3520-20I Reformulated Gasoline Program Toxics Emission Performanc

Reformulated Gasoline and Conventional Gasoline: Requirements for Refiners, Oxygenate Blenders, and Importers of Gasoline; Requirements for Parties in the Gasoline Distribution Network (Renewal)

3520-20i

Company Registration

OMB: 2060-0277

Document [pdf]
Download: pdf | pdf
19001

OMB 2060-0277 expires 4/30/2004 (see instructions)

Reformulated Gasoline Program
Toxics Emissions Performance
Averaging Report

United States
Environmental Protection Agency
Washington DC 20460

1.0) Identifying Information
1.1) Report Type (shade one)

Original
Re-submission
1.2) Report Date (mm/dd/yy)

/

/

1.3) RY

1.4) Company ID

1.5) Facility ID

1
2
3
4
5
6
7
8
9
0

1
2
3
4
5
6
7
8
9
0

1
2
3
4
5
6
7
8
9
0

2.0) Compliance Calculations
2.2) Applicable Toxics
Performance
Standard
(% reduction)

2.1) Total Volume of Averaged
Reformulated Gasoline or
RBOB (gals)

,

,

,

.

1
2
3
4
5
6
7
8
9
0

1
2
3
4
5
6
7
8
9
0

2.4) Actual Total Toxics Emissions
Performance
(% reduction - gals)

,

,

2.3) Compliance Total Toxics
Emissions Performance
(% reduction-gals)

,

1
2
3
4
5
6
7
8
9
0

EPA Form 3520-20I (Rev. 01-2004)

,

,

,

1
2
3
4
5
6
7
8
9
0
2.5) Actual Total - Compliance Total
(% reduction - gals)

1
2
3
4
5
6
7
8
9
0

,

,

,

Page 1 of 3

19001

OMB 2060-0277 expires 4/30/2004 (see instructions)

Reformulated Gasoline Program
Toxics Emissions Performance
Averaging Report

United States
Environmental Protection Agency
Washington DC 20460

Identifying Information (from page 1)

Report Date

1.5) Facility ID

/

Company ID
RY

/

1
2
3
4
5
6
7
8
9
0

2.0) Compliance Calculations (continued)
2.6) Incremental Volume of
Averaged Reformulated
Gasoline or RBOB
(MSAT) (gals)

,

,

2.7) Compliance
Baseline Toxics
Value (MSAT)
(% reduction)

,

.

1
2
3
4
5
6
7
8
9
0

1
2
3
4
5
6
7
8
9
0

2.8) MSAT Compliance Total Toxics
Emissions Performance
(% reduction-gals)

,

,

,

1
2
3
4
5
6
7
8
9
0

1
2
3
4
5
6
7
8
9
0
Completed Forms are US Mail:
to be submitted to
one of the following
addresses.

2.9) Actual Total - MSAT Compliance Total
(% reduction - gals)

,

U.S. E.P.A.
Commercial
Attn: REFGAS (6406J)
Delivery:
1200 Pennsylvania Avenue NW
Washington, DC 20460

EPA Form 3520-20I (Rev. 01-2004)

,

,

U.S. E.P.A.
Attn: REFGAS; (202) 343-9038
1310 L Street, NW
Washington, DC 20005
Page 2 of 3

19001

OMB 2060-0277 expires 4/30/2004 (see instructions)

Reformulated Gasoline Program
Toxics Emissions Performance
Averaging Report

United States
Environmental Protection Agency
Washington DC 20460

Identifying Information (from page 1)

1.5) Facility ID

Report Date

/

1
2
3
4
5
6
7
8
9
0

/

Company ID
RY
3.0) MSAT Compliance Summary
3.1) Credit (+) or Deficit (-) Carried Forward
from Previous Year (% reduction-gals)

3.2) Current Year's MSAT Compliance Before
Applying Credits or Deficits (% reduction-gals)

-

-

,

,

,

,

1
2
3
4
5
6
7
8
9
0

,

,

,

,

1
2
3
4
5
6
7
8
9
0

3.3) Credit (+) or Deficit (-) to Carry Forward
into Next Year (% reduction-gals)

-

,

,

,

,

1
2
3
4
5
6
7
8
9
0

Completed Forms are US Mail:
to be submitted to
one of the following
addresses.

U.S. E.P.A.
Commercial
Attn: REFGAS (6406J)
Delivery:
1200 Pennsylvania Avenue NW
Washington, DC 20460

EPA Form 3520-20I (Rev. 01-2004)

U.S. E.P.A.
Attn: REFGAS; (202) 343-9038
1310 L Street, NW
Washington, DC 20005
Page 3 of 3


File Typeapplication/pdf
File TitleForm 3520-20i (19001) (Activate
Authorjweihrau
File Modified2004-01-06
File Created2004-01-06

© 2024 OMB.report | Privacy Policy