5900-321 Gasoline Sulfur and Benzene Batch Report

Facility Gasoline Sulfur and Benzene

Annual Report Instructions

OMB Control No. 2060-0437

Gasoline Sulfur and Benzene Batch Report

Report Form ID: GSF0401

Expires April 30, 2014

A separate batch report must be submitted for each batch of gasoline produced or imported during the averaging period.

Batches reported under the RFG & Anti-Dumping Program do not need to be reported on this form; except in the case of composite samples of conventional gasoline representing multiple batches produced after December 31, 2003. In this case, the information in this report must be provided for each of the individual batches of conventional gasoline making up the composite sample. The form may be used to meet the per batch reporting requirements for the Tier 2 Gasoline Sulfur program (Per 40 CFR 80.370 (a)(7)) and/or the MSAT2 Benzene program (per 40 CFR 80.1354 (b)(1)).

Approved Foreign Refiners producing credits must report individual batch information on this form.

th

Reports using this form must be submitted annually by February 28 .

Please check the Fuels Reporting Forms web site for updated instructions and report form templates:

http://www.epa.gov/otaq/regs/fuels/forms.htm

For information on submitting this report using EPA’s Central Data Exchange (CDX) visit:

http://epa.gov/otaq/regs/fuels/cdxinfo.htm

No.	Field Name	Units	Field Formats, Codes, & Special Instructions
1.	Report Form ID		AAAAAAA; Character. Enter the one appropriate Report Form ID from the following. GSF0401: Gasoline Sulfur and Benzene Batch Report
2.	Report Type		A; Character. Submit only one Original report, submit any corrections or updates as Resubmission(s): O: Original R: Resubmission
3.	CBI		A; Character. Specify if the data contained within the report is claimed as Confidential Business Information (CBI) under 40 CFR Part 2, subpart B: Y = Confidential Business Information N = Non-Confidential Business Information
4.	Report Date		MM/DD/YYYY; Character. This is the date the original or resubmitted report is created.
5.	Report Year		YYYY; Character. Averaging period the report covers.
6.	Company ID		AAAA; Character. The four Character EPA-assigned ID

			for your company.
7.	Facility ID		AAAAA; Character. The five Character EPA-assigned ID for your facility. Please include preceding zeros if applicable.
8.	Batch Number		AAAAAA; Character. The facility-assigned six digit Number identifying the batch this report describes. Please include preceding zeros where applicable.
9.	Product Type		AA; Character. Enter the one appropriate product description code from the following list. RG: RFG – Reformulated Gasoline RO: RBOB – any oxygenate RE: RBOB – ethers only RS: RBOB – refiner specified CG: Conventional Gasoline OB: Conventional gasoline (oxygen backout) CB: Conventional blendstock EE: Conventional blendstock (EEP report) OE: Conventional blendstock (oxygen backout and EEP report) TB: Blendstock added to Gasoline recovered from Transmix GT: GTAB – Gasoline treated as blendstock CS: Certified Sulfur-FRGAS (Foreign Refiners Only) NS: Non-Certified Sulfur-FRGAS (Foreign Refiners Only)
10.	Production Date		MM/DD/YYYY; Character. Date the reported batch was produced or imported.
11.	Batch Volume	gallons	999999999; Number. Production volume of the reported batch of gasoline.
12.	Sulfur	ppm	9999; Number. Sulfur content of the reported batch of gasoline.
13.	Benzene	volume percent	9.99; Number. Benzene content of the reported batch of gasoline.

Electronic Submission Sample Record: GSF0401,O,Y,02/21/2011,2010,1234,12345,000001,RG,01/02/2000,10000,140,1.23

Paperwork Reduction Act Statement

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes per response. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

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 (2822), 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.

EPA Form 5900-321

Page 2