Class II Importers by ofg18323

VIEWS: 20 PAGES: 10

									                                United States                                                               CLASS II CONTROLLED SUBSTANCE
                                                                                                               Importer Quarterly Report
                                 Environmental Protection Agency                                                      (Sec 82.24)
                                Stratospheric Ozone Protection Program                                                     Version 7 (July 2010)

  SECTION 1 IMPORTING COMPANY IDENTIFICATION
  1.1 Date of Submission                                                                             1.2            Original                   Re-submittal
                                                                                                                    Submittal

  1.3 Quarter and Year to
                                                                                                st                nd                      rd               th
  Which This Report Applies                   Year:                                           1                 2                       3                 4

  1.4 Nine-digit IRS Importer Number

  SUBMISSION:
                                                                                                                                    Proceed to Section
  Click "Proceed to Section 2" to continue completing this form. After you complete                                                         2
  Section 2, please click "Proceed to Section 3." After you complete Section 3,
  please click "Proceed to Section 4." Upon completing Section 4, please click
  "Prepare for Submission (Export Data)."
  Please refer to the reporting guidance (available at
  http://www.epa.gov/ozone/record/) for additional information on form submission.

  Information in reports submitted in compliance with the final rule may be claimed as confidential. A company may assert a claim of confidentiality for
  information submitted 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 7 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 #: 5900-200, Revised 2/2010
OMB Control Number: 2060-0498, Expiration Date: 2/28/2013
            A                  B                    C                       D                       E                    F                  G                       H                       I                    J                    K                     L                    M                      N                      O
                                   United States                                                                       CLASS II CONTROLLED SUBSTANCE
                                   Environmental Protection Agency                                                         Importer Quarterly Report                                            Set Up & Proceed to Section 3
1                   Stratospheric Ozone Protection Program                                                                        (Sec 82.24)
2 SECTION 2: IMPORT TRANSACTION DATA
                                                                                                                  If the Import is not a blend:                                                                                If the Import is a blend:
3
                                             Port of Exit           Quantity of                Is the
    Transaction            Source                                                                                   HCFC            Quantity of
                                            from Source             Commodity               Substance a                                                   If a Blend, What                                  Name of           Quantity of              Name of           Quantity of              Name of              Quantity of
      Number               Country                                                                                  Being             HCFC                                         Quantity of
                                               Country               Imported                 Blend?                                                       is the Name of                                   HCFC in            HCFC in                 HCFC in            HCFC in                 HCFC in               HCFC in
                                                                                                                  Imported if       Imported if                                      Blend
                                                                                                                                                                Blend?                                       Blend              Blend                   Blend              Blend                   Blend                 Blend
                                                                                                                  Not a Blend       Not a Blend
4
    Data type:           Data type:       Data type:              Data type:              Data type:              Data type:       Data type:             Data type:              Data type:             Data type:          Data type:             Data type:          Data type:             Data type:             Data type:
    Number               Text             Text                    Decimal (kg)            Text                    Text             Decimal (kg)           Text                    Decimal (kg)           Text                Decimal (kg)           Text                Decimal (kg)           Text                   Decimal (kg)
    This cell must       This cell must   This cell must not be   This cell must not be   This cell must not be   This cell must   This cell must not     This cell must not be   This cell must not     This cell must      This cell must not     This cell must      This cell must not     This cell must not     This cell must not
    not be left blank.   not be left      left blank.             left blank.             left blank.             not be left      be left blank if the   left blank if the       be left blank if the   not be left blank   be left blank if the   not be left blank   be left blank if the   be left blank if the   be left blank if the
                         blank.                                                                                   blank if the     substance is not       substance is a blend    substance is a         if the substance    substance is a         if the substance    substance is a         substance is a         substance is a
                                                                                                                  substance is     a blend                                        blend                  is a blend          blend                  is a blend and      blend and              blend and              blend and
                                                                                                                  not a blend                                                                                                                       contains more       contains more          contains more          contains more
                                                                                                                                                                                                                                                    than one HCFC       than one HCFC          than two HCFCs         than two HCFCs



 5
 6              1 France                  Paris                          234,567.01 Yes                                                                    R-401A                     234,567.01          HCFC-22                124,320.52          HCFC-124                 79,752.78
 7 Input Data Below:
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37




              Section 2                                                                                                                                      Version 6 (Feb 2010)                                                                                                                                                            2
            P                     Q                      R                    S                     T                      U                        V



