Form 5900-135 Locomotive PLT Template

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Overview

Summary
Test Engine #1
Test Engine #2
Test Engine #3
Test Engine #4
Test Engine #5
Invalid Tests
Notes
Instructions

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Sheet 1: Summary

Engine Family Data (Locomotive):

EPA Form 5900-135

OMB Control NO. 2060-0392; approval expires 5/31/2011

Manufacturer:

Engine Family:

Current Quarter:

PLT Test Contact:

Projected Annual Production:

Email Address:

Total Engine Sample Size:

0

Phone #:

Minimum Required Engine Sample Size:

Cycle:

Production Period

From:

To:

Manufacture Type:

Sample Size Status:

OPEN

Engine Fuel Type:

Note: Follow-ups to failed tests are not included

Applicable Tier:

in the "Total Engine Sample Size"

Please select the applicable tier

Compliance Summary:

NOx

PM

CO

HC

Comments:

Final Result

Standard/FEL

Compliance Status

Final Result

Standard/FEL

Compliance Status

Final Result

Standard/FEL

Compliance Status

Final Result

Standard/FEL

Compliance Status

Test Engine #1

Test Engine #2

Test Engine #3

Test Engine #4

Test Engine #5

Test Location and Description

Engine Family Compliance:

OPEN

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Sheet 2: Test Engine #1

	Production Line Testing																																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																																OMB Control NO. 2060-0392; approval expires 5/31/2011
		PLT Test Information
		Manufacturer:						Engine Family:
		PLT Test Contact:						Total Production:							Current NOx Result				Current PM Result				Current CO Result				Current HC Result
		Email Address:						Date of Start of Model Year Production:
		Phone #:						Date of End of Model Year Production:
		Test Location & description						Deterioration Factor Type:
								Engine #1 Testing Completed?							NOx Standard or FEL				PM Standard or FEL				CO Standard or FEL				HC Standard or FEL
															Units				Units				Units				Units
		Comments:													NOx Det Factor				PM Det Factor				CO Det Factor				HC Det Factor
															Det Factor Type				Det Factor Type				Det Factor Type				HC Factor Type
															NOx Green Engine Factor				PM Green Engine Factor				CO Green Engine Factor				HC Green Engine Factor
	Calc Final Result?	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments
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Sheet 3: Test Engine #2

	Production Line Testing																																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																																OMB Control NO. 2060-0392; approval expires 5/31/2011
		PLT Test Information
		Manufacturer:						Engine Family:
		PLT Test Contact:						Total Production:							Final NOx Result				Final PM Result				Final CO Result				Final HC Result
		Email Address:						Date of Start of Model Year Production:
		Phone #:						Date of End of Model Year Production:
		Test Location & description
								Engine #2 Testing Completed?					Y		NOx Standard or FEL				PM Standard or FEL				CO Standard or FEL				HC Standard or FEL
															Units				Units				Units				Units
		Comments:													NOx Det Factor				PM Det Factor				CO Det Factor				HC Det Factor
															Det Factor Type				Det Factor Type				Det Factor Type				HC Factor Type
															NOx Green Engine Factor				PM Green Engine Factor				CO Green Engine Factor				HC Green Engine Factor
	Calc Final Result?	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments
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Sheet 4: Test Engine #3

	Production Line Testing																																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																																OMB Control NO. 2060-0392; approval expires 5/31/2011
		PLT Test Information
		Manufacturer:						Engine Family:
		PLT Test Contact:						Total Production:							Final NOx Result				Final PM Result				Final CO Result				Final HC Result
		Email Address:						Date of Start of Model Year Production:
		Phone #:						Date of End of Model Year Production:
		Test Location & description
								Engine #3 Testing Completed?					Y		NOx Standard or FEL				PM Standard or FEL				CO Standard or FEL				HC Standard or FEL
															Units				Units				Units				Units
		Comments:													NOx Det Factor				PM Det Factor				CO Det Factor				HC Det Factor
															Det Factor Type				Det Factor Type				Det Factor Type				HC Factor Type
															NOx Green Engine Factor				PM Green Engine Factor				CO Green Engine Factor				HC Green Engine Factor
	Calc Final Result?	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments
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Sheet 5: Test Engine #4

	Production Line Testing																																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																																OMB Control NO. 2060-0392; approval expires 5/31/2011
		PLT Test Information
		Manufacturer:						Engine Family:
		PLT Test Contact:						Total Production:							Final NOx Result				Final PM Result				Final CO Result				Final HC Result
		Email Address:						Date of Start of Model Year Production:
		Phone #:						Date of End of Model Year Production:
		Test Location & description
								Engine #4 Testing Completed?					Y		NOx Standard or FEL				PM Standard or FEL				CO Standard or FEL				HC Standard or FEL
															Units				Units				Units				Units
		Comments:													NOx Det Factor				PM Det Factor				CO Det Factor				HC Det Factor
															Det Factor Type				Det Factor Type				Det Factor Type				HC Factor Type
															NOx Green Engine Factor				PM Green Engine Factor				CO Green Engine Factor				HC Green Engine Factor
	Calc Final Result?	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments
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Sheet 6: Test Engine #5

	Production Line Testing																																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																																OMB Control NO. 2060-0392; approval expires 5/31/2011
		PLT Test Information
		Manufacturer:						Engine Family:
		PLT Test Contact:						Total Production:							Final NOx Result				Final PM Result				Final CO Result				Final HC Result
		Email Address:						Date of Start of Model Year Production:
		Phone #:						Date of End of Model Year Production:
		Test Location & description
								Engine #5 Testing Completed?					Y		NOx Standard or FEL				PM Standard or FEL				CO Standard or FEL				HC Standard or FEL
															Units				Units				Units				Units
		Comments:													NOx Det Factor				PM Det Factor				CO Det Factor				HC Det Factor
															Det Factor Type				Det Factor Type				Det Factor Type				HC Factor Type
															NOx Green Engine Factor				PM Green Engine Factor				CO Green Engine Factor				HC Green Engine Factor
	Calc Final Result?	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments
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Sheet 7: Invalid Tests

	Production Line Testing																EPA Form 5900-135
	Manufacturer Data Submission Template (Locomotive)																OMB Control NO. 2060-0392; approval expires 5/31/2011
	PLT Test Information
	Manufacturer:						Engine Family:
	PLT Test Contact:						Total Production:
	Email Address:						Date of Start of Model Year Production:
	Phone #:						Date of End of Model Year Production:
	Test Location & description
	Comments:
	Test Number	Test Date	Test Time	Test Qtr	Engine ID	Engine Make	Engine Configuration	Build Date	Green Engine Factor Applied?	Green Engine Factor Determination Method	Service Hours (or miles) Accumulation	Service Hours Location	Service Acc. Procedure	NOx Final Result	PM Final Result	CO Final result	HC Final result	Reason for Invalid Test	Additional Comments
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Sheet 8: Notes

Production Line Testing							EPA Form 5900-135
Manufacturer Notes (Locomotive)							OMB Control NO. 2060-0392; approval expires 5/31/2011
PLEASE PROVIDE ANY ADDITIONAL NOTES HERE:

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Sheet 9: Instructions

Production Line Testing

EPA Form 5900-135

Manufacturer Data Submission Template -- INSTRUCTIONS (Locomotive)

OMB Control NO. 2060-0392; approval expires 5/31/2011

Paperwork Reduction Act Notice