5900-548 HFC Exporter Quarterly Report

Hydrofluorocarbon Allowance Allocation and Trading Program (Final Rule)

HFC Exporter Quarterly Reporting Form r0.1.xlsx

Hydrofluorocarbon Allowance Allocation and Trading Program

OMB: 2060-0734

Document [xlsx]
Download: xlsx | pdf

Overview

Quarterly Information
End-of-Year Inventory
Export Summary
Lists


Sheet 1: Quarterly Information






OMB Control Number: 2060-XXXX



















Expiration Date: X/XX/202X




































American Innovation and Manufacturing Act - HFC Exporter Quarterly Report









Worksheet Instructions:








































Version:



















r0.1



















Updated:



















9/23/2021



















External Links:








































Reporting Form Navigation:



















Section 1 - Company Identification



















Section 2 - Quarterly Export Information



















Section 3 - End-of-Year Inventory



















Section 4 - Export Summary








































Section 1 - Company Identification



















Instructions: Complete the following company information.



















Company Name:



















AIMRS Company ID:



















Reporting Year:



















Reporting Quarter:



















Employer Identification Number (EIN):








































Were HFCs Exported During the Reporting Quarter?








































Section 2 - Export Information



















Instructions: Provide the following information for each HFC export shipment that took place during the quarter. If no HFCs were exported, the table may be left blank. As a reminder, if HFCs were exported for second party transformation or second party destruction, the invoice or sales agreement containing language similar to the transformation verifications that importers use, or destruction verifications showing that the purchaser or recipient intends to destroy the HFCs must be provided to EPA along with the submission of this report. §84.31(d)(1)(vii)


HFC Export Data

1 2 3 4 5 6 7 8 9a 9b 9c 9d 9e 9f 10 11 12 13 14 15

Transaction Number Date of Export
§84.31(d)(1)(iv)
Shipment Reference Number Port of Exit
§84.31(d)(1)(iv)
HTS Code
§84.31(d)(1)(vi)
Country to which the HFCs were Exported
§84.17(d)(1)(v)
HFC or HFC Blend Exported
§84.31(d)(1)(iii)
Quantity of HFC or HFC Blend Exported
(kg)
§84.31(d)(1)(iii)
Blend Information Recipient Company
§84.31(d)(1)(i)
Recipient Company Address
§84.31(d)(1)(i)
Recipient Company City
§84.31(d)(1)(i)
Recipient Company Country
§84.31(d)(1)(v)
Transaction Type
§84.31(d)(1)(iii)
Intended Use
§84.31(d)(1)(vii)

HFC Exported HFC Composition of Blend
(%)
HFC Exported HFC Composition of Blend
(%)
HFC Exported HFC Composition of Blend
(%)


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This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-XXXX). Responses to this collection of information are mandatory (40 CFR 84.31). 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 public reporting and recordkeeping burden for this collection of information is estimated to be 16 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.
















































































EPA Form # 5900-548



















Sheet 2: End-of-Year Inventory




OMB Control Number: 2060-XXXX



Expiration Date: X/XX/202X





American Innovation and Manufacturing Act - HFC Exporter Quarterly Report


Worksheet Instructions:





Version:

r0.1


Updated:

9/23/2021


External Links:





Reporting Form Navigation:

Section 1 - Facility Identification


Section 2 - Quarterly Export Information


Section 3 - End-of-Year Inventory


Section 4 - Export Summary






Section 3 - End-of-Year Inventory


Instructions: Provide the quantity of each regulated substance held in inventory on December 31. Data should only be reported in the fourth quarter report.



