1264-14 SNAP Information Notice

Significant New Alternatives Policy (SNAP) Program (40 CFR part 82, subpart G) (Renewal)

Copy of SNAP Information Notice_Revised January 2020_Burden Stmt Update 7-01-20.xlsx

Significant New Alternatives Policy (SNAP) (40 CFR Part 82, subpart G)

OMB: 2060-0226

Document [xlsx]
Download: xlsx | pdf

Overview

Part I Introduction & CBI
Part II Contact Information
Part III General Information
Part IV Refrigeration and AC
Part V Foam Blowing
Part VI Cleaning Solvents
Part VII Fire Suppression
Part VIII Aerosols
Part IX Sterilants
Part X Adhesives Coatings Inks
Part XI Tobacco Expansion
Part XII Toxicology Studies
Part XIII Addtnl Information
Part XIV Attachments
Response Checker
Part XV Certification


Sheet 1: Part I Introduction & CBI




















United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460
AGENCY USE ONLY




OMB Control No.: 2060-0226

EPA Form No. 1265-14 (Revised January 2020)




SNAP INFORMATION NOTICE  Expires: TBD



When completed send CBI and public versions of this form and attachments electronically via CD or USB drive (preferred), or print to: Date of Receipt:








Case Number:








Via US Postal Service:
SNAP Document Control Officer
U.S. EPA
Mail Code: 6205T
1200 Pennsylvania Ave, NW
Washington DC 20460
Via Delivery Service:
SNAP Document Control Officer
U.S. EPA
Stratospheric Protection Division
4th Floor, 4355FF (MC 6205T)
1201 Constitution Ave., NW
Washington, DC 20004





















Part I: INTRODUCTION AND CBI INFORMATION













Section A: Introduction












GENERAL INSTRUCTIONS

This form may be used to submit information under the Significant New Alternatives Policy (SNAP) program for the review of alternatives to Class I and Class II ozone-depleting substances (ODS) under Section 612 of the Clean Air Act. Submitters are required to provide this information on new substitutes or new end-uses of existing substitutes to assist the Agency in assessing the acceptability of chemicals or processes that are considered alternatives in sectors, end-uses, products, and/or equipment that use ODS. Additionally, submitters may voluntarily provide this information on new substitutes or new end-uses of existing substitutes to assist the Agency in assessing the acceptability of chemicals or processes that are considered alternatives in sectors that previously used ODS. A separate notice must be filed for each alternative you are submitting. You may submit a single notice for multiple uses of the same alternative. If the alternative is a new chemical substance, you must submit a Premanufacturing Notice (PMN) to EPA's New Chemicals Program and the TSCA/SNAP Addendum form to SNAP.

Please visit the SNAP website for instructions and frequently asked questions: https://www.epa.gov/snap/submit-snap-substitute.

This form contains a Response Checker that identifies questions that are missing responses. Please review the questions that are missing responses carefully to ensure that all required information is provided before submitting this form to EPA. Please note that this checker is not an indicator of whether EPA will consider the submission complete, but rather, this checker is an indicator of whether all questions have been answered prior to submission.




Select the appropriate box identifying the type of submission submitted (Select only one box):




New alternative (substance, formulation or technology) not previously listed as acceptable, acceptable subject to use conditions or unacceptable under SNAP.





New end-use or application of substitute previously listed as acceptable, acceptable subject to use conditions or unacceptable under SNAP.














Section B: Identification of Alternatives












1. Name of Alternative. Note: Additional information about the proposed substitute must be provided in Part III, Section A. CBI


















2. Indicate the sector and end-use for which you are submitting this SNAP Information Notice.




Sector(s) End-use(s) If you chose "Other" as an end-use, please specify here. CBI




























































Please complete the following tabs of this submission form (click to go to each section):





Part II: Contact Information







Part III: General Information







Sector Specific (please fill out the sector specific Part(s) for which you are applying):





Part IV: Refrigeration and Air Conditioning






Part V: Foam Blowing






Part VI: Cleaning Solvents






Part VII: Fire Suppression






Part VIII: Aerosols







Part IX: Sterilants







Part X: Adhesives, Coatings & Inks






Part XI: Tobacco Expansion







Part XII: Toxicology Studies







Part XIII: Additional Information







Part XIV: Attachments







Response Checker







Part XV: Certification

























Section C: Confidentiality Claims












Anyone submitting data which are to be treated as Clean Air Act Confidential Business Information (CBI), must assert and substantiate a claim of confidentiality at the time of the initial submission. All information claimed as CBI will be treated in a manner consistent with 40 CFR Part 2, Subpart B. Failure to assert and substantiate a claim of confidentiality at the time of submission may result in disclosure of information by the Agency without further notice.

To assert a claim on this form, [bracket] the information you claim as confidential and mark the confidential box in the column on the right-side of the corresponding row. If any information is claimed as confidential, you must substantiate those claims below and provide both the confidential version and a “sanitized” version of this form, including attachments, to EPA at the time of the initial submission.

Information submitted as CBI may be accessed by companies designated as Authorized Representatives of the United States Environmental Protection Agency (EPA) under an EPA contract for the purpose of assisting EPA in the development and implementation of national regulations for the protection of stratospheric ozone, including the evaluation of SNAP Information Notices. These Authorized Representatives may have access to any information received by the Stratospheric Protection Division within the EPA’s Office of the Atmospheric Programs. Access to such information is necessary to ensure that these companies can complete the work required by the contract. Such Authorized Representatives of the Administrator are subject to the provisions of 42 U.S.C. 7414(c) respecting confidential business information as implemented by 40 CFR 2.301(h).





























For any portion of a submission that you claim as confidential, please provide the following information as part of the Statement of Data Confidentiality Claims.












1. Please provide the reasons why the cited passages qualify for confidential treatment.





















2. If you assert that disclosure of this information would be likely to result in substantial harmful effects to you, describe those harmful effects and explain why they should be viewed as substantial.





















3. Indicate the length of time—until a specific date or event, or permanently—for which the information should be treated as confidential.

















