5900-550 HFC Fire Suppressant Recycler Quarterly Reporting Form

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Overview

Quarterly Information
End-of-Year Inventory
Lists

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Sheet 1: Quarterly Information

				OMB Control Number: 2060-XXXX
				Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Fire Suppressant Recycler Quarterly Reporting Form
	Worksheet Instructions:
	Version:
	r0.1
	Updated:
	9/23/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Company Identification
	Section 2 - Quarterly Recycling Information
	Section 3 - End-of-Year Inventory
	Section 1 - Company Identification
	Instructions: Complete the following company information.
	Company Name:
	AIMRS Company ID:
	Reporting Year:
	Reporting Quarter:
	Section 2 - Quarterly Recycling Information
	Instructions: Provide the following information for each regulated substance used as a fire suppressant received for recycling during the quarter.
	HFC Fire Suppressant Recycling
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	HFC	Quantity of Material Received for Recycling (kg) §84.31(j)(1)	Quantity of Regulated Substance Recycled (kg) §84.31(j)(1)	Quantity of Waste Products (kg) §84.31(j)(1)
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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 19.4 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 # 5900-550

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Sheet 2: End-of-Year Inventory

					OMB Control Number: 2060-XXXX
					Expiration Date: X/XX/202X
	American Innovation and Manufacturing Act - HFC Fire Suppressant Recycler Quarterly Reporting Form
	Worksheet Instructions:
	Version:
	r0.1
	Updated:
	9/23/2021
	External Links:
	Reporting Form Navigation:
	Section 1 - Company Identification
	Section 2 - Quarterly Recycling Information
	Section 3 - End-of-Year Inventory
	Section 3 - End-of-Year Inventory
	Instructions: Provide the following information for each HFC held in inventory as of December 31. Data should only be reported in the fourth quarter report.
	HFC End-of-Year Inventory
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	HFC	Quantity Recovered (kg) §84.31(j)(2)	Quantity Reclaimed (kg) §84.31(j)(2)	Quantity of Virgin Material (kg) §84.31(j)(2)	Total Quantity of Inventory (kg) §84.31(j)(2)
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Sheet 3: Lists

Chemical Name	[Common Name]		[Quarter]	[Year]		[Origin]
CHF3	HFC-23		1	2022		Recovered
CH2F2	HFC-32		2	2023		Reclaimed
CH3F	HFC-41		3	2024		Virgin
CF3CHFCHFCF2CF3	HFC-43-10mee		4	2025
CHF2CF3	HFC-125			2026
CHF2CHF2	HFC-134			2027
CH2FCF3	HFC-134a			2028
CH2FCHF2	HFC-143			2029
CH3CF3	HFC-143a			2030
CH2FCH2F	HFC-152
CH3CHF2	HFC-152a
CF3CHFCF3	HFC-227ea
CH2FCF2CF3	HFC-236cb
CHF2CHFCF3	HFC-236ea
CF3CH2CF3	HFC-236fa
CH2FCF2CHF2	HFC-245ca
CF3CH2CF3	HFC-245fa
CF3CH2CF2CH3	HFC-365mfc