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Evaluation Information & Instructions
See bottom of survey for submission instructions & contact information
Print the survey and complete boxes with an X or check mark
Highlighted terms can be found on the Green Initiative page - Terms & Definitions www.lvchamber.com/programs/green
The Roots - Level 1
Completed Not Applicable
1 Create an employee 'Green Team' with a lead or point person
2 Conduct a walk through evaluation of your facility *
3 Create an action list to possible changes using the results of the evaluation.
4 Learn how to read and monitor your gas, electric, and water bills to identify possible problems
http://www.snwa.com/html/cons_tips_leak.html
http://www.nvenergy.com/home/customercare/understandyourbill.cfm
http://www.swgas.com/residential/howto/readbill/index.html
http://www.allianceforwaterefficiency.org/WaterSmart_Guidebook_for_Businesses.aspx
5 Set your computers up to hibernate during the day
6 Turn desktop computers off at night and on weekends
7 Consolidate printers, set to double-sided, and print only when needed
8 Manage 'Phantom Loads'
http://www.energy.gov/applianceselectronics.htm
9 Change 50% of lighting to energy efficient lighting $
http://www.nvenergy.com/surebet
10 Use day lighting
http://www.nvenergy.com/surebet
11 Change air filters/furnace filters monthly
12 Use energy efficient thermostat settings and monitor daily
http://www.nvenergy.com/saveenergy/business/energytips.cfm
http://www.energysavers.gov/your_workplace/
13 Set back air conditioning/heating at night
http://www.nvenergy.com/saveenergy/business/energytips.cfm
http://www.energysavers.gov/your_workplace/
14 Inspect and correct cracks/gaps in the building on a monthly basis
http://www.nvenergy.com/saveenergy/business/energytips.cfm
15 Insulate hot water tanks) and pipes
Note: Water heaters should only be wrapped per mfg recommendation, not all units will benefit by wrapping
http://www.energysavers.gov/your_home/water_heating/index.cfm/mytopic=13070
16 Use a broom instead of water for outdoor cleaning
17 Check on weekly basis inside and out for water systems leaking and repair
Check the appropriate box
Green Roots Level 1 ‒ The Roots
80% of all applicable items of each tier must be completed to each that level
$ - Indicates rebates or incentives available to your business to go "green".
Resources are highlighted to help you complete your level survey
Page 1
18 Install quick closing toilet flappers & flushometer
Contact SNWA (702) 862-3734 for more information
19 Regularly monitor automatic toilet flushing systems and faucets on sinks
20 Use reusable coffee cups/glasses, eliminate serving water in individual bottles
21 Post signs encouraging water conservation
Contact SNWA (702) 258-7291 for more information
22 Use drought resistance plants $
Contact SNWA (702) 258-7291 for more information
23 Participate in mandatory water restriction times & durations
Contact SNWA (702) 862-3734 for more information
24 Repair all defective irrigation lines and sprinkler heads
Contact SNWA (702) 862-3734 for more information
25 Limit car/truck washing to authorized "Water Smart Car Wash" partners $
http://www.snwa.com/html/cons_carwash.html
26 Serve water only upon request (Restaurants)
Contact SNWA (702) 258-7291 for more information
27 Meet with Club Ride Outreach Coordinator
http://www.rtcsouthernnevada.com/club_ride/
28 Use conference calling or tele-conferencing instead of driving to meetings when possible
29 Install a bike rack and encourage employees to bike to work
30 Set up Recycling bins inside your office
31 Establish a training and reward plan for employee green practices
* This is an additional form available on the Green Roots web pages. See Facility Evaluation Form
Member ID #
Directory designation added (date):
092309CG Weblink updated by:
FOR OFFICE USE:
Zip Code
Contact Phone
Contact E-mail
Website
Contact Person Title
Name of Company
Address
City/State
Green Roots is a self-administered and self-audited program. Members that complete the survey will receive Green Roots Business designation in the Chamber's on-line Business Directory.
Once you have completed 80% of the applicable items on the Level 1 - The Roots Survey, submit the form via fax at 702.735.0406 or e-mail to lbotiel@lvchamber.com.
All surveys will be verified. Please ensure that contact information is complete and legible.