4. Identify the measures you have taken to guard against undesired disclosure of this information.





















5. Describe the extent to which the information has been disclosed, and what precautions have been taken in connection with these disclosures.





















6. Are copies of any determinations of confidentiality previously made by EPA, other Federal agencies, or courts concerning this information enclosed?





















ADDITIONAL STATEMENT OF DATA CONFIDENTIALITY CLAIMS
Please provide any additional information on confidentiality claims below.































































































































































Paperwork Reduction Act Notice
















OMB Control No. 2060-0226







Approval expires TBD
















This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0226). Responses to this collection of information are mandatory (40 CFR part 82, subpart G). 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 31 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.



































































Sheet 2: Part II Contact Information















United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part II: CONTACT INFORMATION











Section A: Submitter Contact Information










1. Person Submitting Notice (in U.S.): Enter information for the official who signs the certification in Part XV Certification.




Name of Authorized Official Title CBI










Company/Organization CBI









Mailing Address Telephone Number CBI










Email Address CBI
















2. Agent (if applicable): Complete only if you authorize an agent to assist you in preparing this notice. The agent must also sign the certification.




Name of Authorized Official Title CBI










Company/Organization CBI









Mailing Address Telephone Number CBI










Email Address CBI









Is this person granted full access to Confidential Business Information?











3. Technical Contact (in U.S.): If applicable and if the technical contact is not the authorized agent, identify a person who can provide EPA with additional technical information on the substitute during the review period.




Name of Authorized Official Title CBI










Company/Organization CBI









Mailing Address Telephone Number CBI










Email Address CBI









Is this person granted full access to Confidential Business Information?











4. Joint Submitter (if applicable): Identify the joint submitter, if any, who is authorized by the primary submitter to provide some of the information required in the notice.




Name of Authorized Official Title CBI










Company/Organization CBI









Mailing Address Telephone Number CBI










Email Address CBI









Is this person granted full access to Confidential Business Information?


















CONFIDENTIALITY CLAIMS: All contacts listed on this page will be granted access to CBI, unless otherwise noted.




Sheet 3: Part III General Information






























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460









Part III: GENERAL INFORMATION










Section A - Alternative-Specific Information
























1. Identify Proposed Substitute: If a blend, provide the percent composition of each constituent by weight.










(a) Chemical name (preferably IUPAC nomenclature) (b) Percent composition
(by weight)
(c) Chemical Abstracts Service (CAS) registry number (d) Molecular formula CBI














































































(e) For alternative processes and technologies (e.g., absorption chillers, stirling cycle), describe the technology and provide a technical drawing and a diagram of the system as an attachment. Also provide the location and identity of any chemical constituents. CBI



















(f) If you have applied for or hold a U.S. patent on the proposed substitute, provide the following:








Patent Name Patent Number
(if available)
Topics Covered in Patent CBI


















































2. Commercial/trade name(s) of alternative: CBI



































3. Generic name:  Provide a generic name that is specific enough to identify the substance uniquely and could potentially be used for listing the substitute in the Federal Register.



































4. Impurities: Identify any impurities that are reasonably anticipated to be present in the proposed substitute as manufactured for commercial purposes. If there are unidentified impurities, enter “unidentified” and estimate their total weight percentages. Do not include substances that are mixed with the proposed substitute after manufacture of the primary ingredients.









(a) Impurity Chemical Name (b) Percent Composition (by weight) (c) CAS registry number (d) Molecular Formula CBI






















































































































































5. Byproducts: Describe any byproducts resulting from the manufacture or processing of the chemical alternative or chemicals used in the new alternative. If there are unidentified byproducts enter “unidentified.” Indicate when the byproduct is formed (e.g., during manufacturing, during processing) and the amount formed.









(a) Byproduct Chemical Name (b) Percent Composition (by weight) (c) CAS registry number (d) When is product formed? (e) Amount Formed (g) CBI


















































































































6. Degradation Products: Describe any degradation products resulting from the use or disposal of the chemical alternative or chemicals used in the new alternative. If there are unidentified degradation products enter “unidentified.” Indicate when the degradation product is formed (e.g., during use, in contact with fire, following disposal) and the rate at which it is formed.









(a) Degradation Product Chemical Name (b) Percent Composition (by weight) (c) CAS registry number (d) When is product formed? (e) Rate of Formation (g/s) CBI



































































































7. Test Marketing: Has a test marketing notification been sent to EPA? CBI



















If yes, indicate the date


























8. Physical and Chemical Properties: Attach copies of all test reports and specify the protocol used. If submitting a blend substitute, physical and chemical properties are required for the blend. CBI








(a) Molecular weight
g/mol









(b) Physical state
at 20°C









(c) Melting point
°C at 1 atm. pressure









(d) Boiling point
°C at 1 atm. pressure









(e) Specific gravity (Relative to water or air, specify)
at 20 °C









(f) Bubble point (for blends)
°C









(g) Dew point (for blends)
°C









Flammability-specific Physical and Chemical Properties:











(h) Is the proposed substitute flammable? Yes









(i) Lower Flammability Limit (LFL) (Using ASTM E681)
ppm or %









(j) Upper Flammability Limit (UFL) (Using ASTM E681)
ppm or %









(k) Flash point
°C

























(l) Other (specify)











(m) If you are extracting this information from a public reference source (e.g., CRC Handbook of Chemistry and Physics, Merck Index), attach copies of the reference. Supporting documentation attached? (n) If you have performed chemical analysis and testing on the substitute to derive the properties, attach copies of all test reports and specify the protocol used. Supporting documentation attached? CBI




































9. Ozone-depletion potential (ODP): Provide the 100-year ODP of the proposed substitute relative to CFC-11. If the substitute is a blend, provide the ODPs of the individual constituents. Reference the source for each ODP.








