Epa Form 3520 13A PDF Details

The EPA Form 3520-13A, known as the Fuel Additive Manufacturer Annual Report, is a critical document for manufacturers in the United States, mandated by the Environmental Protection Agency (EPA). As of November 1, 2013, this form plays a pivotal role in ensuring that manufacturers comply with the regulations set by the Office of Transportation and Air Quality. With a validation period expiring on October 31, 2016, this form requires manufacturers to provide detailed information about their fuel additives each year, including production volumes, markets targeted, and specifics about the additives themselves. Additionally, it asks manufacturers to reveal any new data on impurities, mechanisms of action, and the potential environmental and public health impacts of their products. Confidentiality claims can be made for certain sections of the report, protecting sensitive business information while still complying with regulatory requirements. Accurate and authorized certification of the provided data is mandatory, illustrating the seriousness with which this information is treated by both the EPA and the manufacturers. Mail and email addresses for submission highlight the EPA's commitment to accessible compliance processes. This form is more than just paperwork; it's a tool for maintaining transparency, safety, and environmental stewardship in the fuel additive manufacturing industry.

QuestionAnswer
Form NameEpa Form 3520 13A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesjimepa, 13a 11 filable form, Pennsylvania, CFR

Form Preview Example

EPA Form 3520-13A (11-01-2013) - Fuel Additive Manufacturer Annual Report

Page 1 of 2

 

 

U.S. Environmental Protection Agency

Form Approval

 

Office of Transportation and Air Quality

OMB No. 2060-0150

 

 

Approval Expires 10/31/2016

 

 

 

Leave Blank

* Required Field Fuel Additive Manufacturer Annual Report

* 1a. Company ID:

*1. Company Name:

* 2. Report Year: (Year format:YYYY)

* 3. Report Type: (Check Only One)

 

 

 

 

 

 

 

 

 

 

Original

 

 

Resubmission

 

 

 

 

 

4.For any additive below, do you have information, not previously reported, on the levels of impurities greater than 0.1 percent by weight?

No

 

Yes

If "Yes," attach separate sheet(s) giving, to the extent known, the highest, lowest, and

 

 

average values of impurities, and the methods of analysis used.

 

 

5.For any additive below, do you have information, not previously reported, concerning the mechanisms of action of the additive; reactions between the additive and gasoline and/or diesel fuel; the identification and measurement of the emission products

of the additive when used in gasoline and/or diesel fuel; the effects of the additive on all emissions; the toxicity and any

other public health or welfare effects of the emissions products of the additive; and/or the effects of the emission products of the additive on the performance of emission control devices/systems?

No

 

Yes

If "Yes," attach separate sheet(s) providing summaries of such information and

 

 

 

a description of the test procedures used in obtaining the information.

6. Production Values:

a: Additive ID:

b. Market:

-Aftermarket

-Bulk

-Both

c: Production Volume:

d. Productions Units:

-Gallons (gal)

-Pounds (lb)

-Kilogram (kg)

EPA Form 3520-13A (11-01-2013) - Fuel Additive Manufacturer Annual Report

Page 2 of 2

*7. Confidential Business Information - You may assert a business confidentiality claim for certain items. If no claim is made, the information may be made available to the public without further notice. All questions of confidentiality will be handled pursuant to 40 CFR 2.

Do you wish to assert a claim of confidentiality for items 4, 5 and/or 6?

*

 

No

 

 

Yes

 

If "Yes," indicate "Yes" or "No" for each item below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

Item 4:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 5:

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 6:

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.Certification

To the best of my knowledge, the above is complete and correct. I am authorized by the manufacturer to submit this information.

Signature:

* Date:

* Name of Signer:

First Name:

 

 

 

 

Last Name:

 

 

 

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check if the Contact Person is the same as the signer above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Contact Person: First Name:

 

 

 

 

Last Name:

 

 

 

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Telephone:

 

 

 

 

 

 

 

 

 

 

 

Fax:

(

 

)

 

 

 

Extension:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail:

Comments

Mail the completed form to:

U.S. Environmental Protection Agency

Attn: Fuel Additive Registration/Suite 601A

Mail Code - 6406J

1200 Pennsylvania Avenue, NW

Washington, DC 20460-0001

Telephone (202) 343-9648

Fax (202) 343-2825

Email: caldwell.jim@epa.gov

Email: solar.jose@epa.gov

or, via courier:

U.S. Environmental Protection Agency

Attn: Fuel Additive Registration/Suite 601A

Mail Code - 6406J

1310 L Street, NW

Washington, DC 20005-4113

This office is operated by a contractor for the EPA.