5900-146 Notification of Methyl Bromide Transfers

OMB Control Number: 2060-0170
Expiration Date: 8/31/21

CLASS I CONTROLLED SUBSTANCE
METHYL BROMIDE

U.S. Environmental Protection Agency
STRATOSPHERIC OZONE PROTECTION PROGRAM

NOTIFICATION OF TRANSFERS

(40 CFR 82.13)

SECTION 1

TRANSFEROR IDENTIFICATION

1.1 Date of Submission

1.2

1.3 Number of Transactions Reported

Original Submittal

Re-submittal

1.4 Number of Pages Submitted

1.5 Company Information
Company Name
Street Address
City

State

Zip Code

1.6 Company Contact Identification
Reporting Company Contact Person
E-mail Address
Phone Number

Fax Number

1.7 Signature of Reporting Company Representative
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached
documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the
submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment.
Name
Title
Signature

SEND COMPLETED FORMS TO:

Date
For U.S. Postal Service:

For Private Courier:

U.S. EPA
Stratospheric Protection Division
Office of Atmospheric Programs
Mail Code: 6205T
1200 Pennsylvania Avenue, NW
Washington, D.C. 20460

U.S. EPA
Stratospheric Protection Division
Office of Atmospheric Programs
Room 4355VV
1201 Constitution Avenue, NW
Washington, D.C. 20004

A company may assert a claim of confidentiality for information submitted in this form by clearly marking that information as confidential. Such information shall
be treated in accordance with EPA’s procedures for information claimed as confidential at 40 CFR Part 2, Subpart B, and will only be disclosed by the means
set forth in the subpart. If no claim of confidentiality accompanies the report when it is received by EPA, it may be made public without further notice to the
company (40 CFR 2.203).
The public reporting and recordkeeping burden for this collection of information is estimated to average 1.0 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.

EPA Form 5900-146, Revised 08/18

OMB Control Number: 2060-0170
Expiration Date: 8/31/21

CLASS I CONTROLLED SUBSTANCE
METHYL BROMIDE

U.S. Environmental Protection Agency
STRATOSPHERIC OZONE PROTECTION PROGRAM

NOTIFICATION OF TRANSFERS

(40 CFR 82.13)

SECTION 2

TRANSACTION RECORDS

(Reproduce Additional Sheets as Needed)

TRANSACTION #
2.1 Transferee Identification
Transferee Company Name
Transferee Contact Person
Street Address
City

Country

Phone Number

Postal Code
Fax Number

Check only one:

Pre-Plant Critical Use

2.2 Type of Allowances Transferred (check only one)

Post-Harvest Critical Use
Current Year Allowances

2.3 Number of Allowances Purchased by Transferee (kg)
2.4 Amount of Offset (kg) (0.001 x Section 2.3)
2.5 Number of Allowances Subtracted from Transferor’s Balance of
Chemical Being Transferred (kg) (Section 2.3 + Section 2.4)

SECTION 3

UNEXPENDED BALANCE SUMMARY

3.1 Balance of Unexpended Methyl Bromide Allowances Prior to Trades Reported
A

Balance of Unexpended Pre-Plant Critical Use Allowances

B

Balance of Unexpended Post-Harvest Critical Use Allowances

EPA Form 5900-146, Revised 08/18

Baseline Year Allowances