Proposed Substitute
(If blend, include ODP of each constituent)
(a) ODP relative to CFC-11 Information Sources CBI









































































(b) Provide any additional data on the ODP of the proposed substitute (e.g. chlorine or bromine loading potentials). (c) Reference the source of this information and attach any supporting documentation. Supporting Documentation Attached? CBI





































10. Global Warming Characteristics: Provide the alternative's global warming potential relative to carbon dioxide over a 100-year time horizon and atmospheric lifetime, if known. Reference the Fourth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC AR4). Alternate sources may include the 2010 World Meteorological Organization (WMO) Scientific Assessment of Ozone Depletion or the peer-reviewed literature. If the substitute is a blend, provide the GWPs of the individual constituents and an estimate of the GWP of the blend at its nominal composition.








Proposed Substitute
(If blend, include GWP of each constituent)
(a) 100-year GWP
(Relative to carbon dioxide)
(b) Atmospheric Lifetime (AL) Information Sources CBI














































































(c) If the proposed substitute or any components of a blend is captured as a byproduct of another manufacturing or industrial process, indicate the source of the alternative.  Supporting Documentation Attached? CBI




































11. VOC Status Information:




CBI








(a) Is the substitute exempt from the definition of volatile organic compound (VOC) under CAA regulations (see 40 CFR 51.100(s)) addressing the development of State Implementation Plans (SIPs) to attain and maintain the national ambient air quality standards?










(b) For blends, which components, if any, are exempt from the definition of VOC at 40 CFR 51.100(s)? CBI



















(c) Has a petition for VOC exemption been submitted? If so, provide details below (e.g., date of submission).
CBI



















(d) For compounds that are not VOC exempt, provide information on the reactivity of the compound(s) in the atmosphere, such as the maximum incremental reactivity in grams of O3 per gram of VOC and/or the kOH (298 K) value. CBI








Proposed Substitute/Component MIR (g O3/g VOC) kOH (298 K) value Other Reference



































































































12. Cost of Proposed Substitute (chemical or blend): Provide an estimated cost of the substitute in US$/kg, US$/lb, or other. CBI



































13. Toxicity Limits. For the proposed substitute, impurities and/or byproducts, provide short and long term exposure limits set for use in the workplace, if available. If the submission includes one or more chemicals that the SNAP program has not listed, please reference Part XII Recommended Toxicity Studies in this SNAP Information Notice to see a list of toxicological studies, for each sector, that are recommended for a critical toxicity review of chemicals submitted to the SNAP program as proposed substitutes.








Proposed Substitute (If blend, include all constituents in addition to the blend as a whole), Impurity, and/or Byproduct (a) Short Term Exposure Limit (ppm) (b) Type of Short Term Exposure Limit
(e.g., STEL, AEGL)
(c) Long Term Exposure Limit (ppm) (d) Type of Long Term Exposure Limit
(e.g., PEL, OEL, AEL, WEEL, TLV)
Sources CBI








































































(e) If available, summarize the acute and chronic toxicity of the proposed substitute and of its constituent chemicals on any organism (e.g. human and/or other mammals, fish, wildlife, and plants). Attach all complete test reports that are reasonably available to you. Supporting Documentation Attached? CBI




















(f) If the proposed substitute is a blend, has the acute and chronic toxicity of the proposed substitute been evaluated on a blend basis? Supporting Documentation Attached? CBI




















(g) If the proposed substitute is a blend and the acute and chronic toxicity of the proposed substitute has not been evaluated on a blend basis (and therefore, only on a component basis), please explain why and provide supporting documentation as applicable. Supporting Documentation Attached? CBI




































14. Safety Documents. Please attach a copy of any documents that will be provided to any person who is reasonably likely to be exposed, such as:














Safety Document Supporting Documentation Attached? CBI








Safety Data Sheet (SDS)










Hazard Warning Statement










Warning Labels










Other (provide name)


























15. Environmental Regulations. CBI








(a) Is the substitute, or a component of the substitute, a hazardous air pollutant?










(b) Is the substitute, or a component of the substitute, a hazardous waste under RCRA regulations?










(c) Provide information on any environmental regulatory statute (such as those listed below) applicable to the manufacture, use, and disposal of the proposed substitute. CBI








Statute Statute Citation & Explanation of Requirements








Titles of the Clean Air Act (CAA) other than Title VI










Clean Water Act (CWA)










Safe Drinking Water Act (SDWA)










Resource Conservation and Recovery Act (RCRA)










Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA)










Toxic Substances Control Act (TSCA)










Comprehensive Environmental Response, Compensation and Liability Act (CERCLA)










Emergency Planning and Community Right to Know Act (EPCRA or SARA Title III)










State and local laws










Other applicable environmental federal, state, and local laws not mentioned above


























16. Health and Safety Regulations: If applicable, describe how occupational, consumer, or general population exposure to the alternative is regulated under health and safety related statutory authorities.








Statutory Authority (a) How does regulation apply? Provide citation (e.g., CFR if applicable). CBI








Department of Transportation (DOT) (e.g., Vapor UN1013, Class 2.2)










Occupational Safety and Health Administration (OSHA) (e.g., TLV-TWA, Personal Protective Equipment [29 CFR 1910.132])










State and local laws










Other (e.g., Food and Drug Administration Threshold of Regulation [TOR] Exemptions) 


























Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.
























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 4: Part IV Refrigeration and AC




























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part IV: REFRIGERATION AND AIR CONDITIONING-SPECIFIC INFORMATION
















Section A: Refrigeration and Air-Conditioning Use Profile


















1. Specific End-Use: For every end-use and/or application for which you are applying, fill out the following table by identifying whether it uses new and/or retrofit equipment, the ODS (and/or other alternatives) used in the end-use and/or application, and the quantity of proposed substitute needed to replace it for each end-use and/or application (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-refrigeration-and-air-conditioning. The end-uses and/or applications for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2. Note: If the proposed substitute can be used both as a retrofit and in new equipment, these uses should be treated as separate end-uses throughout this form. The applications listed below are not meant to be all-inclusive and do not reflect regulatory requirements. The purpose of defining these applications is to inform the Agency's understanding of how the alternative being submitted to SNAP will be used.



