5900-93 Marine SI In-use Template

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Overview

Submission Template
Notes
Instructions

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Sheet 1: Submission Template

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Nonroad Engine In-Use Testing Report

(Marine Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Basic Information

Submission Date

Manufacturer:

Engine Family:

OMB No. 2060-0321

In-Use Test Contact:

Min. Tests Required:

Approval Expires on

Email Address:

1/31/2011

Phone #:

EPA Form 5900-93

FEL/ Emission Limit(s)

HC+NOx

HC+NOx Units

CO

CO Units

Comments:

Engines Disqualified

and Reason:

In-Use Engines Test Results

Interim Calculations

Engine

Engine

Engine

If engine in noncompliant or if the test is invalid, explain why.

Engine

Serial

Manufacture

Usage

Test

Test

Test

HC+NOx

CO

HC+NOx

CO

Model

Number

Date

Hours

Date

Time

Invalid?

Result

Result

Mean

Mean

Adjustments, Modifications, and Repairs

Additional Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Current In-Use Test Status

Average

Number of HC+NOx Tests Performed:

0

Pollutant

Result

Number of CO Tests Performed:

0

HC+NOx

NA

Number of Tests Required:

0

CO

NA

PASSING STATUS

OPEN

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Sheet 2: Notes

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Nonroad Engine In-Use Testing Report

(Marine Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Manufacturer Notes

OMB No. 2060-0321

Approval Expires on

1/31/2011

EPA Form 5900-93

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Sheet 3: Instructions

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Nonroad Engine In-Use Testing Report

(Marine Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Manufacturer Data Submission Template -- INSTRUCTIONS

Paperwork Reduction Act Notice

OMB No. 2060-0321

Approval Expires on

1/31/2011

EPA Form 5900-93