5900-298 Marine CI Non-CumSum PLT Report

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Overview

Instructions
Summary
Engine Family #1
Engine Family #2
Engine Family #3
Engine Family #4
Engine Family #5
Engine Family #6
Engine Family #7
Engine Family #8
Engine Family #9
Engine Family #10
Engine Family #11
Engine Family #12
Engine Family #13
Engine Family #14
Engine Family #15
Engine Family #16
Engine Family #17
Engine Family #18
Engine Family #19
Engine Family #20
Engine Family #21
Engine Family #22
Engine Family #23
Engine Family #24
Engine Family #25
Engine Family #26
Engine Family #27
Engine Family #28
Engine Family #29
Engine Family #30
Invalid Tests
Notes

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Sheet 1: Instructions

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Manufacturer Data Submission Template -- INSTRUCTIONS

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

OMB No. 2060-0287

Approval Expires on

3/31/2011

EPA Form 5900-XXX

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Sheet 2: Summary

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Manufacturer and Engine Category Information

Submission Date

Manufacturer:

Current Quarter:

N

PLT Test Contact:

Category:

0

Email Address:

Projected Annual Production For Category:

0

0

Phone #:

Number of Completed Engine Family Tests:

0

Tier:

Minimum Required Engine Sample Size For Category:

0

Combined HC+NOx?

0

0

40 CFR Part:

0

0

Comments:

Total Production

0

Compliance Summary

CO

PM

HC

NOx

Engine Family

Final Result (g/kW-hr)

Standard/FEL (g/kW-hr)

Compliance Status

Final Result (g/kW-hr)

Standard/FEL (g/kW-hr)

Compliance Status

Final Result (g/kW-hr)

Standard/FEL (g/kW-hr)

Compliance Status

Final Result (g/kW-hr)

Standard/FEL (g/kW-hr)

Compliance Status

Sample Size Status

Test Status

Compliance Status

Number Passed:

0

Number Failed:

0

Number Open:

0

Category Sample

Size Status:

Paperwork Reduction Act Notice

OMB No. 2060-0287

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

Approval Expires on

3/31/2011

EPA Form 5900-XXX

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Sheet 3: Engine Family #1

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #1

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #1 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

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50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 4: Engine Family #2

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #2

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #2 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

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Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 5: Engine Family #3

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #3

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #3 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

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50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 6: Engine Family #4

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #4

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #4 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

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50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 7: Engine Family #5

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #5

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #5 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

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50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 8: Engine Family #6

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #6

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #6 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #6

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

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13

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41

42

43

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48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 9: Engine Family #7

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #7

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #7 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #7

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

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37

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40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

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Sheet 10: Engine Family #8

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #8

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #8 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #8

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

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32

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35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 11: Engine Family #9

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #9

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #9 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #9

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

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32

33

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36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 12: Engine Family #10

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #10

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #10 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #10

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

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25

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29

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31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 13: Engine Family #11

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #11

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #11 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #11

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

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31

32

33

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35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 14: Engine Family #12

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #12

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #12 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #12

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

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30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 15: Engine Family #13

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #13

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #13 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #13

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

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25

26

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29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 16: Engine Family #14

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #14

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #14 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #14

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 17: Engine Family #15

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #15

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #15 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #15

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 18: Engine Family #16

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #16

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #16 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #16

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 19: Engine Family #17

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #17

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #17 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #17

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

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41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 20: Engine Family #18

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #18

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #18 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #18

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

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37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 21: Engine Family #19

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #19

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #19 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #19

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

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31

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33

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36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 22: Engine Family #20

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #20

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #20 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #20

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

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36

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38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 23: Engine Family #21

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #21

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #21 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #21

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

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31

32

33

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35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 24: Engine Family #22

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #22

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #22 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine family #22

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

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31

32

33

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35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 25: Engine Family #23

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #23

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #23 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #23

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

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28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 26: Engine Family #24

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #24

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #24 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #24

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 27: Engine Family #25

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #25

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #25 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #25

