Environmental Product Declaration
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Name of Product | Product Description
E
Environmental Product Declaration
Environmental Product Declaration Program Operator
NSF International
789 N. Dixboro Rd.
Ann Arbor MI 48105 USA
Date of Issue: June 7, 2012
Period of Validity: 5 years
Declaration#: 123456
2012 NSF International
Environmental Product Declarations
Name of Product | Product Description
Company Street Address
City, State Zip
Company Name
Company Phone
Company Website
ENVIRONMENTAL PRODUCT DECLARATION VERIFICATION
EPD Information
Product
Product
NSF International
Name of the Client
Date of Issue
Date of Issue
Declaration Number
Declaration Number
[Signature of NSF Representative]
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This EPD was independently verified by NSF
International in accordance with ISO 14025:
Period of Validity
Period of Validity
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Program Operator
Declaration Holder
Internal
External
This life cycle assessment was independently
verified by in accordance with ISO 14044 and the
reference PCR:
Name of Representative
Contact Information for Representative
[Signature of LCA Representative]
Name of Representative
Contact Information for Representative
LCA Information
Basis LCA
LCA Preparer
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This life cycle assessment was critically reviewed
in accordance with ISO 14044 by:
Title of LCA
Date of Issue
Name of Preparer
Organization of Preparer
Contact Information for Preparer
Name of Critical Reviewer
Organization of Reviewer
Contact Information for Reviewer
PCR Information
Program Operator
NSF International
Reference PCR
Date of Issue
Reference PCR
Date of Issue
PCR review was conducted by:
Name of Chair
Organization of Chair
Contact Information for Chair (through the program
operator)
Environmental Product Declaration Program Operator
NSF International
789 N. Dixboro Rd.
Ann Arbor MI 48105 USA
Date of Issue: June 7, 2012
Period of Validity: 5 years
Declaration#: 123456
Page 2
2012 NSF International
Environmental Product Declarations
Name of Product | Product Description
ENVIRONMENTAL PRODUCT DECLARATION: DETAILED VERSION
Product Description
Product classification and description
Clearly define the product. Include a general description of the product. Define product groups and average products.
Include a technical illustration of the product.
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Example: Technical Figure of Product
Applicability
Provide a description of the typical application and suggested use of the floor covering. Refer to Section 2.2 of the
PCR for testing requirements.
Example:
Specification of carpet properties varies with intended application. The intended application and the performance to
the following tests shall be declared.
2
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AATCC Test Method 134-2011 Electrostatic Propensity of Carpets (Normative value ¡Ý 3.5 KV)
2
AATCC Test Method 16-2004 Colorfastness to Light (minimum grade 4 at 40 AFU)
6
ASTM E648 Standard Test Method for Critical Radiant Flux of Floor-Covering Systems Using a Radiant Heat Energy
Source
6
ASTM E662 Standard Test Method for Specific Optical Density of Smoke Generated by Solid Materials
6
ASTM D5252 Standard Practice for the Operation of the Hexapod Tumble Drum Tester
6
ASTM D7330 Standard Test Method for Assessment of Surface Appearance Change in Pile Floor Coverings Using
Standard Reference Scales
14
6
ISO 2551/ ASTM Dimensional Stability (Modular Tiles Only)
Environmental Product Declaration Program Operator
NSF International
789 N. Dixboro Rd.
Ann Arbor MI 48105 USA
Date of Issue: June 7, 2012
Period of Validity: 5 years
Declaration#: 123456
Page 3
2012 NSF International
Environmental Product Declarations
Name of Product | Product Description
Product Characteristics
Describe the product characteristics.
Example: Product characteristic table for carpet
Type of manufacture
Additional characteristics according to NSF/ANSI 140
Sustainable certifications
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Yarn type
Certified to NSF/ANSI 140
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VOC emissions test method
CRI- TARR rating
Characteristics
Nominal Value
Unit
Total thickness
mm (inch)
Product weight
g/m (oz/ft )
Surface pile thickness
mm (inch)
Number of tufts or loops /dm
2
2
2
2
2
dm (ft )
2
2
Surface pile weight
g/m (oz/ft )
Pile fiber composition
%
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Secondary backing
Environmental Product Declaration Program Operator
NSF International
789 N. Dixboro Rd.
Ann Arbor MI 48105 USA
Date of Issue: June 7, 2012
Period of Validity: 5 years
Declaration#: 123456
Page 4
2012 NSF International
Environmental Product Declarations
Name of Product | Product Description
Material Content
Material Content of the product
Specify the material content of the product.
Example: Material Content Table for Carpet
Component Material
Mass %
Renewable
Primary
Backing
30%
20% Nylon 6
8%
Fossil resource,
limited
Global
Polypropylene
10%
Fossil resource,
limited
Global
Fossil resource,
limited
Global
Mineral,
abundant
US
Fossil resource,
limited
Global
Mineral,
abundant
US
Fossil resource,
limited
Global
Calcium
Carbonate
30%
Latex
Back coating
Calcium
Carbonate
Polypropylene
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Secondary
Backing
Recycled
Origin
of Raw
Materials
80 % Wool
Latex
Precoat
Abundant
Non-Renewable
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Pile Material
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Availability
20%
5%
New Zealand
Production of main materials
Provide a short description of the main materials and their manufacturing processes.
Examples:
Styrene Butadiene Rubber (SBR) is a synthetic copolymer that is used as a primary cross-linkable binder in the
manufacture of rubber flooring products and tires.
Calcium carbonate is an abundant mineral found in all parts of the world as the chief substance in rocks (i.e., marble
and limestone). It can be ground to varying particle sizes and is widely used as filler in formulated flooring systems.
Environmental Product Declaration Program Operator
NSF International
789 N. Dixboro Rd.
Ann Arbor MI 48105 USA
Date of Issue: June 7, 2012
Period of Validity: 5 years
Declaration#: 123456
Page 5
2012 NSF International
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