End-Use Application (a) Mark all that apply (b) New (N) equipment, retrofit (R) equipment, or both (N,R)? (c) ODS (and/or other substances) being replaced (d) Replacement ratio
(lb: lb)
CBI



Chillers (Commercial Comfort AC) Centrifugal








Positive Displacement Chillers (includes Reciprocating, Screw, Scroll, Rotary Compressors)








Industrial Process Refrigeration (IPR)









Industrial Process Air Conditioning









Ice Skating Rinks









Cold Storage Warehouses Food Refrigeration









Non-Food Refrigeration








Refrigerated Transport Refrigerated Trailers (Reefers)








Refrigerated Shipping Containers








Refrigeration Equipment within Ship holds








Refrigeration Equipment within Light-Duty Vehicle (e.g., food delivery, ice cream truck)








Retail Food Refrigeration Supermarket System, Direct








Supermarket System, Indirect








Low Temperature Stand-alone Units (< 0 ℃) (e.g., self-contained equipment such as individual reach-in coolers, glass door merchandisers)








Medium Temperature Stand-alone Units (>0 ℃) (e.g., self-contained equipment such as individual reach-in coolers, glass door merchandisers)








Remote Condensing Units for Walk-in Coolers or Multiple Reach-in Coolers








Refrigerated Food Processing and Dispensing Equipment (e.g., ice cream makers, chilled beverage dispensers, frozen beverage dispensers)








Vending Machines









Drinking Water Coolers Water Fountain affixed to wall or ground








Stand-alone Water Coolers








Commercial Ice Machines Self-contained Ice Machines








Ice Machines with remote condenser








Household Refrigerators and Freezers Household Refrigerator and Freezers








Small Refrigerators (e.g., chilled kitchen drawers, wine coolers, home beverage centers, and mini-fridges)








Residential and Light Commercial Air Conditioning and Heat Pumps Room Air Conditioners (such as window units, packaged terminal air conditioners (PTAC) and heat pumps (PTHP), and portable self-contained air conditioners)








Mini-Splits, Non-Ducted








Multi-Splits, Non-Ducted








Split-Systems, Ducted, Household (Central A/C)








Split-Systems, Ducted, Light Commercial (Central A/C)








Packaged Rooftop Units








Water-Source Air Conditioning and Heat Pumps








Ground-Source Air Conditioning and Heat Pumps








Residential Dehumidifiers









Motor Vehicle Air Conditioning Light-duty Vehicles (e.g., passenger cars)








Light-duty Trucks (e.g., minivans, full size pick-up trucks, and full-size SUVs)








Heavy-duty Vehicles (e.g., heavy-duty pickup trucks and vans, and commercial medium and heavy-duty on-highway vehicles)








Off-road Vehicles (e.g., farm and construction equipment)








Buses and Passenger Rail








Non-mechanical Heat Transfer Thermosiphon








Recirculating Coolers








Mechanical Heat Transfer Organic Rankine Cycle (ORC)








Very Low Temperature Refrigeration Refrigeration systems that maintain temperatures at -80°F (-62 °C) or lower (e.g., medical freezers, freeze dryers).








Other (specify) Uranium Isotope Separation Processing  








Medical and Laboratory Refrigeration Equipment (low/medium temperature that maintain temperatures above -80 °F (-62 °C))































































2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, what is the equipment layout and where is the refrigerant located? Is it a direct expansion unit and/or does it use a secondary loop? In what types of locations will the equipment be used (e.g., for refrigeration this could include supermarkets, convenience stores, and/or restaurants)? Is the equipment for low, medium, or high temperature refrigeration or air conditioning? Is air conditioning for the purpose of human comfort cooling or another application? CBI
























3. Technology Changes and Costs: Describe any new equipment technology changes and associated costs that will be necessary in order to use the proposed substitute. Provide information on materials compatibility (e.g., piping, refrigerant oil) and attach any available test results. Provide specific information on each different end-use and application and their associated costs, including design changes to equipment (e.g., component changes larger compressor, special safety features), changes in labor, and changes in energy costs, and ongoing operational costs.



End-Use Application (a) Technology changes, including material compatibility issues when retrofitting (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs (d) Ongoing operational costs of equipment CBI









































































4. Production: Provide estimated information on production of the proposed substitute or equipment using the proposed substitute by end-use and/or application.




End-Use Application (a) Year proposed substitute or technology will be commercially available (or note if currently available) (b) Anticipated annual production for the end-use in the first year (kg) CBI






















































5. Market Share: Estimate the timing for market penetration and percentage of the market that is anticipated to be captured by this proposed substitute.




End-Use Application (a) Years until maximum market penetration (b) Maximum annual production at market penetration (c) Anticipated market share at maximum market penetration (%) CBI


























































6. Application of Proposed Substitute. Please provide information on the equipment lifetime, charge size, associated room size, and associated equipment size anticipated for the proposed substitute in the end-use(s) and application(s) for the proposed substitute.




End-Use Application (a) Equipment Lifetime (years) (b) Typical charge size (kg) (c) Maximum charge size (kg) (d) Equipment capacity (kWh, tons) CBI



1)









2)









3)









4)









5)









End-Use Application (e) Typical room size (m3) (f) Minimum room size (m3) (g) Typical anticipated room air exchange rate (ACH) (h) Minimum anticipated room air exchange rate (ACH) CBI



1), cont'd









2), cont'd









3), cont'd









4), cont'd









5), cont'd
























7. Energy Efficiency: Provide the alternative’s impact on energy efficiency relative to the substance it is replacing in similar equipment. Attach documentation, if available.




End-Use Application Energy Efficiency (+/- X%) relative to substance(s) being replaced  Supporting Documentation Attached? CBI































































8. Refrigerant Oil: Provide information on the chemical class of refrigerant oil you anticipate will be used (e.g., polyalkylene glycol, polyolester, mineral oil, etc.) and information on refrigerant/oil solubility. CBI
























9. End-Use Specific Standards: List any standard-setting organizations (U.S. or ANSI/ISO) that have or will evaluate the proposed substitute and/or equipment in the proposed end-use(s) and identify the associated standard.