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 28: Engine Family #26

US Environmental Protection Agency
Office of Transportation and Air Quality
Manufacturer Production Line Testing Report for Marine Compression Ignition Engines
Last Revision: May 2013 Version Number: 1.0
Basic Information: Engine Family #26
																																																																																																																																																																						1
		Manufacturer:						Engine Family:																										OMB No. 2060-0287
		PLT Test Contact:						Projected Annual Production:							Current CO Result				Current PM Result				Current HC Result				Final NOx Result				N			Approval Expires on
		Email Address:						Date of Start of Model Year Production:																										3/31/2011
		Phone #:						Date of End of Model Year Production:																										EPA Form 5900-XXX		Diesel	1							1
		Test Location & description:						Deterioration Factor Type:																												Natural Gas	2							2
								Engine Family #26 Testing Completed?							CO Standard or FEL				PM Standard or FEL				HC Standard or FEL				NOx Standard or FEL									Alcohol	3							3
		Carryover?:						Required Tests (including failure follow-ups)					1		Units		g/kW-hr		Units		g/kW-hr		Units		g/kW-hr		Units		g/kW-hr															4
		Pre-approved reduced required sample size:						Notes:							CO Det Factor				PM Det Factor				HC Det Factor				NOx Det Factor									Recreational
		Fuel Type:													Det Factor Type				Det Factor Type				Det Factor Type				Det Factor Type									Commercial
		Recreational/Commercial:													CO Green Engine Factor				PM Green Engine Factor				HC Green Engine Factor				NOx Green Engine Factor
								Q1 Actual	Q2 Actual	Q3 Actual	Q4 Actual	Total
				Total Actual Production (to date):								0
																																					4							4
		Comments:
																																												additive
																																												multiplicative																							CO Rounding					CO Rounding					CO Rounding					CO Rounding											PM Rounding					PM Rounding					PM Rounding					PM Rounding											HC Rounding					HC Rounding					HC Rounding					HC Rounding											NOx Rounding					NOx Rounding					NOx Rounding					NOx Rounding
																																																																			initial					final					det final					ave of all final											initial					final					det final					ave of all final											initial					final					det final					ave of all final											initial					final					det final					ave of all final
																																					Y							Y
PLT Engine Test Results: Engine Family #26																																					N							N
																																			CO		PM			HC or HC+NOX		Nox		Engine Data Complete?
	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	CO Initial Result	Rounded CO Initial Result	CO Final Result	Det. CO Final Result	PM Initial Result	Rounded PM Initial Result	PM Final Result	Det. PM Final Result	HC Initial Result	Rounded HC Initial Result	HC Final Result	Det. HC Final Result	NOx Initial Result	Rounded NOx Initial Result	NOx Final Result	Det. NOx Final Result	Reason for Failed Test (if applicable)	Remedy	Repairs	Comments	0	0	0	0	0	0	0	0						Unrounded initial CO	Unrounded final CO	Det CO	Final CO	Unrounded initial PM	Unrounded final PM	Det PM	Final PM	Unrounded initial HCNOx	Unrounded final HCNOx	Det HCNOx	Final HCNOX	Unrounded initial NOx	Unrounded final NOx	Det NOx	Final HCNOX								rounded					rounded					rounded					rounded											rounded					rounded					rounded					rounded											rounded					rounded					rounded					rounded	ROUNDED AND ACCOUNT FOR BLANK										rounded					rounded					rounded					rounded	ROUNDED AND ACCOUNT FOR BLANK	Test complete Flag	Total complete	Fail Flag	req	val	baseline req	req due to fails	sum fails	baseline req
1																																												0																																																																																															0																										0	0	0	0	1	0	0	0	0	0
2																																												0																																																																																																																										0	0	0			1
3																																												0																																																																																																																										0	0	0
4																																												0																																																																																																																										0	0	0
5																																												0																																																																																																																										0	0	0
6																																												0																																																																																																																										0	0	0
7																																												0																																																																																																																										0	0	0
8																																												0																																																																																																																										0	0	0
9																																												0																																																																																																																										0	0	0
10																																												0																																																																																																																										0	0	0
11																																												0																																																																																																																										0	0	0
12																																												0																																																																																																																										0	0	0
13																																												0																																																																																																																										0	0	0
14																																												0																																																																																																																										0	0	0
15																																												0																																																																																																																										0	0	0
16																																												0																																																																																																																										0	0	0
17																																												0																																																																																																																										0	0	0
18																																												0																																																																																																																										0	0	0
19																																												0																																																																																																																										0	0	0
20																																												0																																																																																																																										0	0	0
21																																												0																																																																																																																										0	0	0
22																																												0																																																																																																																										0	0	0
23																																												0																																																																																																																										0	0	0
24																																												0																																																																																																																										0	0	0
25																																												0																																																																																																																										0	0	0
26																																												0																																																																																																																										0	0	0
27																																												0																																																																																																																										0	0	0
28																																												0																																																																																																																										0	0	0
29																																												0																																																																																																																										0	0	0
30																																												0																																																																																																																										0	0	0
31																																												0																																																																																																																										0	0	0
32																																												0																																																																																																																										0	0	0
33																																												0																																																																																																																										0	0	0
34																																												0																																																																																																																										0	0	0
35																																												0																																																																																																																										0	0	0
36																																												0																																																																																																																										0	0	0
37																																												0																																																																																																																										0	0	0
38																																												0																																																																																																																										0	0	0
39																																												0																																																																																																																										0	0	0
40																																												0																																																																																																																										0	0	0
41																																												0																																																																																																																										0	0	0
42																																												0																																																																																																																										0	0	0
43																																												0																																																																																																																										0	0	0
44																																												0																																																																																																																										0	0	0
45																																												0																																																																																																																										0	0	0
46																																												0																																																																																																																										0	0	0
47																																												0																																																																																																																										0	0	0
48																																												0																																																																																																																										0	0	0
49																																												0																																																																																																																										0	0	0
50																																												0																																																																																																																										0	0	0
				Paperwork Reduction Act Notice
				The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 29: Engine Family #27

