Fuel Notification

EPA Form 3520-12 - Fuel Manufacturer Notification Instructions (11-2013)

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Instructions

Fuel Manufacturer Notification for Motor Vehicle Fuel

GENERAL INFORMATION
A manufacturer of a motor vehicle gasoline or motor vehicle diesel fuel may not sell, offer for sale, or introduce into commerce
such fuel unless it has been registered by the United States Environmental Protection Agency (EPA) in accordance with the
regulations at 40 CFR 79. These regulations and a list of registered fuels are available at www.epa.gov/otaq/additive.htm .
A fuel manufacturer is any person who, for sale or introduction into commerce, produces, manufactures, or imports a fuel or
causes or directs the alteration of the chemical composition of a bulk fuel, or the mixture of chemical compounds in a bulk fuel, by
adding to it an additive, except:
(1) A party (other than a fuel refiner or importer) who adds a quantity of additive(s) amounting to less than 1.0 percent by
volume of the resultant additive(s)/fuel mixture is not thereby considered a fuel manufacturer.
(2) A party (other than a fuel refiner or importer) who adds an oxygenate compound to fuel in any otherwise allowable amount is
not thereby considered a fuel manufacturer.
An additive is any substance, other than one composed solely of carbon and/or hydrogen, that is intentionally added to a fuel
(including any added to a motor vehicle’s fuel system) and that is not intentionally removed prior to sale or use of the fuel.
to:

The registration process is initiated by submitting a Fuel Manufacturer Notification for Motor Vehicle Fuel, EPA Form 3520-12,

Via U.S. Postal Service
U.S. Environmental Protection Agency
William Jefferson Clinton Building
Mail Code - 6405A
1200 Pennsylvania Ave, NW
Washington, DC 20460

or

Via Courier
U.S. Environmental Protection Agency
William Jefferson Clinton Building
Room 6520V; (202) 343-9038
1200 Pennsylvania Ave, NW
Washington, DC 20004

Telephone: (202) 343-9648
Fax: (202) 343-2825
email: [email protected]
[email protected]
Specific instructions for completing the form follow. For additional information see the regulations entitled "Registration of Fuels
and Fuel Additives" at 40 CFR 79, or contact the office above.
The EPA is responsible for assessing the impact on public health and welfare from exposure to motor vehicle emissions.
Knowledge of fuel composition, as reported by each manufacturer, is an important aspect of this program.
SPECIFIC INSTRUCTIONS
Please type (best results are obtained using standard fonts such as Courier or Arial) or print the information using a dark-colored
ink. If using a photocopied version of the form, please ensure the copy is clean and has been copied to 100% of the original page
size.

Item 1.

Brand Name(s): List the brand name(s) under which your company markets the fuel described on this form. If you market
it under more than one name, all names should be listed. The first name listed will be considered the primary name.

Item 2.

Company Name: Enter the company's legal name.

Item 3.

Company ID : If known, enter the EPA assigned four-digit ID. Leave blank if this is your first manufacturer notification.

Item 4.

Address : Enter the address of the company office responsible for submiting this form.

Item 5.

Type of fuel: Check the appropriate category. If you believe the fuel falls into the "Other" category, contact the
registration office for assistance. A separate notification should be filed for each fuel grade. However, for gasoline, the
three grades may be combined if covered by the properties in section 6. In that case, mark only Unleaded Regular

EPA Form 3520-12 - Fuel Manufacturer Notification Instructions (11-2013)

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Gasoline.
Item 6.

Fuel Properties: To the extent known, provide the highest, lowest, and average concentrations, in weight percent, for the
listed characteristics/properties. Also, to the extent known, provide methods of analysis for (a) through (f). For any item
for which measurements are not available, enter "Not Measured." If a standard method of analysis is used, identify it
(e.g., ASTM D 1319). If not, describe the method used on a separate sheet. Please use metric measurements.

Items 7. Additives: Provide the full commercial identifying name, additive manufacturer's full name, range of concentration, and
purpose-in-use for each additive that may be used in the fuel. For purpose-in-use, use the appropriate symbol(s) from
the following list:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)
(n)
(o)
(p)
(q)
(r)
(s)
(t)
(u)
(v)
(w)
(x)
(y)

Anti-icing agent/moisture absorbent
Antiknock (gasoline only)
Antioxidant
Antistall agent
Antistatic agent
Cetane improver (diesel only)
Combustion improver/modifier
Corrosion inhibitor
Deposit modifier/control
Non-certified detergent
Dye
Gum solvent
Masking or odorizing agent
Metal deactivator
Pour point depressant (diesel only)
Sediment inhibitor
Stabilizer or dispersant
Upper cylinder lubricant
Octane enhancer (gasoline only)
Flow improver
Volume extender
Carburetor and choke cleaner
Algaecide/bactericide/fungicide
Valve lubricant
Demulsifier/dehazer

(ac)
(af)
(an)
(bc)
(bd)
(ca)
(cc)
(cp)
(dc)
(df)
(di)
(ec)
(es)
(fr)
(ia)
(ic)
(iv)
(la)
(mr)
(ox)
(pc)
(ri)
(sf)
(sw)
(tr)

