Attachment I - Notice of Commencement of Manufacture or Import

O.M.B. No. 2070-0012

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U.S. Environmental Protection Agency

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NOTICE OF COMMENCEMENT
MANUFACTURE

Part I- SUBMflTER IDENTIFICATION
Manufacturer/
Importer
(in U.S.)

Approval Expires 10/31/96

I Agency Use

OR

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IMPORT(4OCFR~l2O.lO2)

Date of Receipt

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Name ofAuthorized Official

Mailing Address (number and street)

Company Name

City, State, ZIP code

Name

Telephone Number

Technical

Contact
(in U.S.)

Part II Premanufacture Notice (PMN) “P” Case Number:
-

Part III Check the appropriate box and provide the exact date of manufacture or importation:
-

U

First

El First Commercial lmportation***
date:

Commercial Manufacture**
date:

Date of commencement is the date of completion of non-exempt manufacture of the first amount(batch, drum, etc.)
~For importers, the date of commencement is the date that the new chemical substance clears U.S. customs.

Part IV Manufacturing Plant Site(s) or Importing Site(s): (Importers, provide street address of destination)
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Part V Specific Chemical Identity: (For Consolidated submissions, each substance must have a separate NOC form
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with the specific identity of each chemical substance.)

ICBI

Part VI Generic Chemical Name (if chemical identity is claimed CBI*)
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Part VII Substance identity Confidentiality Status:
-

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I wish to continue to claim the substance identity confidential and the substantiation to support this claim is attached.
Failure to submit the required substantiation in accordance with 40 CFR 720.85(b) will result in a waiver of your claim.
I previously claimed the substance identity as confidential and hereby relinquish that claim.

EJ

I did not claim the substance identity as confidential in my original PMN submission.

You must submit your completed notice no later than 30 calendar days after the first date of commercial manufacture/importation
to the address shown below:
U.S. Environmental Protection Agency
OPPT Document Control Office (7407M)
1200 Pennsylvania Ave., NW
Washington, D.C. 20460
ATTN: Notice of Commencement
Signature of authorized official
Note: CBI - refers to theterm ~Confidential
Business Information”. Mark (X) in the box if the information is to be held Confidential.

EPA Form 7710-56 (8-95)

Date