HFC End-of-Year Inventory

1 2

HFC Quantity of Inventory
(kg)
§84.31(d)(1)(viii)





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18



Sheet 3: Export Summary




OMB Control Number: 2060-XXXX



Expiration Date: X/XX/202X





American Innovation and Manufacturing Act - HFC Exporter Quarterly Report


Worksheet Instructions:





Version:

r0.1


Updated:

9/23/2021


External Links:





Reporting Form Navigation:

Section 1 - Facility Identification


Section 2 - Quarterly Export Information


Section 3 - End-of-Year Inventory


Section 4 - Export Summary






Section 4 - Export Summary


Instructions: The values in the table below are calculated based on data entered in Section 2. If the totals appear to be incorrect, please return to Section 2 to review your data.





1 2

HFC Exported Total Quantity Exported
(kg)



1


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18



Sheet 4: Lists

Chemical Name [Common Name]
[Common_Name_1]
[Quarter] [Year]
[Port of Exit]
[County_1]
CHF3 HFC-23 2 HFC-23
1 2022
Addison Airport, Texas - 5584
Afghanistan
CH2F2 HFC-32 3 HFC-32
2 2023
Aguadilla, Puerto Rico - 4901
Albania
CH3F HFC-41 4 HFC-41
3 2024
Albany, New York - 1002
Algeria
CF3CHFCHFCF2CF3 HFC-43-10mee 5 HFC-43-10mee
4 2025
Albuquerque, New Mexico - 2407
Andorra
CHF2CF3 HFC-125 6 HFC-125

2026
Alcan, Alaska - 3104
Angola
CHF2CHF2 HFC-134 7 HFC-134

2027
Alexandria Bay, New York - 0708
Antigua and Barbuda
CH2FCF3 HFC-134a 8 HFC-134a

2028
Alliance Airport, Texas - 5583
Argentina
CH2FCHF2 HFC-143 9 HFC-143

2029
Amarillo, Texas - 5502
Armenia
CH3CF3 HFC-143a 10 HFC-143a

2030
Ambrose, North Dakota - 3410
Australia
CH2FCH2F HFC-152 11 HFC-152



Anacortes - 3010
Austria
CH3CHF2 HFC-152a 12 HFC-152a



Anchorage, Alaska - 3126
Azerbaijan
CF3CHFCF3 HFC-227ea 13 HFC-227ea



Andrade - Class A, California - 2502
Bahamas
CH2FCF2CF3 HFC-236cb 14 HFC-236cb



Antler, North Dakota - 3413
Bahrain
CHF2CHFCF3 HFC-236ea 15 HFC-236ea



Appleton International Airport, Wisconsin - 3781
Bangladesh
CF3CH2CF3 HFC-236fa 16 HFC-236fa



Area Port of Jacksonville, Florida - 1803
Barbados
CH2FCF2CHF2 HFC-245ca 17 HFC-245ca



Area Port of Sweetgrass, Montana - 3310
Belarus
CF3CH2CF3 HFC-245fa 18 HFC-245fa



Area Port of Tampa, Florida - 1801
Belgium
CF3CH2CF2CH3 HFC-365mfc 19 HFC-365mfc



Ashtabula/Conneaut, Ohio - 4122
Belize

HFC Blend





Astoria, Oregon - 2901
Benin
[Option 1]

[Intended_Use]



Atlanta, Georgia - 1704
Bermuda
Yes

Transformation



Austin, Texas - 5506
Bhutan
No

Destruction



Baltimore, Maryland - 1303
Bolivia



Other



Bangor, Maine - 0102
Bosnia and Herzegovina








Bar Harbor, Maine - 0112
Botswana



[Transaction Type]



Bath, Maine - 0111
Brazil



New



Baton Rouge, Louisiana - 2004
British Virgin Islands



Used



Battle Creek, Michigan - 3805
Brunei Darussalam



Reclaimed



Baudette, Minnesota - 3424
Bulgaria



Recycled



Beecher Falls, Vermont - 0206
Burkina Faso








Belfast, Maine - 0132
Burundi








Bellingham - 3005
Cambodia








Binghamton, New York - 0981
Cameroon








Birmingham, Alabama - 1904
Canada








Blaine, Washington - 3004
Cabo Verde








Boise, Idaho - 2907
Central African Republic








Boston, Massachusetts - 0401
Chad








Bozeman Yellowstone User Fee Airport, Montana - 3386
Chile








Bridgeport, Connecticut - 0410
China








Bridgewater, Maine - 0127
Colombia








Brownsville, Texas - 2301
Comoros








Brunswick, Georgia - 1701
Congo (Brazzaville)








