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Expires XX-XX-XXXX
Instructions for EPA Form No. 3520-27 (Rev. 06-99); Load Port/Port of Entry
Independent Sampling, Testing and Refinery/Importer Identification Form
Complete this form for each occasion FRGAS is loaded onto a vessel for transport
to the United States.
1.0 Identifying Information: Items 1.1 through 1.8 provide descriptive information about
the report and the submitting party.
1.1 Form Type: Check only one. Indicate whether this is a load port of port of entry form.
1.2 Report Type: Check only one. Indicate whether this is the first time this FRGAS
report has been submitted (Original) or if it is a modified report for the subject FRGAS
(Re-submission).
1.3 Report Date: Enter the date (in mm/dd/yy format) on which this report, whether an
original or a re-submission, was prepared.
1.4 Date of Inspection: Enter the date (in mm/dd/yy format) of the inspection.
1.5 Foreign Refinery Registration Number: Obtain the EPA assigned registration number
of the foreign refinery and enter it here.
1.6 Importer Registration Number: Obtain the EPA assigned registration number of the
importer and enter it here.
1.7 Name of Reporting Party: Enter the name of the party submitting this report.
1.8. Name of Vessel: Determine the name of the vessel used to transport the FRGAS to
the United States.
1.9 Country of Registration: Determine the vessel’s country of registration.
2.0 Gasoline Volume: The volume, in gallons, of the FRGAS.
2.1 Volume of Tank Bottoms: Inspect the vessel and determine the volume of any tank
bottoms.
2.1.1 Prior to loading: Enter the volume of any tank bottoms prior to loading onto the
vessel.
2.1.2 : Enter the volume of any tank bottoms prior to unloading from the vessel.
2.2 Volume of FRGAS: Determine the volume of FRGAS (exclusive of any tank bottoms).
2.2.1 Loaded onto Vessel: Enter the volume of FRGAS prior to loading onto the vessel.
2.2.2 Unloaded from Vessel: Enter the volume of FRGAS prior to unloading from the
Instructions for EPA Form 3520-27 (Rev. 06-99)
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OMB Control Number 2060-0277
Expires XX-XX-XXXX
vessel.
3.0 Vessel Departure/Arrival: The date and time of vessel departure or arrival.
3.1 Vessel Departure Date: Enter the date the vessel departs the load port.
3.2 Vessel Departure Time: Enter the time the vessel departs the load port.
3.3 Vessel Arrival Date: Enter the date the vessel arrives at the port of entry.
3.4 Vessel Arrival Time: Enter the time the vessel arrives at the port of entry.
4.0 Foreign Refinery Gas (FRGAS) (Check one): Indicate whether the gasoline is
certified FRGAS or non certified FRGAS or was diverted to another country.
5.0 Inspector: Items 5.1 and 5.2 provide information about the inspector.
5.1 Load Port Inspector Name: Enter the name of the third party independent inspector
at the load port.
5.1.1 Identification Number: Enter the EPA assigned four digit ID for the company
providing the analysis at the load port.
5.1.2 Date: Enter the date of the load port inpector’s report.
5.2 Port of Entry Inspector Name: Enter the name of the third party independent
inspector at the port of entry.
5.2.1 Identification Number: Enter the EPA assigned four digit ID for the company
providing the analysis at the port of entry.
5.2.2 Date: Enter the date of the port of entry inpector’s report.
6.0 Description of Method Used to Determine the Identity of the Refinery at which the
Gasoline was Produced: (For Load Port Forms Only) See Section 80.94 (f)(2)(iv) and
(f)(3)(ii)) for load port forms only.
7.0 Certified FRGAS Volume Weighted Averages: Items 7.1 and 7.2 provide the volume
weighted averages of certified FRGAS parameters at load port and port of entry.
7.1 Load port: Prepare a volume weighted vessel composite sample from the
compartment samples from the vessel at load port and determine the values for the
following parameters using the methodologies specified in §80.46 and options in
§80.94(f)(2)(ii).