1
2

3                                                  Customs                                 If Used, Date
                                                                                                                                          Intended Use if
    Port of Entry                                    Entry             Transaction             of Non-    Intended Use
                          Date of Import                                                                                                     Heels (4th
    into the U.S.                                  Summary                Type               Objection   if New or Used
                                                                                                                                           Quarter Only)
                                                    Number                                     Notice
4
    Data type:           Data type:              Data type:           Data type:           Data type:             Data type:             Data type:
    Text                 (mm-dd-yyyy)            Text                 Text                 (mm-dd-yyyy)           Text                   Text
    This cell must not   This cell must not be   This cell must not   This cell must not   This cell must not     This cell must not     This cell must not be
    be left blank.       left blank.             be left blank.       be left blank.       be left blank if the   be left blank if the   left blank if the
                                                                                           transcation type       transaction type is    transaction type is
                                                                                           is used                new or used and        heels and the quarter
                                                                                                                  the intented use is    selected is 4th.
                                                                                                                  either
                                                                                                                  transformation or
                                                                                                                  destruction
 5
 6 New York                     01-14-2006 abc123456789 N                                                         T
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37




             Section 2                                                                                                                                           Version 6 (Feb 2010)   3
               A                      B                      C                       D                        E                       F                      G                       H                       I
                              United States                                                                                                                 CLASS II CONTROLLED SUBSTANCE
                              Environmental Protection Agency                                                                                                   Importer Quarterly Report
1                             Stratospheric Ozone Protection Program                                                                                                   (Sec 82.24)

     SECTION 3: IMPORT TOTALS                                                                                                                                          Proceed to Section 4
2
                                               In-House       2nd Party                                In-House                2nd Party
                                                                                                                                                                             Total "Used"           Total "Heels"
     Chemical Name            Gross Imports Transformation Transformation                             Destruction             Destruction              Net Imports
                                                                                                                                                                               Imports              (4th Qtr. Only)
3                                              Imported       Imported                                  Imported               Imported
     Data type:                                     Data type:              Data type:              Data type:              Data type:
     Text                    Data type:             Decimal (kg)            Decimal (kg)            Decimal (kg)            Decimal (kg)            Data type:             Data type:              Data type:
     This cell must not be   Decimal (kg)           This cell must not be   This cell must not be   This cell must not be   This cell must not be   Decimal (kg)           Decimal (kg)            Decimal (kg)
     left blank.             This cell is           left blank if the       left blank if the       left blank if the       left blank if the       This cell is           This cell is            This cell is
                             autopopulated and      chemical in Column      chemical in Column      chemical in Column      chemical in Column      autopopulated and      autopopulated and       autopopulated and
                             must not be left       A was imported for      A was imported for      A was imported for      A was imported for      must not be left       must not be left        must not be left
                             blank if New Imports   in-house                second party            in-house destruction    second party            blank if New Imports   blank if Used           blank if Heels are
                             are reported.          transformation          transformation                                  destruction             are reported.          imports are reported.   reported.
4
5 Sample Row:
6 HCFC-22                          234,567.01                1,355.66                4,577.80                                        7,365.34             221,268.21
7 Input Data Below:
 8
 9
10
11
12
13
14
15
16




         Section 3                                                                           Version 6 (Feb 2010)                                                                                            4
                A                                B                                   C                                 D                              E
                                United States                                                                CLASS II CONTROLLED SUBSTANCE
                                Environmental Protection Agency                                                  Importer Quarterly Report
1                               Stratospheric Ozone Protection Program                                                  (Sec 82.24)

    SECTION 4: ALLOWANCE EXPENDITURE TOTALS
2
                                                                                              Company Name
                                    Total Consumption                  Total Consumption                                                     HCFC-141b
                                                                                                (HCFC-141b
     Chemical Name                 Allowances (at end of              Allowances (at end of                                                 Requested and
                                                                                            Exemption Allowance
                                    quarter) EXPENDED                 quarter) UNEXPENDED                                                     Imported
3                                                                                                 Holders)
    Data type:                  Data type:                            Data type:                         Data type:                      Data type:
    Text                        Number                                Number                             Text                            Decimal (kg)
    This cell must not be       This cell must not be left blank if   This cell must not be left blank   This cell must not be left      This cell must not be left
    left blank if net imports   net imports >0 of the chemical in     if your company has                blank if the chemical name in   blank if the chemical in
    >0 of HCFC-22, HCFC-        Column A are reported in section 3    consumption allowances for the     column A is HCFC-141b and       column A is HCFC-141b
    141b, and/or HCFC-                                                chemical in column A               it was imported for a company   and it was imported
    142b appear in section                                                                               under the HCFC-141b             HCFC-141b for a
    3                                                                                                    exemption                       company under the
                                                                                                                                         HCFC-141b exemption
 4
 5 Sample Row:
 6 HCFC-22                                           2,599,805.00                        700,846.00
 7 Input Data Below:
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23



        Section 4                                                                                 Version 6 (Feb 2010)                                                5
          A      B   C                  D       E
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61