Buffalo, New York - 0901
Cook Islands








Burlington International Airport, Vermont - 0207
Costa Rica








Butte Airport, MT, Montana - 3305
Cote d'Ivoire








Calais, Maine - 0115
Croatia








Calexico East - Class A, California - 2507
Cuba








Calexico West - Class A, California - 2503
Cyprus








Cape Canaveral, Florida - 1816
Czech Republic








Cape Vincent, New York - 706
Democratic Republic of the Congo








Capital Region International Airport Lansing, Michigan - 3883
Denmark








Carbury, North Dakota - 3421
Djibouti








Centennial Airport, Colorado - 3384
Dominica








Champaign, Illinois - 3987
Dominican Republic








Champlain, New York - 0712
Ecuador








Charleston, South Carolina - 1601
Egypt








Charleston, West Virginia - 1409
El Salvador








Charlotte Amalie (Area Port of St. Thomas), Virgin Islands - 5101
Equatorial Guinea








Charlotte, North Carolina - 1512
Eritrea








Chattanooga, Tennessee - 2008
Estonia








Chicago, Illinois - 3901
Ethiopia








Cincinnati, OH-Erlanger, KY, Kentucky - 4102
Fiji








Cleveland, Ohio - 4101
Finland








Columbia, South Carolina - 1604
France








Columbus, New Mexico - 2406
Gabon








Columbus, Ohio - 4103
Gambia








Conroe, Texas - 5382
Georgia








Coos Bay, Oregon - 2903
Germany








Corpus Christi, Texas - 5312
Ghana








Cruz Bay (St. John), Virgin Islands - 5102
Greece








Dallas/Ft. Worth, Texas - 5501
Grenada








Dalton Cache, Alaska - 3106
Guatemala








Davenport, IA-Moline and Rock Island, IL, Illinois - 3908
Guinea








Dayton, Ohio - 4104
Guinea-Bissau








Daytona Beach International Airport (UFA), Florida - 1884
Guyana








Del Bonita, MT, Montana - 3322
Haiti








Del Rio, Texas - 2302
Holy See








Denver, Colorado - 3307
Honduras








Derby Line, Vermont - 0209
Hong Kong








Des Moines, Iowa - 3513
Hungary








Detroit Metropolitan Airport, Michigan - 3807
Iceland








Detroit, Michigan - 3801
India








Douglas, Arizona - 2601
Indonesia








Duluth, MN and Superior, WI, Minnesota - 3510
Iran








Dunseith, North Dakota - 3422
Iraq








Eagle County Regional Airport, Colorado - 3385
Ireland








Eagle Pass, Texas - 2303
Israel








Eastport, ID, Idaho - 3302
Italy








Eastport, Maine - 0103
Jamaica








El Paso, Texas - 2402
Japan








Erie, Pennsylvania - 4106
Jordan








Eureka, California - 2802
Kazakhstan








Evansville, IN, Indiana - 4116
Kenya








Fairbanks, Alaska - 3111
Kiribati








Fajardo, Puerto Rico - 4904
Kuwait








Fall River (New Bedford), Massachusetts - 0407
Kyrgyzstan








Fargo - Hector International Airport, North Dakota - 3411
Lao People's Democratic Republic








