No   Uncertain

13. Waste Reduction/Resource Conservation Method(s) Used: (Check all that apply.)

• Inventory Management
• Recycling and Reuse
• Change Procedures
• Segregation
• Change Maintenance Program
• Material Substitution or Process Modification
• Treat Waste
• No Method Used
• Other (specify):

14. Current Quantity of Waste Generated Per Year: (Specify units.)

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

15. Estimated Quantity to be Reduced (Specify units.)

Waste Weight Reduced Per Year:      
or/ Waste Volume Reduced Per Year:
Energy Reduction Per Year:
Water Reduction 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:     Annual Savings:

19. Organization/Area Benefiting From Project:

• ORNL
• DOE
• Private Industry
• Other (specify):

20. Additional Comments: