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U.S. Environmental Protection Agency |
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Stratospheric Ozone Protection Program |
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Second Party Transformation Annual Report (Sec 82.13 and 82.24) |
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Version 1.0 |
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Last Updated: April 2018 |
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Instructions |
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Complete this form by filling in the data fields that are highlighted in blue. Guidance on how to complete individual data fields are provided in comment bubbles. Use the arrows to navigate between the tabs. Once completed, use the 'prepare submission' button in Section 2 to generate your CSV file. |
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Copying and Pasting Data: If data are pasted into this reporting form from another spreadsheet, the formatting of specific cells must be consistent with the requirements of the form in order to be |
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accepted into EPA’s ODS Tracking System. Refer to the Reference List to identify the valid naming scheme for specific data fields. Additionally, select "Paste As Values" when pasting data into the form. |
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Report Submission: This Excel file, the generated CSV file, and all supporting attachments should be submitted to EPA through the Central Data Exchange (CDX). Refer to EPA's website for additional information on form submission: |
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https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting |
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All information submitted to EPA will be treated as confidential in accordance with 40 CFR Part 2, Subpart B, and will only be disclosed by the means set forth in the subpart. |
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The public reporting and recordkeeping burden for this collection of information is estimated to average 2 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 Avenue NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. |
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EPA Form #5900-147 |
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OMB Control Number: 2060-0170 |
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Expiration Date: 10/31/2018 |
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U.S. Environmental Protection Agency |
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Second Party Transformation Annual Report |
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Company Name: |
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Reporting Period: |
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Section 2: Transformation Data |
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In the table below, enter the quantity of each controlled substance that was transformed during the reporting period. |
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If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions. |
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Select the chemical name from the dropdown list if the controlled substance was transformed during the reporting period. Each chemical should only appear once in the table.
If copying and pasting data into the table, please refer to the Reference List for the valid list of chemical names.
Chemical Name |
Enter the quantity (kg) of the chemical transformed during the reporting period.
Quantity Transformed |
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Selection |
kg |
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HCFC-22 |
1,500.00 |
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x |
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CFC-11 |
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CFC-12 |
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CFC-13 |
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CFC-111 |
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CFC-112 |
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CFC-113 |
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CFC-114 |
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CFC-115 |
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CFC-211 |
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CFC-212 |
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CFC-213 |
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CFC-214 |
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CFC-215 |
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CFC-216 |
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CFC-217 |
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Halon 1202 |
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Halon 1211 |
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Halon 1301 |
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Halon 2402 |
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CBM |
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CCL4 |
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CH3CCL3 |
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HBFCs |
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CH3Br |
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HCFC-21 |
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HCFC-22 |
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HCFC-31 |
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HCFC-121 |
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HCFC-122 |
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HCFC-123 |
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HCFC-123a |
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HCFC-123b |
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HCFC-124 |
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HCFC-124a |
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HCFC-131 |
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HCFC-132b |
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HCFC-133a |
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HCFC-141b |
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HCFC-142b |
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HCFC-151 |
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HCFC-221 |
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HCFC-222 |
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HCFC-223 |
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HCFC-224 |
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HCFC-225ca |
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HCFC-225cb |
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HCFC-226 |
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HCFC-231 |
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HCFC-232 |
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HCFC-233 |
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HCFC-234 |
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HCFC-235 |
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HCFC-241 |
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HCFC-242 |
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HCFC-243 |
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HCFC-244 |
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HCFC-251 |
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HCFC-252 |
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HCFC-253 |
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HCFC-261 |
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HCFC-262 |
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HCFC-271 |
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