Emerald Award Application Evaluation Checklist
Pollution Prevention
Recycling
Green Products/Innovation
Business Name
Contact Name
Physical Address
Contact Email
City
Zip
Evaluation Date
Climate Change Leader
Number of Employees
Evaluation Inspector
Environmental Enforcement Actions Pending or Received in past year?
Yes
No
Pollution Prevention Hazardous Waste Reduction
Action
Circle what (if any) applies
Equipment To Reduce
Release
Training Program
Mats placed over storm drains, screens,
overspill protection and alarms for AG tanks
Extensive environmental training program for
staff. Must see documentation
i.e. ISO 14001, Green Yard, Clean Marina,
Green Lodging, LEED certification, Energy Star
certification- ask for documentation
Service to the public to collect used oil
Industry Certification
Public Service Collect Oil
Alternative Parts
Washer
Use Refined Or
Synthetic Oil
Equipment Enables
Reuse
Closed Loop System
Aerosol Replaced With
Non
Process Change Reduction in haz waste
produced due to
process change.
Lower VOC Emissions P2 process results in
lower VOC emissions
Using steam, water, enzymes or detergents
instead of solvent
Use refined or synthetic oil in the company
fleet
Enables contaminated waste to be cleaned and
reused (i.e. solvent filter system)
No loss of HM due to evaporation such as a
total recycle car wash, or brake cleaner
Brake cleaner a good example
Ex. is using N2 gas instead of compressed air to
paint cars like at JM Lexus. Substitute aqueous
cleaner for solvents, stop painting parts to
eliminate paint waste, replace photo
developing with digital
Ex. is brake cleaner with chlorine removed,
Watson Pharm changed cleaning process from
rinsing with IPA to using pre-soaked rags
Write in any other and take
photos
Write in any other and take
photos
Action
Circle what (if any) applies
Anti-freeze Recycled on
Site
Environmental Safety
Equipment
Alternative Fuel in Fleet
Anti-freeze Recycled on Site-take photo of
equipment
Beyond required by regulation such as at
Stuttgart Auto Body who utilizes down draft
spray booths
Water reclamation system used to
recover/reuse process or wash water (like car
wash) rain barrels for irrigation, cistern
Like Pizza Fusion who use Prius to deliver pizzas
P2 Plan in Place
Ask for copy of plan.
Additional Comments
Anything to help you remember what the
business does.
Water Reclamation
Recycling
Issue
Traditional
Materials
Circle what (if any) applies
Cardboard
Steel
Paper
Plastic
Battery
Glass
Alumi
num
Used
oil
E-Waste
Recycle Rate (%)
Non Traditional
Materials/%
Cardboard Bailer
Pallets, Crocs shoes, candy bar wrappers, cork from
bottles, hazardous materials, chip bags
On site or off site?
Provide Customers
Incentive to
Recycle
Donate Old
Equipment
Example is an oil change company that will accept
used oil from do-it-yourselfers
Donation of old equipment to those in need of it for
reuse such as to schools, retirement homes, art
class, etc. can include carpet, computers, fabric, etc.
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Green Products/Innovation
Issue
Examples: Circle or write in others
Raw Materials Less Toxic Than
Industry Standard
Green Cleaning Products
Dry Cleaner uses silicone instead of perc
Durable Products
Refillable pens
Reusable Pallets
Toner cartridge instead of inkjet
Cork Eucalyptus
Bamboo
Sustainable Materials
Energy Efficiency
Conserve Water
Transportation
Green Product- List it
Recycled Paper, fertilizer,
Green Practice
Group Project
Certification
Install Energy Management System
Photovoltaics
Motion Sensors in Rooms
Solar hot water heater Photo Sensors outside
Lighting retrofit
Voltage Controller
Low flow shower or toilets
Rain sensors Xeriscape
Cisterns
Reuse of gray water
Install aerators to reduce water flow
Faucets replaced with hands free
Waterless urinals
Hybrid Vehicles
E-85 Fuel
Idle Reduction Policy
Sell
Manufacture
Utilize
4/10 workweek
Paper Reuse Packaging Reuse
Reuse
surplus materials
Employee tree planting Invasive vegetation removal
Waterway
cleanup
Earth Day Celebration
Florida Green Building Coalition
Green Seal
Reclaim their products (i.e. Valley
Forge reclaims fabrics at end of
useful life)
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Climate Change Leader
1.
General Information
What makes your company/organization a Climate Change Leader in Broward County? Provide detailed
descriptions of the climate change programs and initiatives you have implemented (i.e. lighting retrofits,
fuel economy programs, building upgrades, energy efficiencies, recycling, waste reduction, education,
carpooling, etc.; attach additional sheets if needed.
Have you reduced your company’s electricity use, fuel usage, or waste generation?
Do you keep records of this information (i.e. utility bills, fuel records, waste haulers
records, etc.?
What are the associated cost savings?
Program Start Date:
2.
Completion Date (if
applicable)
GHG Emissions Inventories
Are you already calculating your company’s carbon footprint (GHG emissions)?
Yes
No
If yes, what tools are you using? (some examples below)
US EPA Climate Leaders Small Business/Low Emitter Tool
Clean Air-Cool Planet Office-Based Carbon Footprint Tool
Ratcliff Greenhouse Gas Calculator for Facility Operations
GHG Protocol Tools
The Nature Conservancy's Carbon Footprint Calculator
If you have not calculated your company’s GHG emissions or reductions, you are encouraged to use the
following free U.S. Environmental Protection Agency’s tools and resources:
Equivalencies Calculator: http://www.epa.gov/cleanenergy/energy-resources/calculator.html
Office Carbon Footprint Tool: http://www.epa.gov/epawaste/partnerships/wastewise/carboncalc.htm
To ensure that units are converted properly, please use the following resource:
Conversion Calculator: http://www.onlineconversion.com/weight_common.htm
3. GHG Reduction Actions:
The table below is provided as a template to indicate the GHG reduction actions/practices and
associated GHG reduction estimates. Applicants must enclose additional information, charts,
diagrams, and/or pictures to illustrate the GHG reduction actions developed and implemented.
Discuss incentives that resulted as a part of your project. Please let us know if you performed
this voluntarily, via grants, or for corporate reasons.
Greenhouse gas
reduction action
Description (detailed
Data: energy savings, fuel
description of the actions or
measures developed and
implemented)
savings, gallons of alternative
fuels, lbs of recyclable
materials, outreach measures,
pollution prevention
measures
Example:
Install window film on
western exposed
windows
Install window film to reduce
heat gain from afternoon
sun. The dimensions of the
side of the windows of the
building are 150 ft. x 90 ft.
This project was
implemented in January
2006 and completed in
January 2007. The data is
real data which was
compiled over a one year
period.
Reduction: 88,000
kWh/year
Pounds or Tons of
greenhouse gases
reduced
54.03 tonnes eCO2
/year
Savings/year: $8,580
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I recommend this facility be issued an Emerald Award Certificate for the following categories:
P2
Recycling
Green Products/Innov
I recommend this facility for Trophy Consideration:
Inspector Signature
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EA Team in Agreement
Yes
Climate Change
No
None
Maybe
Date ------------------------EA Team in Disagreement
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Comments
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