Standard-Setting Organization (a) Standard Number and Title  (b) Status (e.g., under development, final) CBI



American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) (e.g., ASHRAE 15)






Underwriters Laboratories (UL) (e.g., UL 484, UL 60335-2-24)






Society of Automotive Engineers (SAE) International






Other (e.g., International Electrochemical Commission (IEC), International Organization for Standardization (ISO))





















Section B: Refrigeration and Air Conditioning Physical and Chemical Properties
























1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in refrigeration and air conditioning end-uses. CBI



(a) Vapor pressure @ 20 °C
atm




Please also provide vapor pressure-temperature curve: Attached?





(b) Heat of combustion
kJ/mol




(c) Critical temperature
°C




(d) Critical Pressure
atm



















2. ASHRAE Designation: If applicable, indicate the status of submission to or publication by the ASHRAE Standing Standard Project Committee 34 (SSPC 34). CBI



Submitted to ASHRAE SSPC 34, not yet published. If proposed designation and classification are available, provide below.





Published by ASHRAE SSPC 34. If so, provide the following information:





ASHRAE Designation
CBI



ASHRAE Safety Classification




















Section C: Flammability
























1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute in refrigeration and air-conditioning end-uses. CBI



(a) Maximum pressure of combustion
atm




(b) Maximum rate of pressure increase during combustion (Required for refrigerants designated as ASHRAE flammability class 2, 2L, or 3)






(c) Minimum ignition energy (MIE)
Joules



















2. Flammability Assessments and Test Data.





Type of Assessment Summary of Results Supporting Documentation Attached? CBI



(a) Fault Tree Analysis or Failure Mode and Effects Analysis (Required for each end-use if flammable)






(b) Risk assessment for all end-uses, consumer and occupational (technician) exposure (Required if flammable)






(c) Results of ASTM E681 Flammability Limits in Air (include temperature at which test was conducted in summary of results)






(d) Fractionation during Leakage (Required if proposed substitute is a blend with flammable components)





















3. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. Supporting Documentation Attached? CBI



(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:






(b) Additional information on flammability concerns and mitigation measures:





















Section D: Exposure
























1. Exposure Media and Release Information




(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm or percent of charge). CBI











(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI


























2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute is expected to be the highest for each scenario in (a) through (c).




Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI



Typical Maximum Typical Maximum




(a) Manufacture and charging of equipment (e.g., filling)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(b) Installation and servicing (e.g., connecting and disconnecting refrigerant lines)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(c) Disposal (e.g., connecting and disconnecting refrigerant lines)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?
(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?





Is supporting documentation (e.g., personal monitoring data) attached?




















3. Estimate typical and maximum number of pieces of equipment a worker would (a) manufacture and/or charge, (b) install and/or service, and (c) dispose per day.




Scenario Typical Number of Pieces Maximum Number of Pieces CBI



(a) Manufacture and charging of equipment






(b) Installation and servicing






(c) Disposal





















4. Provide information on training materials related to manufacture, installation and servicing, and disposal. If the proposed substitute is flammable, describe how these guidelines differ from training for non-flammable refrigerants. Are any training materials attached? CBI

























5. Exposure during Use of Equipment












(a) Identify and explain the activity during which end-user exposure to the proposed substitute is expected to be the highest (e.g., operational leaks). CBI









(b) Identify who is most likely to be exposed to the substitute at the end-use (e.g., consumers, workers)? (c)  Estimate the typical and maximum annual leak rates from the equipment, in terms of (1) ppm and/or (2) percent of charge. CBI



Typical Maximum





ppm
ppm





%
%



Is supporting documentation (e.g., personal monitoring data) attached?




















6. Information on Recovery Practices: Section 608 of the Clean Air Act prohibits the intentional release (venting) of ozone-depleting and substitute refrigerants, while maintaining, servicing, repairing, or disposing of air conditioning or refrigeration equipment unless exempted by EPA. Please provide information below on how the substitute will be recovered.




(a) How will the refrigerant be recovered? Please provide standards, reports, or analyses from ETL, UL, AHRI, or equivalent on refrigerant-specific servicing equipment or the feasibility of using existing refrigerant recovery/recycling equipment. Supporting Documentation Attached? CBI










(b) Please provide a description of recovery procedures (e.g., recover and recharge or recover and send to reclaimer). Supporting Documentation Attached? CBI










(c) Indicate the anticipated recovery efficiency of the refrigerant (percent of charge). Supporting Documentation Attached? CBI

























Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.














































































Sheet 5: Part V Foam Blowing



























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part V: FOAM BLOWING-SPECIFIC INFORMATION













Section A: Foam Blowing Use Profile


















1. Specific End-Use: Identify each end-use that may be reasonably anticipated for the alternative. Identify the ODS (and/or other alternatives) used in the end-use and/or application and the quantity of proposed substitute needed to replace it for each end-use and/or application (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-foam-blowing-agents. The end-uses for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2. Note: If more than one end-use if listed, consider each end-use separately throughout application.



End-Use (a) Mark all that apply (b) ODS (and/or other substances) being replaced (c) Replacement ratio (lb: lb) CBI



Rigid Polyurethane: Appliance







Rigid Polyurethane: Spray
(High-pressure, Two component)








Rigid Polyurethane: Spray
(Low-pressure, Two component)








Rigid Polyurethane: Spray
(One-component Foam Sealants)








Rigid Polyurethane: Commercial Refrigeration







Rigid Polyurethane: Sandwich Panels







Rigid Polyurethane: Slabstock and Other







Rigid Polyurethane & Polyisocyanurate Laminated Boardstock







Flexible Polyurethane







Integral Skin Polyurethane







Polystyrene: Extruded Sheet







Polystyrene: Extruded Boardstock & Billet







Polyolefin







Phenolic Insulation Board & Bunstock







Other (specify)






















2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, what type of material will be blown? What method or type of equipment is used for foam blowing? Who will be using the foam blowing agent/equipment? Will the foam blowing agent be used by consumers or restricted to commercial use? For spray foams, how many components are used? Will the alternative be used in high or low pressure spray foam? CBI
























3. Technology Changes and Costs: Describe any new equipment technology changes and associated costs that will be necessary in order to use the proposed substitute.




