Form 3520-20P Reformulated Gasoline Program Credit Transfer Summary Re

OMB 2060-0277 expires 7/31/2000 (see instructions)

12042

United States
Environmental Protection Agency
Washington DC 20460

EPA

Reformulated Gasoline Program Credit
Transfer Summary Report
(Complex Model)
2.0) Credit Partner Information

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

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

/

/

1.3) Company ID

1.4) Facility ID

1.5) RY

2.1) Other
Company ID

2.2) Other
Facility ID

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3.0) Summary of Credit Transactions
3.1) Benzene Credits (vol % - gals) (shade one):

Transferred To

Obtained From

3.1.1) Number of Credits

,

,

Transferred To

Obtained From

3.2.1) Number of Credits

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

3.2) Oxygen Credits (wt % - gals) (shade one):

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

EPA Form 3520-20P (Rev. 03-99)

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