Fernandina Beach, Florida - 1805
Latvia








Fort Fairfield, Maine - 0107
Lebanon








Fort Kent, Maine - 0110
Lesotho








Fort Myers, Florida - 1822
Liberia








Fort Wayne, Indiana - 4183
Libya








Fortuna, North Dakota - 3417
Liechtenstein








Freeport, Texas - 5311
Lithuania








Fresno (2803/2882), California - 2803
Luxembourg








Friday Harbor - 3014
Madagascar








Front Royal, Virginia - 1410
Malawi








Gary, Indiana - 3905
Malaysia








Georgetown, South Carolina - 1602
Maldives








Gloucester, Massachusetts - 0404
Mali








Gramercy, Louisiana - 2010
Malta








Grand Forks - Mark Andrews International Airport, North Dakota - 3427
Marshall Islands








Grand Portage, Minnesota - 3613
Mauritania








Grand Rapids, Michigan - 3806
Mauritius








Great Falls Airport, MT, Montana - 3304
Mexico








Green Bay, Wisconsin - 3703
Micronesia








Greensboro/Winston-Salem, North Carolina - 1502
Monaco








Greenville-Spartanburg, South Carolina - 1603
Mongolia








Gulfport, Mississippi - 1902
Montenegro








Hagatna, Guam, Guam - 3207
Morocco








Hannah, North Dakota - 3408
Mozambique








Hansboro, North Dakota - 3415
Myanmar








Harlingen Airport (Valley International Airport) – 2383
Namibia








Harrisburg, Pennsylvania - 1109
Nauru








Hartford, Connecticut - 0411
Nepal








Helena Airport, Montana - 3348
Netherlands








Hidalgo, Texas - 2305
New Caledonia








Highgate Springs, Vermont - 0212
New Zealand








Hillsboro, Oregon - 2983
Nicaragua








Hilo, Hawaii - 3202
Niger








Honolulu International Airport, Hawaii - 3205
Nigeria








Honolulu, Hawaii - 3201
Niue








Houlton, Maine - 0106
North Korea (Democratic People's Republic of Korea)








Houston Airport, Texas - 5309
Norway








Houston Seaport, Texas - 5301
Oman








Huntsville, Alabama - 1910
Pakistan








Indianapolis, Indiana - 4110
Palau








International Falls, Minnesota - 3604
Palestine State








Jackman, Maine - 0104
Panama








John F. Kennedy International Airport, New York - 4701
Papua New Guinea








Jonesport (Calais), Maine - 0122
Paraguay








Juneau, Alaska - 3101
Peru








Kahului, Hawaii - 3203
Philippines








Kalispell Airport, MT, Montana - 3324
Poland








Kansas City, Missouri - 4501
Portugal








Kenneth G. Ward Memorial Lynden Port of Entry
Qatar








Ketchikan, Alaska - 3102
Moldova








Key West, Florida - 5202
Romania








Knoxville, Tennessee - 2016
Russian Federation








Kodiak, Alaska - 3127
Rwanda








Kona, Hawaii - 3206
Saint Kitts and Nevis








Lake Charles, Louisiana - 2017
Saint Lucia








Lakeland Linder Airport, Florida - 1881
Saint Vincent and the Grenadines








Lancaster, Minnesota - 3430
Samoa








Laredo, Texas - 2304
San Marino








Las Vegas, Nevada - 2722
Sao Tome and Principe








Lawrence (Gloucester), Massachusetts - 0416
Saudi Arabia








Leesburg International Airport (UFA), Florida - 1887
Senegal








Lexington, Kentucky - 4184
Serbia








Limestone, Maine - 0118
Seychelles








Little Rock-North Little Rock, Arkansas - 2003
Sierra Leone








Logan Airport, Massachusetts - 0417
Singapore








Longview, Washington - 2905
Slovakia








Los Angeles International Airport-Cargo Operations, California - 2720
Slovenia








Los Angeles/Long Beach Seaport, California - 2704
Solomon Islands








Louisville, Kentucky - 4115
Somalia








Lubbock, Texas - 5503
South Africa








Luis Munoz Marin International Airport, Puerto Rico - 4913
South Korea (Republic of Korea)








