Form 5900-135 Locomotive PLT

Information Requirements for Locomotives and Locomotive Engines (Renewal)

PLT Submission Template (Locomotive) v4.2.xls

Information Requirements for Locomotives and Locomotive Engines: Production Line Testing

OMB: 2060-0392

Document [xlsx]
Download: xlsx | pdf

Overview

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

Sheet 1: Summary





















United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2





















Engine Family Data














Submission Date













































Manufacturer:


Engine Family:


Current Quarter:

Paperwork Reduction Act Notice
OMB No. 2060-0392
PLT Test Contact:


Projected Annual Production:







The public reporting and recordkeeping burden for this collection of information is estimated to average 17 hours per response for manufacturers and 8 hours per response for remanufacturers. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed Form 5900-135 to this address.
Approval Expires on
Email Address:


Total Engine Sample Size:


0




5/31/2011
Phone #:


Minimum Required Engine Sample Size:








EPA Form 5900-135
Cycle:



Production Period From:
To:







Manufacture Type:



Sample Size Status:


OPEN






Engine Fuel Type:
















Applicable Tier:




Notes:
















Follow-ups to failed tests are not included 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 Compliance Status Final Result Standard Compliance Status



Test Engine #1














Test Engine #2














Test Engine #3














Test Engine #4














Test Engine #5













Test Location and Description























COMPLIANCE STATUS:
OPEN




































Sheet 2: Test Engine #1



































United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2



































Basic Information: Test Engine #1





































































Manufacturer:


Engine Family:























OMB No. 2060-0392


PLT Test Contact:


Total Production:





Current NOx Result

Current PM Result

Current CO Result

Current HC Result




Approval Expires on


Email Address:


Date of Start of Model Year Production:
























5/31/2011


Phone #:


Date of End of Model Year Production:
























EPA Form 5900-135


Test Location & description:


Deterioration Factor Type:






























Engine #1 Testing Completed?





NOx Standard or FEL


PM Standard or FEL


CO Standard


HC Standard





















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

































































PLT Engine Test Results: Test Engine #1




































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



































United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2



































Basic Information: Test Engine #2





































































Manufacturer:


Engine Family:























OMB No. 2060-0392


PLT Test Contact:


Total Production:





Current NOx Result

Current PM Result

Current CO Result

Current HC Result




Approval Expires on


Email Address:


Date of Start of Model Year Production:
























5/31/2011


Phone #:


Date of End of Model Year Production:
























EPA Form 5900-135


Test Location & description:









Running Change?


Running Change?



















Engine #2 Testing Completed?





NOx Standard or FEL


PM Standard or FEL


CO Standard


HC Standard





















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

































































PLT Engine Test Results: Test Engine #2




































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



































United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2



































Basic Information: Test Engine #3





































































Manufacturer:


Engine Family:























OMB No. 2060-0392


PLT Test Contact:


Total Production:





Current NOx Result

Current PM Result

Current CO Result

Current HC Result




Approval Expires on


Email Address:


Date of Start of Model Year Production:
























5/31/2011


Phone #:


Date of End of Model Year Production:
























EPA Form 5900-135


Test Location & description:









Running Change?


Running Change?



















Engine #3 Testing Completed?





NOx Standard or FEL


PM Standard or FEL


CO Standard


HC Standard





















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

































































PLT Engine Test Results: Test Engine #3




































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



































United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2



































Basic Information: Test Engine #4





































































Manufacturer:


Engine Family:























OMB No. 2060-0392


PLT Test Contact:


Total Production:





Current NOx Result

Current PM Result

Current CO Result

Current HC Result




Approval Expires on


Email Address:


Date of Start of Model Year Production:
























5/31/2011


Phone #:


Date of End of Model Year Production:
























EPA Form 5900-135


Test Location & description:









Running Change?


Running Change?



















Engine #4 Testing Completed?





NOx Standard or FEL


PM Standard or FEL


CO Standard


HC Standard





















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

































































PLT Engine Test Results: Test Engine #4




































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



































United States
US Environmental Protection Agency
Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2



































Basic Information: Test Engine #5





































































Manufacturer:


Engine Family:























OMB No. 2060-0392


PLT Test Contact:


Total Production:





Current NOx Result

Current PM Result

Current CO Result

Current HC Result




Approval Expires on


Email Address:


Date of Start of Model Year Production:
























5/31/2011


Phone #:


Date of End of Model Year Production:
























EPA Form 5900-135


Test Location & description:









Running Change?


Running Change?



















Engine #5 Testing Completed?





NOx Standard or FEL


PM Standard or FEL


CO Standard


HC Standard





















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

































































PLT Engine Test Results: Test Engine #5




































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























United States


US Environmental Protection Agency


Office of Transportation and Air Quality






Manufacturer Production Line Testing Report for Locomotive Engines


Last Revision: September 2010 Version Number: 4.2

























Basic Information: Invalid Tests













































Manufacturer:


Engine Family:








OMB No. 2060-0392



PLT Test Contact:


Total Production:









Approval Expires on



Email Address:


Date of Start of Model Year Production:









5/31/2011



Phone #:


Date of End of Model Year Production:









EPA Form 5900-135



Test Location & description:






























































Comments:
































































































Invalid PLT Engine Test Results













































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














United States
US Environmental Protection Agency
Office of Transportation and Air Quality














Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2














Manufacturer Notes














































































OMB No. 2060-0392











Approval Expires on











5/31/2011











EPA Form 5900-135















Sheet 9: Instructions

















United States
US Environmental Protection Agency
Office of Transportation and Air Quality

















Manufacturer Production Line Testing Report for Locomotive Engines
Last Revision: September 2010 Version Number: 4.2

















Manufacturer Data Submission Template -- INSTRUCTIONS







































































































Paperwork Reduction Act Notice















OMB No. 2060-0392














Approval Expires on














5/31/2011














EPA Form 5900-135



































File Typeapplication/vnd.ms-excel
File TitleLocomotive PLT Template
SubjectEngine Compliance: Production Line Testing Submittals
AuthorU.S. EPA OAR/OTAQ/CISD nyr-m
Last Modified Byorejudosw
File Modified2011-03-31
File Created2005-02-03
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