Additive component
Anti-flamant
Acid neutralizer
Blended component/blend stock
Biodiesel
Carrier
Combustion chamber cleaner
Cloud point depressant
Detergent compound
Defoamer
Dilutent
Emission control
Exhaust system cleaner
Certified detergent
Identifying agent
Fuel injector cleaner
Intake valve cleaner
Lubricity agent
Marker
Oxygenate
Process chemical
Rust inhibitor
Starting fluid
Sweetener
Tracer
(sc)
Scavenger
For range of concentration, give the expected or estimated concentration range. Concentration ranges should be
expressed in milligrams of additive per liter of fuel. However, fuel additives which are oxygenates may be expressed as a
percent volume. Please indicate on the form when a percent volume is used. Certified detergents must be expressed as
gallons of detergent additive package per thousand gallons of gasoline (gal/kgal). Use the following definitions:
Highest concentration: The highest concentration at which the additive will be used in the finished fuel.
Lowest concentration: The lowest concentration at which the additive will be used in the finished fuel. Note: If the additive
is used at one refinery producing the registered fuel but not at another producing the same fuel, the lowest concentration
figure is zero, as some of that fuel does not contain that additive.
Average concentration: The average additive concentration in the fuel to be registered. The average is the total amount
of the additive proposed to be used in the fuel during a three-month period, divided by the anticipated total production of
that fuel during the same period. Therefore, the divisor (total fuel production) will be the same for all additives listed on
this form.

Item 8.

Detection : Self-explanatory

Item 9.

Mechanisms of Action: Self-explanatory

EPA Form 3520-12 - Fuel Manufacturer Notification Instructions (11-2013)

Item 10.

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Market Distribution: Each Petroleum Administration for Defense District (PADD) is defined as follows:
PADD1
Connecticut
Delaware
District of Columbia
Florida
Georgia
Maine
Maryland
Massachusetts
New York
New Hampshire
New Jersey
North Carolina
Pennsylvania
Rhode Island
South Carolina
Vermont
Virginia
West Virginia

PADD2
Illinois
Indiana
Iowa
Kansas
Kentucky
Michigan
Minnesota
Mississippi
Nebraska
North Dakota
Ohio
Oklahoma
South Dakota
Tennessee
Wisconsin

PADD3
Alabama
Arkansas
Louisiana
Missouri
New Mexico
Texas

PADD4
Colorado
Idaho
Montana
Utah
Wyoming

PADD5
Alaska
Arizona
California
Hawaii
Nevada
Oregon
Washington

Item 11. Conventional source: Self-explanatory.
Item 12. Small Business Provision:
A baseline gasoline:
(1) contains no elements other than carbon, hydrogen, oxygen, nitrogen, and/or sulfur,
(2) contains less than 1.5 percent oxygen by weight,
(3) possesses the physical and chemical characteristics of unleaded gasoline, as specified by American Society for
Testing and Materials (ASTM) standard D 4814-93a, in at least one Seasonal and Geographical Volatility Class, and
(4) is derived only from conventional petroleum, heavy oil deposits, coal, tar sands, and/or oil sands.
A nonbaseline gasoline meets the requirements for baseline gasoline, with the following exceptions:
(1) contains 1.5 percent or greater oxygen by weight, and/or
(2) is derived from sources other than conventional petroleum, heavy oil deposits, coal, tar sands, and/or oil sands.
An atypical gasoline does not meet the requirements for a baseline gasoline or a nonbaseline gasoline. For example, it
could contain an additive which has an element other than carbon, hydrogen, oxygen, nitrogen, and sulfur.
A baseline diesel fuel:
(1) contains no elements other than carbon, hydrogen, oxygen, nitrogen, and/or sulfur,
(2) contains 0.05 percent or less sulfur by weight,
(3) contains less than 1.0 percent oxygen by weight,
(4) possesses the characteristics of diesel fuel as specified by ASTM D 975-93, and
(5) is derived only from conventional petroleum, heavy oil deposits, coal, tar sands, and/or oil sands.
A nonbaseline diesel fuel meets the requirements for baseline diesel fuel, with the following exceptions:
(1) contains 1.0 percent or more oxygen by weight, and/or
(2) is derived from sources other than conventional petroleum, heavy oil deposits, coal, tar sands, and/or oil sands.
An atypical diesel fuel contains 0.05 percent or less sulfur by weight and does not meet the requirements for a baseline
diesel fuel or a nonbaseline diesel fuel. For example, it could contain an additive which has an element other than
carbon, hydrogen, oxygen, nitrogen, and sulfur.
Item 13. Grouping: Self-explanatory.
Item 14. Confidentiality: Check the number(s) of those items for which your company asserts a claim of confidentiality.
Item 15. Attached Information: Check the appropriate box. List a description for each item attached to the notification.
Item 16. Certification: The notification form must be signed and dated by the fuel manufacturer or its authorized agent. The
printed name of the signer and the signer's telephone number should be given. If the form is signed by an authorized
agent, the company must provide a letter authorizing such agent.

EPA Form 3520-12 - Fuel Manufacturer Notification Instructions (11-2013)

OMB Control No. 2060-0150
Approval expires 10-31-16
The public reporting and recordkeeping burden for this collection of information is estimated to
average 8 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. 20406. Include the OMB control number in any correspondence. Do not send the
completed form to this address.
NOTE: This office is operated by a contractor, SRA International for the EPA. Information submitted with this
form will be provided to SRA International for processing into a database at the registration office.

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