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Beijing Shanghai Tainjin Chongqing Hokkaido Aomori Iwate Miyagi Akita Yamagata Fukushima Ibaraki Tochigi Gunma Saitama Chiba Tokyo Kanagawa Niigata Toyama Ishikawa Fukui Yamanashi Nagano Gifu Shizuoka Aichi Mie Shiga Kyoto Osaka Hyogo Nara Wakayama Tottori Shimane Okayama Hiroshima Yamaguchi Tokushima Kagawa Ehime Kochi Fukuoka Saga Nagasaki Kumamoto Oita Miyazaki Kagoshima Okinawa Aguascalientes Baja California Norte Baja California Sur Campeche Chiapas Chihuahua Coahuila Colima Distrito Federal Durango Guanajuato Guerrero Hidalgo Jalisco Michoacán Morelos México (Estado de) Nayarit Nuevo León Oaxaca Puebla Querétaro Quintana Roo San Luis Potosí Sinaloa Sonora Tabasco Tamaulipas Tlaxcala Veracruz Yucatán Zacatecas Netherlands Antilles Aberdeenshire Angus Argyll Avon Ayrshire Banffshire Bedfordshire Berkshire Berwickshire Buckinghamshire Caithness Cambridgeshire Cheshire Clackmannanshire Cleveland Clwyd Cornwall County Antrim County Armagh County Down County Fermanagh County Londonderry County Tyrone Cumberland Cumbria Derbyshire Devon Dorset Dumfriesshire Dunbartonshire Durham Dyfed East Lothian East Sussex Essex Fife Gloucestershire London Gwent Gwynedd Hampshire Herefordshire Hertfordshire Huntingdonshire Inverness-shire Isle of Arran Isle of Barra Isle of Benbecula Isle of Bute Isle of Canna Isle of Coll Isle of Colonsay Isle of Cumbrae Isle of Eigg Isle of Gigha Isle of Harris Isle of Iona Isle of Islay Isle of Jura Isle of Lewis Isle of Mull Isle of North Uist Isle of Rum Isle of Scalpay Isle of Skye Isle of South Uist Isle of Tiree Isle of Wight Kent Kincardineshire Kinross-shire Kirkcudbrightshire Lanarkshire Lancashire Leicestershire Lincolnshire Merseyside Mid Glamorgan Mid Lothian Middlesex Morayshire Nairnshire Norfolk North Humberside North Yorkshire Northamptonshire Northumberland Nottinghamshire Oxfordshire Peeblesshire Perthshire Powys Renfrewshire Ross-shire Roxburghshire Rutland Selkirkshire Shropshire Somerset South Glamorgan South Humberside South Yorkshire Staffordshire Stirlingshire Suffolk Surrey Sutherland Tyne & Wear Warwickshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Wigtownshire Wiltshire Worcestershire  Zip:   Telephone:      Fax:     Website:   Guest Rooms #:     Name of Auditing Manager:      Title:     Email:   Environmental Initiatives Roll over the   below for question explanations and EcoFacts!  General   1.) Do you have an Environmental Committee which meets at least monthly?    Yes    No   2.) Do you have a written Environmental Policy?   Yes    No   3.) Do you offer employee incentives for carpooling or taking public transit?   Yes    No    N/A   4.) Are at least 15% of your guestrooms "green rooms"?   Yes    No  Recycling and Waste Reduction   5.) Do you recycle:  Plastic?   Yes    No    N/A   Glass?   Yes    No    N/A   Metals?   Yes    No    N/A   Paper?   Yes    No    N/A   Cardboard?   Yes    No    N/A   Cooking Grease?   Yes    No    N/A   6.) Do you purchase facial and bathroom tissue with a minimum 40% post         consumer waste content?   Yes    No   7.) Amenity dispensers in.....  .....bathtub or shower?   Yes    No   .....Dispensers in vanity?   Yes    No   8.) Do you.....  .....compost (food scraps, grass clippings)?   Yes    No    N/A   .....send untouched food items to local shelters?   Yes    No    N/A  Water/Energy Efficiency   9.) Do you offer your guests the option to re-use.....  .....towels?   Yes    No   .....Bed Linens?   Yes    No   10.) Guest room showerheads:  1.5 gpm?   Yes    No   2.0 gpm?   Yes    No   2.5 gpm?   Yes    No   11.) Have you established...  .....On/off schedules for energy controls?   Yes    No   .....Programmable guestroom thermostats?   Yes    No   .....Guestroom occupancy sensors for energy controls?   Yes    No   12.) Have you installed double-paned or other windows insulation?   Yes    No   13.) Do you have L.E.D. (light emitting diode) exit signs?   Yes    No    N/A   14.) Do you have compact fluorescent, L.E.D., or other low wattage lighting in 70%           or more of common areas?   Yes    No   15.) Have you installed compact fluorescent lighting in guest rooms?   Yes    No   16.) Have you replaced T-12 fluorescent lamps with T-8s lamps and electronic           ballasts?   Yes    No   17.) Do you provide night lights in your guest rooms?   Yes    No   18.) Are your HVAC systems EPA Energy Star approved?   Yes    No   19.) Have you installed.....  .....1.6 gallon toilets?   Yes    No   .....early closure toilet flappers?   Yes    No   .....toilet diverter valves?   Yes    No   .....other?   Yes    No   20.) Water Usage.....  .....do you use indigenous landscaping?   Yes    No    N/A   .....do you drip irrigate?   Yes    No    N/A   .....do you reclaim water?   Yes    No    N/A  Pollution, Toxicity and Indoor Air Quality   21.) Do you garden organically (without the use of pesticides, herbicides and           synthetic fertilizers)?   Yes    No    N/A   22.) Do your daily cleaning chemicals have a MSDS health rating of "1" or less           and/or are Green Seal certified?   Yes    No   23.) Do you guarantee your guests a non-smoking room?   Yes    No   24.) Are your indoor paints low or zero VOC (volatile organic compounds) or Green           Seal certified?   Yes    No   25.) Have you reduced or replaced chlorine usage in swimming pools and           fountains?   Yes    No    N/A Additional Environmental Initiatives, Strategies and Policies Be sure to tell us about any additional environmental initiatives, strategies and policies that your hotel participates in as this is important for higher ratings.

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