     Section 4           Version 6 (Feb 2010)       6
          A      B   C                  D       E
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99


     Section 4           Version 6 (Feb 2010)       7
           A      B   C                  D       E
100




      Section 4           Version 6 (Feb 2010)       8
 Class I Chemical Names    Class II Chemical Names                Class I Country List                 Class II Country List
CFC-11                    HCFC-21                    Afghanistan                             Afghanistan
CFC-12                    HCFC-22                    Albania                                 Albania
CFC-113                   HCFC-31                    Algeria                                 Algeria
CFC-114                   HCFC-121                   Angola                                  Angola
CFC-115                   HCFC-122                   Antigua and Barbuda                     Antigua and Barbuda
Halon 1211                HCFC-123                   Argentina                               Argentina
Halon 1301                HCFC-124                   Armenia                                 Armenia
Halon 2402                HCFC-131                   Australia                               Australia
CFC-13                    HCFC-132                   Austria                                 Austria
CFC-111                   HCFC-133                   Azerbaijan                              Bahamas
CFC-112                   HCFC-141b                  Bahamas                                 Bahrain
CFC-211                   HCFC-142b                  Bahrain                                 Bangladesh
CFC-212                   HCFC-151                   Bangladesh                              Barbados
CFC-213                   HCFC-221                   Barbados                                Belgium
CFC-214                   HCFC-222                   Belarus                                 Belize
CFC-215                   HCFC-223                   Belgium                                 Benin
Carbon Tetrachloride      HCFC-224                   Belize                                  Bhutan
Methyl Chloroform         HCFC-225ca                 Benin                                   Bolivia
HBFCs                     HCFC-225cb                 Bhutan                                  Bosnia and Herzegovina
Chlorobromomethane        HCFC-226                   Bolivia                                 Botswana
                          HCFC-231                   Bosnia and Herzegovina                  Brazil
                          HCFC-232                   Botswana                                Brunei Darussalam
                                                     Brazil                                  Bulgaria
                                                     Brunei Darussalam                       Burkina Faso
                                                     Bulgaria                                Burundi
                                                     Burkina Faso                            Cambodia
                                                     Burundi                                 Cameroon
                                                     Cambodia                                Canada
                                                     Cameroon                                Cape Verde
                                                     Canada                                  Central African Republic
                                                     Cape Verde                              Chad
                                                     Central African Republic                Chile
                                                     Chad                                    China
                                                     Chile                                   Colombia
                                                     China                                   Comoros
                                                     Colombia                                Congo
                                                     Comoros                                 Cook Islands
                                                     Congo                                   Costa Rica
                                                     Cook Islands                            Côte d'Ivoire
                                                     Costa Rica                              Croatia
                                                     Côte d'Ivoire                           Cuba
                                                     Croatia                                 Cyprus
                                                     Cuba                                    Czech Republic
                                                     Cyprus                                  Democratic People's Republic of Korea
                                                     Czech Republic                          Democratic Republic of the Congo
                                                     Democratic People's Republic of Korea   Denmark
                                                     Democratic Republic of the Congo        Djibouti
                                                     Denmark                                 Dominica
                                                     Djibouti                                Dominican Republic
                                                     Dominica                                Ecuador
                                                     Dominican Republic                      Egypt
                                                     Ecuador                                 El Salvador
                                                     Egypt                                   Eritrea
                                                     El Salvador                             Estonia
                                                     Eritrea                                 Ethiopia
                                                     Estonia                                 European Community
                                                     Ethiopia                                Fiji
                                                     European Community                      Finland
                                                     Fiji                                    France
                                                     Finland                                 Gabon
                                                     France                                  Gambia
                                                     Gabon                                   Georgia
                                                     Gambia                                  Germany
                                                     Georgia                                 Ghana
                                                     Germany                                 Greece
                                                     Ghana                                   Grenada
                                                     Greece                                  Guatemala
                                                     Grenada                                 Guinea
                                                     Guatemala                               Guinea-Bissau
                                                     Guinea                                  Guyana
                                                     Guinea-Bissau                           Haiti
                                                     Guyana                                  Honduras
                                                     Haiti                                   Hungary
                                                     Honduras                                Iceland
                                                     Hungary                                 India
                                                     Iceland                                 Indonesia
                                                     India                                   Iran (Islamic Republic of)
                                                     Indonesia                               Ireland
                                                     Iran (Islamic Republic of)              Israel
                                                     Ireland                                 Italy
                                                     Israel                                  Jamaica
                                                     Italy                                   Japan
                                                     Jamaica                                 Jordan
                                                     Japan                                   Kazakhstan
                                                     Jordan                                  Kenya
                                                     Kazakhstan                              Kiribati
                                                     Kenya                                   Kuwait
                                                     Kiribati                                Kyrgyzstan
                                                     Kuwait                                  Lao People's Democratic Republic
                                                     Kyrgyzstan                              Latvia
                                                     Lao People's Democratic Republic        Lebanon
                                                     Latvia                                  Lesotho
                                                     Lebanon                                 Liberia
                                                     Lesotho                                 Libyan Arab Jamahiriya
                                                     Liberia                                 Liechtenstein