7.1.1 Sulfur (ppm): Indicate the amount of sulfur in parts per million by weight (ppm).
7.1.2 Benzene: Indicate the volume percentage of benzene.
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7.1.3 API Gravity: Indicate the API gravity in API degrees.
7.1.4 E200: Indicate the 200o F distillation fraction in volume percentage.
7.1.5 E300: Indicate the 300o F distillation fraction in volume percentage.
7.2 Port of Entry: Prepare a volume weighted vessel composite sample from the
compartment samples from the vessel at the port of entry and determine the values for
the following parameters using the methodologies specified in §80.46 and options at
§80.94(o)(3)(ii) (C).
7.2.1 Sulfur (ppm): Indicate the amount of sulfur in parts per million by weight (ppm).
7.2.2 Benzene: Indicate the volume percentage of benzene.
7.2.3 API Gravity: Indicate the API gravity in API degrees.
7.2.4 E200: Indicate the 200o F distillation fraction in volume percentage.
7.2.5 E300: Indicate the 300o F distillation fraction in volume percentage.
8.0 Certified FRGAS Values: Items 8.1 and 8.2 provide information on parameter values
of certified FRGAS at load port and port of entry.
8.1 Load Port: Using the options outlined in §80.94(f)(2)(iii), determine the values of the
following parameters of the certified FRGAS loaded onto the vessel.
8.1.1 RVP (psi): Indicate RVP in pounds per square inch.
8.1.2 Olefins: Indicate the volume percentage of olefins.
8.1.3 Aromatics: Indicate the volume percentage of aromatics.
8.1.4 MTBE: Indicate the volume percentage of MTBE volume.
8.1.5 ETHANOL: Indicate the volume percentage of ethanol.
8.1.6 ETBE: Indicate the volume percentage of ETBE.
8.1.7 TAME: Indicate the volume percentage of TAME.
8.2 Port of Entry: Where the provisions of §80.94(g)(2) apply, determine the values of the
following parameters of the certified FRGAS unloaded from the vessel.
8.2.1 RVP (psi): Indicate RVP in pounds per square inch.
8.2.2 Olefins: Indicate the volume percentage of olefins.
8.2.3 Aromatics: Indicate the volume percentage of aromatics.
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8.2.4 MTBE: Indicate the volume percentage of MTBE volume.
8.2.5 ETHANOL: Indicate the volume percentage of ethanol.
8.2.6 ETBE: Indicate the volume percentage of ETBE.
8.2.7 TAME: Indicate the volume percentage of TAME.
9.0 Comparison of Load Port and Port of Entry Emissions Performance Test Results:
Compare the load port and port of entry emissions performance test results where the
provisions of §80.94 (g)(2) apply.
9.1 Load Port NOx Emissions: Indicate the load port NOx emissions performance in
mg/mi.
9.2 Load Port Exhaust Toxics Emissions: Indicate the load port exhaust toxics emissions
performance in mg/mi.
9.3 Port of Entry NOx Emissions: Indicate the port of entry NOx emissions performance
in mg/mi.
9.4 Port of Entry Exhaust Toxics Emissions: Indicate the port of entry exhaust toxics
emissions performance in mg/mi.
Paperwork Reduction Act Statement
This collection of information is approved by OMB under the Paperwork Reduction
Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0277). Responses to this collection
of information are mandatory (40 CFR Part 80, Subparts D-F). An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. The number and expiration date
are displayed in the upper right corner of the form. The public reporting and
recordkeeping burden for this collection of information is estimated be 2.35 hours per
response.
Send comments on the Agency’s need this formation, 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, Regulatory
Support Division, U.S. Environmental Protection Agency (2821T), 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.
Instructions for EPA Form 3520-27 (Rev. 06-99)
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File Type | application/pdf |
File Title | "Instructions for Load Port/Port of Entry Independent Sampling, Testing and Refinery/Importer Identification Form (EPA Form 3520 |
Subject | "Instructions for Load Port/Port of Entry Independent Sampling, Testing and Refinery/Importer Identification Form (EPA Form 3520 |
Author | Fuels and Energy Division; US EPA; OAR; Office of Transportation |
File Modified | 2020-04-30 |
File Created | 2020-04-07 |