End-Use (a) Technology changes to use alternative (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs (d) Ongoing operational costs CBI
















































4. Production and Market Share: Provide estimated information on production of the proposed substitute by end-use. If possible, estimate the percentage of the market held by the ODS being replaced that will be captured by this proposed substitute.



End-Use (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) (c) Years until maximum market penetration (d) Maximum annual production at market penetration (e) Anticipated market share at market penetration (%) CBI



















































5. Application of Proposed Substitute. Please provide information on the amount of blowing agent, associated room size, and anticipated room air exchange rate for the proposed substitute in the proposed end-use(s).




End-Use (a) Typical amount of blowing agent (kg) (b) Maximum amount of blowing agent (kg) (c) Typical room size
(m3)
(d) Minimum room size
(m3)
(e) Typical anticipated room air exchange rate (ACH) (f) Minimum anticipated room air exchange rate (ACH) CBI






















































6. Energy Efficiency: Provide the alternative’s impact on energy efficiency relative to the substance it is replacing in similar products. Attach documentation, if available.




End-Use Energy efficiency (+/- X%) relative to substance(s) being replaced  Supporting Documentation Attached? CBI










































Section B: Foam Blowing Agent Physical and Chemical Properties


















1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in foam blowing end-uses. CBI



(a) Vapor pressure @ 20 °C
atm




(b) Thermal conductivity
W/m·K



















2. Manufacture and Degradation Products. Provide information on the catalyst used in the manufacture of foam blowing agent and the degradation products under different external conditions (e.g., temperature) during use to assess potential hazards of breakdown/degradation products of foam during use. Attach supporting documentation. Supporting Documentation Attached? CBI

























Section C: Flammability


















1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute in foam blowing end-uses. CBI



(a) Heat of combustion
kJ/mol




(b) Auto ignition temperature
°C




(c) For blowing agent blends containing flammable components, indicate the concentrations at which the blend is flammable.
ppm or %



















2. Flammability Assessments and Test Data. CBI



(a) Results of ASTM E681 for Flammability Limits in Air (Required if substitute is flammable)





(b) Additional Analyses (optional)




















3. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. CBI



(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:





(b) For flammable foam blowing agents used in spray foam, provide a training program that addresses flammability concerns. Supporting Documentation Attached?





(c) Additional information on flammability concerns and mitigation measures:




















Section D: Exposure


















1. Exposure Media and Release Information




Scenario Identify activities with typical and maximum potential for exposure Provide the estimated amount of each component in foam blowing agent released to the environment (e.g., as a solid waste or wastewater effluent) at the point of, or subsequent to, each scenario below. Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land) in each scenario below. CBI



(a) Manufacture

ppm





(b) End-Use (e.g., in products containing and processes using the proposed substitute)

ppm





(c) Disposal

ppm





(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) If the proposed substitute is to be disposed of, indicate the method and location of disposal. CBI










(f) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (g) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (h) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI


























2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute is expected to be the highest for each scenario in (a), (b), and (c). If monitoring data is available, please provide it as an attachment.




Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI



Typical Maximum Typical Maximum



(a) Manufacture and charging of equipment (e.g., preparation of foam formulations, injecting foam into appliances)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(b) Manufacture of foam product/foam blowing

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(c) Disposal of foam blowing agent

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?
(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?





Is supporting documentation (e.g., personal monitoring data) attached?




















3. Application of Spray Foam (If Applicable)




(a) Is the proposed substitute is expected to be used in the spray foam end-use? (b) If your answer to (a) is yes, please identify and explain potential worker exposure to the proposed substitute during application of the blowing agent (e.g., onsite, field). (c) Is consumer use of the spray foam (e.g., do-it-yourself spray foam cans) expected? If yes, please answer questions (d) and (e). CBI











(d) Please describe the application system for the consumer (e.g., size of system/container and amount of foam blowing agent in system/container). (e) Estimate the typical and maximum concentrations of consumer exposure (ppm). If monitoring data is available, please provide it as an attachment. CBI



Typical Maximum





ppm
ppm




Is supporting documentation (e.g., personal monitoring data) attached?




















4. Training Materials




(a) Provide information on training materials related to manufacture, installation and servicing, and disposal. If the proposed substitute is flammable, describe how these guidelines differ from training for non-flammable foam blowing agents. Are any training materials attached? CBI










(b) Provide information on training materials related to spray foam applications. If the proposed substitute is flammable, describe how these guidelines differ from training for non-flammable foam blowing agents. Are any training materials attached? CBI

























5. Exposure during Use












(a) Identify and explain the activity during use of blowing agent in which end-user exposure to the proposed substitute is expected to be the highest (e.g., rigid cell foams used in residential construction or insulation). CBI









(b) Identify who is anticipated to be exposed to the substitute at the end-use (e.g., consumers, workers)? (c) Provide (1) typical and (2) maximum exposure concentration estimates (ppm). If monitoring data is available, please provide it as an attachment. CBI



Typical Maximum Supporting Documentation Attached?





ppm
ppm





(d) Identify control measures used to reduce or prevent end-user exposures. CBI









(e) For each end-use, provide maximum annual emission rates for blowing agent leaks from foam application during the foam's lifetime (i.e., after manufacturing and before disposal) as a percentage of the original total amount of blowing agent used to produce the foam. Please also specify the anticipated number of years for which the blowing agent would be leaking from the foam (i.e., the emissive lifetime). For reference, please refer to EPA's standard annual emission rates listed in the Instructions. CBI



End-Use Annual Emission Rate Emissive Lifetime of Foam (years)










































Section E: Additional Information for Submission of Blends of Foam Blowing Agents


















Blends of different foam blowing agents may also require additional information, depending on the end-use.



















1. For the following end-uses, a submission is required for blends of blowing agents, including blends with blowing agents that are already listed as acceptable:

• Polyolefin
• Polystyrene: Extruded Boardstock and Billet
• Rigid Polyurethane and Polyisocyanurate Laminated Boardstock
• Rigid Polyurethane: Spray Foam*
• Phenolic Insulation Board and Bunstock


*For spray foam, if any components of the blend are flammable, then an additional submission is required for the blend.




















