5900-461 Rec Vehicle and ATV Production Line Testing Report

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Overview

Instructions
Submission Template
Calculations
Notes

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Sheet 1: Instructions

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for ATVs and Off-Highway Motorcycles

Last Revision: December 2014 Version Number: 1.0

Manufacturer Data Submission Template -- INSTRUCTIONS

Paperwork Reduction Act Notice

OMB No. 2060-XXXX

The public reporting and recordkeeping burden for this collection of information is estimated to average XX 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. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Approval Expires on

MM/DD/YYYY

EPA Form 5900-XXX

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Sheet 2: Submission Template

United States
Environmental Protection Agency
Office of Transportation and Air Quality
Manufacturer Production Line Testing Report for ATVs and Off-Highway Motorcycles
Last Revision: December 2014 Version Number: 1.0
Basic Information																									Submission Date
			Manufacturer:								Engine Family:
											Fuel Type:														Paperwork Reduction Act Notice
			PLT Test Contact:								Projected Annual Production Volume - Engine Family:						Number of Test Periods								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.
			Email Address:								Is this a carry-over engine family?						Current Period:
			Phone #:								Pre-approved reduced sample size*:
			Production Period			From:		To:			* Per 1051.301(e), engine families with carryover emissions data that have consistently passed PLT requirements over the past 2 years, may request a reduced sample size. Minimum testing rate is one vehicle or engine or per engine family.
			Comments:
PLT Engine Test Results
								Det. Factor Type		CO Emission Limit		CO Det. Factor	CO Det. Factor Type		HC+NOx Emission Limit/FEL		HC Det. Factor	HC Det. Factor Type		HC+NOx Emission Limit/FEL		NOx Det. Factor	NOx Det. Factor Type
								Service	Service	CO	CO	CO	CO		HC	HC	HC	HC		NOx	NOx	NOx	NOx									Test Comments
	Test	Final or	Test	Test	Test	Engine	Build	Hours	Hours	Initial	Initial	Final	Final	Include in	Initial	Initial	Final	Final	Include in	Initial	Initial	Final	Final	Include in	Test	Test	Test	Invalid	Failure
	Number	Initial?	Date	Time	Period	ID	Date	Accumulation	Location	Result	Rounded Result	Result	Det. Result	CumSum?	Result	Rounded Result	Result	Det. Result	CumSum?	Result	Rounded Result	Result	Det. Result	CumSum?	Location	Contact	Invalid?	Reason	Reason	Remedy	Repairs
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Sheet 3: Calculations

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for ATVs and Off-Highway Motorcycles

Last Revision: December 2014 Version Number: 1.0

Calculated Results Data

Current PLT Test Status:

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average XX 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. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Engine Family:

0

HC+NOx (passing status?)

NOx+HC not tested

HC+NOx (N-met?):

NOx+HC not tested

CO (passing status?)

CO not tested

CO (N-met?):

CO not tested

PASSING STATUS

OPEN

Maximum Tests:

30

OMB No. 2060-XXXX

Approval Expires on

Notes:

MM/DD/YYYY

EPA Form 5900-XXX

HC+NOx - Calculations

CO - Calculations

Actual

Required

Sample

Actual

Required

Sample

Sample

Sample

Mean

Standard

Prior

Action

Requirement

NOx+HC

NOx+HC

Sample

Sample

Mean

Standard

Prior

Action

Requirement

CO

CO

Size (n)

Size (N)

Result

Deviation

CumSum

CumSum

Limit

Met?

Fail?

Pass?

Size (n)

Size (N)

Result

Deviation

CumSum

CumSum

Limit

Met?

Fail?

Pass?

Warnings

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Sheet 4: Notes

United States

Environmental Protection Agency

Office of Transportation and Air Quality

Manufacturer Production Line Testing Report for ATVs and Off-Highway Motorcycles

Last Revision: December 2014 Version Number: 1.0

Manufacturer Notes

Please provide any additional notes here.

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average XX 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. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

OMB No. 2060-XXXX

Approval Expires on

MM/DD/YYYY

EPA Form 5900-XXX