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #27

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #27 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #27

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 30: Engine Family #28

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #28

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #28 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #28

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 31: Engine Family #29

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #29

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #29 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #29

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 32: Engine Family #30

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Basic Information: Engine Family #30

Manufacturer:

Engine Family:

OMB No. 2060-0287

PLT Test Contact:

Projected Annual Production:

Current CO Result

Current PM Result

Current HC Result

Final NOx Result

N

Approval Expires on

Email Address:

Date of Start of Model Year Production:

3/31/2011

Phone #:

Date of End of Model Year Production:

EPA Form 5900-XXX

Test Location & description:

Deterioration Factor Type:

Engine Family #30 Testing Completed?

CO Standard or FEL

PM Standard or FEL

HC Standard or FEL

NOx Standard or FEL

Carryover?:

Required Tests (including failure follow-ups)

1

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Units

g/kW-hr

Pre-approved reduced required sample size:

Notes:

CO Det Factor

PM Det Factor

HC Det Factor

NOx Det Factor

Fuel Type:

Det Factor Type

Det Factor Type

Det Factor Type

Det Factor Type

Recreational/Commercial:

CO Green Engine Factor

PM Green Engine Factor

HC Green Engine Factor

NOx Green Engine Factor

Q1 Actual

Q2 Actual

Q3 Actual

Q4 Actual

Total

Total Actual Production (to date):

0

Comments:

PLT Engine Test Results: Engine Family #30

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

CO Initial Result

Rounded CO Initial Result

CO Final Result

Det. CO Final Result

PM Initial Result

Rounded PM Initial Result

PM Final Result

Det. PM Final Result

HC Initial Result

Rounded HC Initial Result

HC Final Result

Det. HC Final Result

NOx Initial Result

Rounded NOx Initial Result

NOx Final Result

Det. NOx Final Result

Reason for Failed Test (if applicable)

Remedy

Repairs

Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 33: Invalid Tests

United States
US Environmental Protection Agency
Office of Transportation and Air Quality
Manufacturer Production Line Testing Report for Marine Compression-Ignition Engines
Last Revision: May 2013 Version Number: 1.0
Basic Information: Invalid Tests
	Manufacturer:																			OMB No. 2060-0287
	PLT Test Contact:						Total Production:					0								Approval Expires on
	Email Address:						Date of Start of Model Year Production:													3/31/2011
	Phone #:						Date of End of Model Year Production:													EPA Form 5900-XXX
	Test Location & description:
	Comments:
Invalid PLT Engine Test Results
	Engine Family	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	CO Final Result	PM Final Result	HC Final Result	NOx Final Result	Reason for Invalid Test	Additional Comments
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
				Paperwork Reduction Act Notice
				The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

---

Sheet 34: Notes

United States

US Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for Marine Compression Ignition Engines

Last Revision: May 2013 Version Number: 1.0

Manufacturer Notes

Paperwork Reduction Act Notice

OMB No. 2060-0287

The public reporting and recordkeeping burden for this collection of information is estimated to average 12 hours per response. 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 to this address.

Approval Expires on

3/31/2011

EPA Form 5900-XXX