2. For the following end-uses, it is permissible to blend blowing agents that are already listed as acceptable without an additional submission for the blend:

• Rigid Polyurethane: Appliance
• Rigid Polyurethane: Commercial Refrigeration
• Rigid Polyurethane: Sandwich Panels
• Rigid Polyurethane: Spray Foam*
• Rigid Polyurethane: Slabstock and Other
• Flexible Polyurethane
• Integral Skin Polyurethane
• Polystyrene: Extruded Sheet

*For spray foam, if all components of the blend are acceptable and non-flammable, then it is permissible to blend those blowing agents without an additional submission for the blend.




















Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.



















Sheet 6: Part VI Cleaning Solvents




























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part VI: CLEANING SOLVENT-SPECIFIC INFORMATION
















Section A: Cleaning Solvent Use Profile


















1. Specific End-Use: Identify each end-use for which you are seeking review. Identify the ODS (and/or other alternatives) used in the end-use or application and the quantity of proposed substitute needed to replace it for each end use (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-cleaning-solvents. The end-uses for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2.



End-Use (a) Mark all that apply (b) ODS (and/or other substances) being replaced (c) Replacement Ratio
(lb: lb)
(d) Open or closed process? CBI



Metal cleaning








Electronics cleaning








Precision cleaning























2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, what type of work pieces will be cleaned? What type of equipment will be used to perform cleaning (e.g., open top vapor degreaser, vacuum sealed equipment, conveyorized equipment)? Where will the cleaning occur (e.g., commercial or industrial setting)? Please note that this end-use does not include manual cleaning or textile cleaning. CBI
























3. Technology Changes and Costs: Describe any new equipment or technology changes and associated costs that will be necessary in order to use the proposed substitute.





End-Use (a) Technology Changes to Use Alternative (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs (d) Ongoing operational costs CBI
















































4. Production and Market Share: Provide estimated information on production of the proposed substitute by end-use. If possible, estimate the percentage of the market held by the ODS being replaced that will be captured by this proposed substitute.





End-Use (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) (c) Years until maximum market penetration (d) Maximum annual production at market penetration (e) Anticipated market share at market penetration (%) CBI



















































5. Compatibility: Provide information on and address any issues with materials compatibility of the proposed substitute with metals and plastic with regards to its use as a cleaning solvent (e.g., is the solvent corrosive to some materials). CBI
























Section B: Cleaning Solvent-Specific Physical and Chemical Properties


















1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in solvent cleaning end-uses. CBI



(a) Solubility
g/L




(b) Dissociation Constant






(c) Volatilization from soil






(d) Volatilization from water






(e) pH






(f) Vapor pressure @ 20 °C
atm




(g) Viscosity
Pa·s




(h) Henry's Law constant
specify units



















Section C: Flammability


















1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute in solvent cleaning end-uses. CBI



(a) Heat of combustion
kJ/mol



















2. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. CBI



(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:





(b) Additional information on flammability concerns and mitigation measures:




















Section D: Exposure


















1. Exposure Media and Release Information





(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm). CBI











(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI


























2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute is expected to be the highest for each scenario in (a) through (b).





Scenario Identify activities with typical and maximum potential for exposure Duration of activity Exposure Concentration CBI



Typical Maximum Typical Maximum



(a) End-Use (e.g., during removal of cleaned work pieces from an open-top degreasing unit)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%



(b) Disposal (e.g., removing spent solvent from degreaser)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%



(c) Provide the anticipated room air exchange rate (as air changes per hour [ACH]) during use and disposal of the substitute.





(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?





(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?





Is supporting documentation (e.g., personal monitoring data) attached?




















3. Describe disposal practices of used solvent (e.g., solvent collected and sent to a wastewater treatment facility, solvent collected and incinerated, recycling). CBI
























4. Provide information on training materials related to use and disposal. Are any training materials attached? CBI

























Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.

































Sheet 7: Part VII Fire Suppression





























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part VII: FIRE SUPPRESSION AND EXPLOSION PROTECTION-SPECIFIC INFORMATION
















Section A: Fire Suppression Use Profile



















1. Specific End-Use: Identify each end-use and application (if applicable) for which you are seeking review and provide the requested information. For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-fire-suppression-and-explosion-protection. The end-uses and/or applications for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2. Note: If more than one end-use is listed, consider each end-use separately throughout application.



End-Use Application (a) Mark all that apply (b) ODS (and/or other substances) being replaced (c) Weight and volume equivalence replacement ratio (lb: lb)
Note: Calculate using method described in Instruction Manual
(d) Purpose of space in which the extinguisher will be used
(e.g., engine room, machinery space, cargo room)
CBI



Total Flooding Agents Normally Occupied Areas








Normally Unoccupied Areas








Streaming Applications

























2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, what is the method of distribution (e.g., localized, sprinkler system, handheld, gaseous)? Is it a clean agent? Is the agent aerosolized? Where will the fire suppression system be installed (e.g., marine, aviation, data center)? Where will handheld extinguishers be intended for use (e.g., residential, commercial, aviation)? CBI

























3. Technology Changes and Costs: Describe any new equipment and associated technology changes and costs that will be necessary in order to use the proposed substitute.





End-Use Application (a) Technology changes to use alternative and address material compatibility issues when retrofitting (b) Capital costs associated with proposed substitute or alternative process (c) Changes in labor and energy costs (d) Ongoing operational costs CBI




















































4. Production and Market Share: Provide estimated information on production of the proposed substitute by end-use. If possible, estimate the percentage of the market held by the ODS being replaced that will be captured by this proposed substitute.





End-Use Application (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) (c) Years until maximum market penetration (d) Maximum annual production at market penetration (e) Anticipated market share at market penetration (%) CBI























































5. Application of Proposed Substitute. Please provide information on the charge size, associated room size, and anticipated room air exchange rate for the proposed substitute in the end-use(s) specified. Note: If personal monitoring data is provided in Section D: Exposure, you are not required to respond to questions (c) through (e) below.





