5900-151 Class I Producer Quarterly Report

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Overview

Instructions
Section 1
Section 2
Section 3
Reference List

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Sheet 1: Instructions

	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	Class I Producer Quarterly Report (Sec 82.13)
	Version 3.0
	Last Updated: March 2019
	Instructions
	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 3 to generate your CSV file.
	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
	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.
	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:
	https://www.epa.gov/ods-phaseout/ods-recordkeeping-and-reporting
	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.
	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.
	EPA Form #5900-151
	OMB Control Number: 2010-0170
	Expiration Date: 8/31/2021

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Sheet 2: Section 1

	U.S. Environmental Protection Agency
	Class I Producer Quarterly Report
	Date Prepared:	1/14/2021
	Section 1: Report Identification Information
	Complete all fields below. No fields may be left blank.
	The company name must match the organization name under which this report is submitted to EPA through CDX. Company Name:			1
	Submission Type:			1
	Reporting Year:			1
	Reporting Quarter:			1
		x
		Original Submission
		Re-Submittal

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Sheet 3: Section 2

U.S. Environmental Protection Agency

Class I Producer Quarterly Report

Company Name:

Reporting Period:

#NAME?

Section 2: Production Data

In the table below, enter the quantity of each class I controlled substance that was produced during the reporting period. If no controlled substances were produced, the table may be left blank. As a reminder, if material was produced for global lab, other essential uses (EU), second party transformation, or second party destruction, a copy of the transformation verification, destruction verification, and/or essential use certification from each company for whom material was produced must be provided to EPA along with the submission of this report.

If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.

Select the name of the chemical produced. 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. Name of the Class I Chemical Produced

Enter the quantity (kg) of the chemical produced for global lab use during the reporting period. Global Lab

Enter the quantity (kg) of the chemical produced for other essential uses (EU) during the reporting period. Other EU

Enter the quantity (kg) of the chemical produced for in-house transformation during the reporting period. In-House Transformation

Enter the quantity (kg) of the chemical produced for second party transformation during the reporting period. Second Party Transformation

Enter the quantity (kg) of the chemical produced for in-house destruction during the reporting period. In-House Destruction

Enter the quantity (kg) of the chemical produced for second party destruction during the reporting period. Second Party Destruction

The gross quantity (kg) of the chemical produced during the reporting period equals global lab + other EU + in-house transformation + 2nd party transformation + in-house destruction + 2nd party destruction. This field is autopopulated. Gross Production

Selection

kg

kg

kg

kg

kg

kg

Autopopulated

CFC-113

1,500.00

0.00

200.00

100.00

0.00

0.00

1,800.00

x

CBM

CCL4

CFC-11

CFC-12

CFC-13

CFC-111

CFC-112

CFC-113

CFC-114

CFC-115

CFC-211

CFC-212

CFC-213

CFC-214

CFC-215

CFC-216

CFC-217

CH3CCL3

Halon 1202

Halon 1211

Halon 1301

Halon 2402

HBFCs

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Sheet 4: Section 3

		U.S. Environmental Protection Agency
		Class I Producer Quarterly Report
		Company Name:
		Reporting Period:	#NAME?
		Section 3: Shipment/Sales Data
		Identify the recipient company(s) of the material produced for second party transformation, second party destruction, global lab, and/or other essential uses (EU), and the amount shipped to or purchased by each company during the quarter.
		Note: Due to a potential time lag between the date of production and the date of shipment, it is recognized that for a given quarter the information in Section 3 may not match the information reported in Section 2 for second party transformation and second party destruction; however, it is expected that all material produced for second party transformation and second party destruction will eventually be shipped to a second party and must be reported as such in the applicable quarterly report.
		If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.
		As a reminder, a copy of the transformation verification, destruction verification, or essential use certification from each company for whom material was produced must be provided to EPA along with the submission of this report.
		Select the chemical name from the dropdown list if the controlled substance was produced during the reporting period and subsequently shipped to a second party for transformation or destruction, or purchased by a company for lab use or other EU. If the material was shipped to or purchased by more than one company, enter the chemical name in more than one row. 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 name of the company that received or purchased material during the quarter for transformation, destruction, global lab, or other EU. Recipient Company Name	Enter the quantity (kg) of the chemical shipped to or purchased by the recipient company during the reporting period. Quantity	Identify whether the material will be (1) transformed (2) destroyed, (3) distributed for global lab, or (4) used for other essential uses. Purpose
		Selection	Text	kg	Selection
		CFC-113	Company A	100.00	Transformation
		x			x
		CBM			Global Lab
		CCL4			Other EU
		CFC-11			Transformation
		CFC-12			Destruction
		CFC-13
		CFC-111
		CFC-112
		CFC-113
		CFC-114
		CFC-115
		CFC-211
		CFC-212
		CFC-213
		CFC-214
		CFC-215
		CFC-216
		CFC-217
		CH3CCL3
		Halon 1202
		Halon 1211
		Halon 1301
		Halon 2402
		HBFCs

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Sheet 5: Reference List

	U.S. Environmental Protection Agency
	Class I Producer Quarterly Report
	Reference List
	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 accepted into EPA’s ODS tracking system. When copying and pasting data into the form, please ensure consistency with the formatting of the list below.
	Chemical Name List: The table below lists the valid chemical names that may be used when entering data into Section 2 and Section 3 of this form.
	Chemical Name
	CFC-12	CFC-114	CFC-214	Halon 1211	CH3CCL3
	CFC-13	CFC-115	CFC-215	Halon 1301	HBFCs
	CFC-111	CFC-211	CFC-216	Halon 2402
	CFC-112	CFC-212	CFC-217	CBM
	CFC-113	CFC-213	Halon 1202	CCL4