5900-93 Large Spark Ignition

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Overview

Submission Template
Notes
Instructions

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Sheet 1: Submission Template

United States

Environmental Protection Agency

Paperwork Reduction Act Notice

Office of Transportation and Air Quality

The public reporting and recordkeeping burden for this collection of information is estimated to average 453.79 hours per respondent. 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. 20460. Include the OMB control number 2060-0338 in any correspondence. Do not send the completed form to this address.

Nonroad Engine In-Use Testing Report

(Large Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Basic Information

Submission Date

Manufacturer:

Engine Family:

In-Use Test Contact:

Min. Tests Required:

Email Address:

Phone #:

FEL/ Emission Limit(s)

HC+NOx

HC+NOx Units

CO

CO Units

Comments:

Engines Disqualified

and Reason:

In-Use Engines Test Results

Interim Calculations

Engine

Engine

Engine

Diagnostic

If engine in noncompliant or if the test is invalid, explain why.

Engine

Serial

Manufacture

Usage

Test

Test

System

Test

HC+NOx

CO

HC+NOx

CO

Model

Number

Date

Hours

Date

Time

Functioning?

Invalid?

Result

Result

Mean

Mean

Adjustments, Modifications, and Repairs

Additional Comments

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Current In-Use Test Status

Average

Number of HC+NOx Tests Performed:

0

Pollutant

Result

Number of CO Tests Performed:

0

HC+NOx

NA

Number of Tests Required:

0

CO

NA

PASSING STATUS

OPEN

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Sheet 2: Notes

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Nonroad Engine In-Use Testing Report

(Large Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Manufacturer Notes

OMB No. 2060-0338

Approval Expires on

8/31/2012

EPA Form 5900-93

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Sheet 3: Instructions

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Nonroad Engine In-Use Testing Report

(Large Spark Ignition Engines)

Last Revision: August 2010 Version Number: 1.3

Manufacturer Data Submission Template -- INSTRUCTIONS

Paperwork Reduction Act Notice

OMB No. 2060-0338

Approval Expires on

8/31/2012

EPA Form 5900-93