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pdfEPA Form 3520-13B (11-01-2013) Supplemental Additive Manufacturer Annual Report
* Required Field
Page 1 of 1
Form Approval
OMB No. 2060-0150
Approval Expires 10/31/2016
U.S. Environmental Protection Agency
Office of Transportation and Air Quality
Supplemental Additive Manufacturer Annual Report
* 1. Company ID:
* 2. Report Year:
Leave Blank
* 3. Report Type: (Check Only One)
Resubmission
Original
6. Production Values:
a. Additive ID:
b. Market:
A - Aftermarket
B - Bulk
C - Don't Know
C. Production Volume
Mail the completed form to:
or, via courier:
U.S. Environmental Protection Agency
William Jefferson Clinton Building
Mail Code - 6405A
1200 Pennsylvania Avenue, NW
Washington, DC 20460
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: [email protected]
This office is operated by a contractor for the EPA.
d. Production Units:
gal - Gallons
lb - Pounds
kg - Kilograms
| File Type | application/pdf |
| File Title | EPA Form 3520-13B (11-01-2013) - Supplemental Additive Manufacturer Annual Report (August 1, 2013) |
| Subject | This EPA Reporting Form is for the supplemental registration of fuel additives to be submitted on or before March 31 for the pre |
| Author | U.S. EPA, OAR, Office of Transportation and Air Quality, Complia |
| File Modified | 2016-08-30 |
| File Created | 2014-07-28 |