5900-148 Second-Party Destruction Annual Report

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Overview

Instructions
Section 1
Section 2
Reference List

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Sheet 1: Instructions

	U.S. Environmental Protection Agency
	Stratospheric Ozone Protection Program
	Second Party Destruction Annual Report (Sec 82.13 and 82.24)
	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 2 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 #5900-148
	OMB Control Number: 2010-0170
	Expiration Date: 8/31/2021

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Sheet 2: Section 1

	U.S. Environmental Protection Agency
	Second Party Destruction Annual Report
	Date Prepared:
	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
		Original Submission
		Re-Submittal

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Sheet 3: Section 2

		U.S. Environmental Protection Agency
		Second Party Destruction Annual Report
		Company Name:
		Reporting Period:
		Section 2: Destruction Data
		In the table below, enter the quantity of each controlled substance that was destroyed during the reporting period.
		If copying and pasting data into the table, please refer to the Reference List and the accompanying instructions.
		Select the chemical name from the dropdown list if the controlled substance was destroyed 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 destroyed during the reporting period. Quantity Destroyed
		Selection	kg
		HCFC-22	1,500.00
		x
		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
		Halon 1202
		Halon 1211
		Halon 1301
		Halon 2402
		CBM
		CCL4
		CH3CCL3
		HBFCs
		CH3Br
		HCFC-21
		HCFC-22
		HCFC-31
		HCFC-121
		HCFC-122
		HCFC-123
		HCFC-123a
		HCFC-123b
		HCFC-124
		HCFC-124a
		HCFC-131
		HCFC-132b
		HCFC-133a
		HCFC-141b
		HCFC-142b
		HCFC-151
		HCFC-221
		HCFC-222
		HCFC-223
		HCFC-224
		HCFC-225ca
		HCFC-225cb
		HCFC-226
		HCFC-231
		HCFC-232
		HCFC-233
		HCFC-234
		HCFC-235
		HCFC-241
		HCFC-242
		HCFC-243
		HCFC-244
		HCFC-251
		HCFC-252
		HCFC-253
		HCFC-261
		HCFC-262
		HCFC-271

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Sheet 4: Reference List

	U.S. Environmental Protection Agency
	Second Party Destruction Annual 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 of this form.
	Chemical Name
	CFC-11	CFC-217	HCFC-122	HCFC-142b	HCFC-241
	CFC-12	Halon 1202	HCFC-123	HCFC-151	HCFC-242
	CFC-13	Halon 1211	HCFC-123a	HCFC-221	HCFC-243
	CFC-111	Halon 1301	HCFC-123b	HCFC-222	HCFC-244
	CFC-112	Halon 2402	HCFC-124	HCFC-223	HCFC-251
	CFC-113	CBM	HCFC-124a	HCFC-224	HCFC-252
	CFC-114	CCL4	HCFC-131	HCFC-225ca	HCFC-253
	CFC-115	CH3CCL3	HCFC-132b	HCFC-225cb	HCFC-261
	CFC-211	HBFCs	HCFC-133a	HCFC-226	HCFC-262
	CFC-212	CH3Br	HCFC-141	HCFC-231	HCFC-271
	CFC-213	HCFC-21	HCFC-141a	HCFC-232
	CFC-214	HCFC-22	HCFC-141b	HCFC-233
	CFC-215	HCFC-31	HCFC-142	HCFC-234
	CFC-216	HCFC-121	HCFC-142a	HCFC-235