Lukeville, Arizona - 2602
South Sudan








Madawaska, Maine - 0109
Spain








Maida, North Dakota - 3416
Sri Lanka








Manchester (User Fee Airport), New Hampshire - 0182
Sudan








Mascoutah/ MidAmerica St. Louis, Illinois - 4581
Suriname








Massena, New York - 0704
Eswatini








Mayaguez, Puerto Rico - 4907
Sweden








McKinney, Texas - 5585
Switzerland








Melbourne International Airport (UFA), Florida - 1885
Syria (Syrian Arab Republic)








Memphis, Tennessee - 2006
Tahiti








Miami International Airport, Florida - 5206
Taiwan








Miami Seaport, Florida - 5201
Tajikistan








Midland, Texas - 5582
Thailand








Milwaukee, Wisconsin - 3701
North Macedonia








Minneapolis, Minnesota - 3501
Timor-Leste








Minot - Minot International Airport, North Dakota - 3434
Togo








Mobile (Including Theodore), Alabama - 1901
Tonga








Morehead City - Beaufort, North Carolina - 1511
Trinidad and Tobago








Morgan City, Louisiana - 2001
Tunisia








Morgan, MT, Montana - 3319
Turkey








Morristown Airport, New Jersey - 4681
Turkmenistan








Myrtle Beach International Airport, South Carolina - 1681
Tuvalu








Naco, Arizona - 2603
Uganda








Naples, Florida - 1880
Ukraine








Nashville, Tennessee - 2007
United Arab Emirates








Natrona County Airport, Wyoming - 3332
United Kingdom of Great Britain and Northern Ireland