          Data Lists                                                                            Revised 05/07                        9
                 Libyan Arab Jamahiriya                            Lithuania
                 Liechtenstein                                     Luxembourg
                 Lithuania                                         Madagascar
                 Luxembourg                                        Malawi
                 Madagascar                                        Malaysia
                 Malawi                                            Maldives
                 Malaysia                                          Mali
                 Maldives                                          Malta
                 Mali                                              Marshall Islands
                 Malta                                             Mauritania
                 Marshall Islands                                  Mauritius
                 Mauritania                                        Mexico
                 Mauritius                                         Micronesia (Federated States of)
                 Mexico                                            Monaco
                 Micronesia (Federated States of)                  Mongolia
                 Monaco                                            Morocco
                 Mongolia                                          Mozambique
                 Morocco                                           Myanmar
                 Mozambique                                        Namibia
                 Myanmar                                           Nauru
                 Namibia                                           Nepal
                 Nauru                                             Netherlands
                 Nepal                                             New Zealand
                 Netherlands                                       Nicaragua
                 New Zealand                                       Niger
                 Nicaragua                                         Nigeria
                 Niger                                             Niue
                 Nigeria                                           Norway
                 Niue                                              Oman
                 Norway                                            Pakistan
                 Oman                                              Palau
                 Pakistan                                          Panama
                 Palau                                             Papua New Guinea
                 Panama                                            Paraguay
                 Papua New Guinea                                  Peru
                 Paraguay                                          Philippines
                 Peru                                              Poland
                 Philippines                                       Portugal
                 Poland                                            Qatar
                 Portugal                                          Republic of Moldova
                 Qatar                                             Romania
                 Republic of Moldova                               Russian Federation
                 Romania                                           Rwanda
                 Russian Federation                                Saint Kitts and Nevis
                 Rwanda                                            Saint Lucia
                 Saint Kitts and Nevis                             Saint Vincent and the Grenadines
                 Saint Lucia                                       Samoa
                 Saint Vincent and the Grenadines                  Sao Tome and Principe
                 Samoa                                             Saudi Arabia
                 Sao Tome and Principe                             Senegal
                 Saudi Arabia                                      Serbia and Montenegro
                 Senegal                                           Seychelles
                 Serbia and Montenegro                             Sierra Leone
                 Seychelles                                        Singapore
                 Sierra Leone                                      Slovakia
                 Singapore                                         Slovenia
                 Slovakia                                          Solomon Islands
                 Slovenia                                          Somalia
                 Solomon Islands                                   South Africa
                 Somalia                                           South Korea (Republic of Korea)
                 South Africa                                      Spain
                 South Korea (Republic of Korea)                   Sri Lanka
                 Spain                                             Sudan
                 Sri Lanka                                         Suriname
                 Sudan                                             Swaziland
                 Suriname                                          Sweden
                 Swaziland                                         Switzerland
                 Sweden                                            Syrian Arab Republic
                 Switzerland                                       Taiwan
                 Syrian Arab Republic                              Thailand
                 Taiwan                                            The Former Yugoslav Republic of Macedonia
                 Tajikistan                                        Togo
                 Thailand                                          Tonga
                 The Former Yugoslav Republic of Macedonia         Trinidad and Tobago
                 Togo                                              Tunisia
                 Tonga                                             Turkey
                 Trinidad and Tobago                               Turkmenistan
                 Tunisia                                           Tuvalu
                 Turkey                                            Uganda
                 Turkmenistan                                      Ukraine
                 Tuvalu                                            United Arab Emirates
                 Uganda                                            United Kingdom of Great Britain and Northern Ireland
                 Ukraine                                           United Republic of Tanzania
                 United Arab Emirates                              United States of America
                                                                   Uruguay
                 United Kingdom of Great Britain and Northern Ireland
                 United Republic of Tanzania                       Vanuatu
                 United States of America                          Venezuela (Bolivarian Republic of)
                 Uruguay                                           Viet Nam
                 Uzbekistan                                        Yemen
                 Vanuatu                                           Zambia
                 Venezuela (Bolivarian Republic of)                Zimbabwe
                 Viet Nam
                 Yemen
                 Zambia
                 Zimbabwe

1




    Data Lists                                                        Revised 05/07                                       10

								
To top