Submission Information:
Contact Person
Page 2

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Green level 1 form

  • 1. Evaluation Information & Instructions See bottom of survey for submission instructions & contact information Print the survey and complete boxes with an X or check mark Highlighted terms can be found on the Green Initiative page - Terms & Definitions www.lvchamber.com/programs/green The Roots - Level 1 Completed Not Applicable 1 Create an employee 'Green Team' with a lead or point person 2 Conduct a walk through evaluation of your facility * 3 Create an action list to possible changes using the results of the evaluation. 4 Learn how to read and monitor your gas, electric, and water bills to identify possible problems http://www.snwa.com/html/cons_tips_leak.html http://www.nvenergy.com/home/customercare/understandyourbill.cfm http://www.swgas.com/residential/howto/readbill/index.html http://www.allianceforwaterefficiency.org/WaterSmart_Guidebook_for_Businesses.aspx 5 Set your computers up to hibernate during the day 6 Turn desktop computers off at night and on weekends 7 Consolidate printers, set to double-sided, and print only when needed 8 Manage 'Phantom Loads' http://www.energy.gov/applianceselectronics.htm 9 Change 50% of lighting to energy efficient lighting $ http://www.nvenergy.com/surebet 10 Use day lighting http://www.nvenergy.com/surebet 11 Change air filters/furnace filters monthly 12 Use energy efficient thermostat settings and monitor daily http://www.nvenergy.com/saveenergy/business/energytips.cfm http://www.energysavers.gov/your_workplace/ 13 Set back air conditioning/heating at night http://www.nvenergy.com/saveenergy/business/energytips.cfm http://www.energysavers.gov/your_workplace/ 14 Inspect and correct cracks/gaps in the building on a monthly basis http://www.nvenergy.com/saveenergy/business/energytips.cfm 15 Insulate hot water tanks) and pipes Note: Water heaters should only be wrapped per mfg recommendation, not all units will benefit by wrapping http://www.energysavers.gov/your_home/water_heating/index.cfm/mytopic=13070 16 Use a broom instead of water for outdoor cleaning 17 Check on weekly basis inside and out for water systems leaking and repair Check the appropriate box Green Roots Level 1 ‒ The Roots 80% of all applicable items of each tier must be completed to each that level $ - Indicates rebates or incentives available to your business to go "green". Resources are highlighted to help you complete your level survey Page 1
  • 2. 18 Install quick closing toilet flappers & flushometer Contact SNWA (702) 862-3734 for more information 19 Regularly monitor automatic toilet flushing systems and faucets on sinks 20 Use reusable coffee cups/glasses, eliminate serving water in individual bottles 21 Post signs encouraging water conservation Contact SNWA (702) 258-7291 for more information 22 Use drought resistance plants $ Contact SNWA (702) 258-7291 for more information 23 Participate in mandatory water restriction times & durations Contact SNWA (702) 862-3734 for more information 24 Repair all defective irrigation lines and sprinkler heads Contact SNWA (702) 862-3734 for more information 25 Limit car/truck washing to authorized "Water Smart Car Wash" partners $ http://www.snwa.com/html/cons_carwash.html 26 Serve water only upon request (Restaurants) Contact SNWA (702) 258-7291 for more information 27 Meet with Club Ride Outreach Coordinator http://www.rtcsouthernnevada.com/club_ride/ 28 Use conference calling or tele-conferencing instead of driving to meetings when possible 29 Install a bike rack and encourage employees to bike to work 30 Set up Recycling bins inside your office 31 Establish a training and reward plan for employee green practices * This is an additional form available on the Green Roots web pages. See Facility Evaluation Form Member ID # Directory designation added (date): 092309CG Weblink updated by: FOR OFFICE USE: Zip Code Contact Phone Contact E-mail Website Contact Person Title Name of Company Address City/State Green Roots is a self-administered and self-audited program. Members that complete the survey will receive Green Roots Business designation in the Chamber's on-line Business Directory. Once you have completed 80% of the applicable items on the Level 1 - The Roots Survey, submit the form via fax at 702.735.0406 or e-mail to lbotiel@lvchamber.com. All surveys will be verified. Please ensure that contact information is complete and legible. Submission Information: Contact Person Page 2