Nawiliwili-Port Allen, Hawaii - 3204
Tanzania








Neche, North Dakota - 3404
United States of America








New Bedford, Massachusetts - 0405
Uruguay








New Haven, Connecticut - 0412
Uzbekistan








New London, Connecticut - 0413
Vanuatu








New Orleans, Louisiana - 2002
Venezuela








New River Valley Airport, Virginia - 1412
Viet Nam








New York/Newark, New Jersey - 4601
Yemen








Newport, Oregon - 2902
Zambia








Newport, Rhode Island - 0501
Zimbabwe








Nogales, Arizona - 2604









Nome, Alaska - 3128









Noonan, North Dakota - 3420









Norfolk-Newport News, Virginia - 1401









Northgate, North Dakota - 3406









Norton, Vermont - 0211









Ogdensburg, New York - 0701









Oklahoma City, Oklahoma - 5504









Omaha, Nebraska - 3512









Ontario Airport, California - 2721









Opheim, MT, Montana - 3317









Orlando Executive Airport (UFA), Florida - 1888









Orlando International Airport, Florida - 1808









Orlando Sanford International Airport, Florida - 1809









Oroville, WA, Washington - 3019









Otay Mesa, California - 2506









Palm Springs, California - 2781









Panama City, Florida - 1818









Pascagoula, Mississippi - 1903









Pembina - (Area Port), North Dakota - 3401









Pensacola, Florida, Florida - 1819









Peoria, Illinois - 3902









Perth Amboy, New Jersey - 4602









Philadelphia, Pennsylvania - 1101









Phoenix, Arizona - 2605









Phoenix-Mesa Gateway Airport, Arizona - 2682









Piegan, MT, Montana - 3316









Pinecreek, Minnesota - 3425









Pittsburgh, Pennsylvania - 1104









Plymouth (New Bedford), Massachusetts - 0406









Ponce, Puerto Rico - 4908









Port Arthur-Beaumont, Texas - 2101









Port Everglades/Fort Lauderdale, Florida - 5203









Port Hueneme, California - 2713









Port Huron, Michigan - 3802









Port Lavaca-Point Comfort, Texas - 5313









Port Manatee, Florida - 1821









Port of Washington-Dulles, Virginia - 5401









Portal, North Dakota - 3403









Porthill, ID, Idaho - 3308









Portland, Maine - 0101









Portland, Oregon - 2904









Portsmouth, New Hampshire - 0131









Presidio, Texas - 2403









Progreso, Texas - 2309









Providence, Rhode Island - 0502









Racine, Wisconsin - 3708









Raleigh-Durham, North Carolina - 1503









Raymond, Montana - 3301









Reno, Nevada - 2833









Richford, Vermont - 0203









Richmond - Petersburg, Virginia - 1404









Rio Grande City, Texas - 2307









Rochester, Minnesota - 3581









Rochester, New York - 0903









Rockford, Illinois - 3909









Rockland (Belfast), Maine - 0121









Rocky Mountain Metropolitan Airport, Colorado - 3383









Rogers Airport, Arkansas - 2084









Roma, Texas - 2310









Rome, New York - 0982









Roosville, Montana - 3318









Roseau, Minnesota - 3426









Rota, Northern Mariana Islands - 3213









Sabine, Texas - 2102









Sacramento, California - 2835









Saginaw/Bay City/Flint, Michigan - 3804









Saint Croix, Virgin Islands - 5104









Saint John, North Dakota - 3405









Saipan, Northern Mariana Islands - 3211









Salem (Gloucester), Massachusetts - 0408









Salt Lake City, Utah - 3303









San Antonio, Texas - 5507









San Bernardino International Airport, California - 2782









San Diego, California - 2501









San Francisco International Airport, California - 2801









San Francisco, California - 2809









San Jose International Airport, California - 2834









San Juan, PR (Area Port), Puerto Rico - 4909









San Luis, Arizona - 2608









San Ysidro - Class A, California - 2504









Santa Teresa, New Mexico - 2408









Sarasota, Florida - 1883









Sarles, North Dakota - 3409









Sasabe, Arizona - 2606









Sault Sainte Marie, Michigan - 3803









Savannah, Georgia - 1703









Scobey, MT, Montana - 3309









Scottsdale Airport, Arizona - 2681









Seattle, Washington - 3001









Sherwood, North Dakota - 3414









Shreveport-Bossier City, Louisiana - 2018









Sioux Falls Regional Airport - Joe Foss Field, South Dakota - 3502









Sitka, Alaska - 3115









Skagway, Alaska - 3103









South Texas International Airport at Edinburg - 2381









Spirit of St. Louis Airport, Missouri - 4506









Springfield, Massachusetts - 0402









Springfield, Missouri - 4505









St. Albans, Vermont - 0201









St. Augustine, Florida - 1889









St. Louis, Missouri - 4503









St. Petersburg, Florida - 1814









Sugarland, Texas - 5381









Sumas, Washington - 3009









Syracuse, New York - 0906









Tacoma, Washington, Washington - 3002









Tecate - Class A, California - 2505









Tinian, Northern Mariana Islands - 3212









Toledo-Sandusky-Port Clinton, Ohio - 4105









Tornillo, Texas - 2404









Tri-Cities, Tennessee - 2027









Trout River, New York - 0715









Tucson, Arizona - 2609









Tulsa, Oklahoma - 5505









Turner, MT, Montana - 3306









Valdez, Alaska - 3107









Van Buren, Maine - 0108









Vanceboro, Maine - 0105









Vicksburg, Mississippi - 2015









Victorville - S. California Logistics Airport, California - 2783









Walhalla, North Dakota - 3407









Warroad, Minnesota - 3423









Waukegan, Illinois - 3981









West Chicago, Illinois - 3984









West Palm Beach, Florida - 5204









Westhope, North Dakota - 3419









Wheeling, Illinois - 3983









Whitlash, Montana - 3321









Wichita, Kansas - 4504









Wild Horse, MT, Montana - 3323









Williston Basin International Airport, Williston, ND - 3433









Willow Creek, Montana - 3325









Wilmington, Delaware - 1103









Wilmington, North Carolina - 1501









Worcester, Massachusetts - 0403









Wrangell, Alaska - 3105

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