End-Use Application (a) Typical charge size (kg) (b) Maximum charge size (kg) (c) Typical room size (m3) (d) Minimum room size (m3) (e) Typical anticipated room air exchange rate (ACH) (f) Minimum anticipated room air exchange rate (ACH) CBI


























































6. End-Use Specific Standards: Identify any standards set by standard-setting organizations (U.S. or ANSI/ISO) or requirements set by other organizations (e.g., IMO, FAA/ICAO) that will evaluate the proposed substitute and/or equipment in the proposed end-use(s).





Organization (a) Standard Number and Title  (b) Status (e.g., under development, final) CBI



Underwriters Laboratories (UL) (e.g., UL 711)






National Fire Protection Association (NFPA) (e.g., NFPA 2010)






Other (e.g., International Organization for Standardization (ISO))






Other (e.g., International Maritime Organization (IMO), Federal Aviation Administration/International Civil Aviation Organization (FAA/ICAO))






















Section B: Fire Suppression Agent Physical and Chemical Properties



















1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in fire suppression end-uses. CBI



(a) Vapor pressure @ 20 °C
atm





(b) Heat of vaporization
kJ/mol





(c) Vapor Heat Capacity
J/K





(d) Viscosity
Pa·s





















2. Degradation Products. Provide information on the degradation products of the alternative following discharge in a fire situation. Explain the conditions used in determining these products (e.g., flame temperature, time required to extinguish the fire, amount of O2 present, combustible material). CBI

























Section C: Fire Suppression Agent Toxicity and Hazard Information



















1. Toxicity Studies for All Fire Suppression Submissions












a) Inhalation Toxicity Studies: Provide an inhalation toxicity study at least 28 days long if a) workers are exposed to the chemicals during manufacture or b) 8-hr TWA exposure levels have not been determined by OSHA, NIOSH, ACGIH, or AIHA. For reference, please refer to the list of recommended toxicity tests for this sector in the Instructions.




Inhalation Toxicity Study Name Attached? CBI








































b) Genotoxicity Studies: Provide genotoxicity studies (e.g., Ames assays, forward mutation assays, cytogenetic assays) to determine the potential for the agent to induce DNA damage.




Genotoxicity Study Name Attached? CBI








































2. In-kind Halon Alternatives (Gaseous Halocarbons). Provide the following additional information for halocarbon steaming agents or flooding agents used in occupied spaces.
CBI



(a) Extinguishing Concentration
(Total flooding agents; use either a cup burner in heptane or full scale testing)

g/m3





(b) Design Concentration
(As defined by NFPA and actual (if it is likely to be higher) based on manufacturer recommendations)

g/m3





















Additional Information Attached? CBI



Cardiac Sensitization Study





Acute, sub-acute, and subchronic toxicity inhalation studies with rats in addition to those already listed in Section C, Number 1.





















3. In-kind Halon Alternatives (Non-Halocarbon Gaseous). Provide the following additional information for non-halocarbon gaseous steaming agents or flooding agents (e.g., inert gas, carbon dioxide) used in occupied spaces. CBI



(a) Extinguishing Concentration
(Total flooding agents; use either a cup burner in heptane or full scale testing)

g/m3





(b) Design Concentration
(As defined by NFPA and actual (if it is likely to be higher) based on manufacturer recommendations)

g/m3





















4. Not-in-kind Halon Alternatives (Powdered Aerosols or Foam). Provide the following additional information for foam streaming agents or powdered aerosol flooding agent used in occupied spaces.
CBI



(a) Extinguishing application density
(Per NFPA 2010, minimum mass of a specific aerosol-forming compound per m3 of enclosure volume required to extinguish fire involving particular fuel under defined experimental conditions excluding any safety factor)

g/m3





(b) Design application density
(Per NFPA 2010, extinguishing application density including a safety factor, required for system design purposes)

g/m3





















Additional Information Attached? CBI



Acute toxicity inhalation study with rats (foam streaming agent)





Static Acute toxicity inhalation study with rats at design application density (powdered aerosol flooding agent)





Ocular irritation studies (Draize test)





Dermal irritation study (powdered aerosols)





















5. Powdered Aerosol Flooding Agents Used in Occupied Spaces. Provide the following additional information regarding the use of powdered aerosol flooding agents in occupied spaces which requires special considerations of the physical properties and toxicity of the agent and visibility in the protected space.




(a) Identify the likelihood that the fire extinguisher will accidentally discharge (reported as the number of accidental discharges in 1 million). (b) Identify the number of extinguishing devices (i.e., generators) installed in a room and the location of these devices within the space. (c) Identify the discharge rate (g/s) of the fire extinguishing device. (d) Identify the length of time it takes for the particles to become distributed throughout the space. CBI












(e) Provide information on the complete extinguishant particle size distribution including the shape and aerodynamic profile of the individual particles (i.e., mass median aerodynamic diameter (MMAD), µm) and the geometric standard deviation of the particles during a typical commercial discharge. (f) Identify the concentration (mg/m3) of the effluent released from the nozzle. (g) Identify the settling rate (g/s) of the particles. (h) Identify the maximum egress time for personnel from the space and several approaches to facilitate safe egress (e.g., training, installation guidelines). CBI












(i) Provide the composition of flooding agent before discharge, including the weight percentages for each component:




Chemical name (preferably IUPAC nomenclature) Percent composition
(by weight)
Chemical Abstracts Service (CAS) registry number Molecular formula CBI





























































(j) Provide the composition of flooding agent after discharge, including the weight percentages of all effluent gases and particulates that may not be filtered:




Chemical name (preferably IUPAC nomenclature) State (e.g., gaseous, particulate, liquid) Percent composition
(by weight)
Chemical Abstracts Service (CAS) registry number Molecular formula CBI





































































Section D: Exposure



















1. Exposure Media and Release Information





(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of pre- and post-activation products at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm or percent of charge). CBI











(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). (g) Describe any protective measures taken to limit worker exposure (e.g., ventilation, detection system). CBI




























2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute and/or associated equipment is expected to be the highest for each scenario in (a) and (b).





Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI



Typical Maximum Typical Maximum



(a) Manufacture and charging of equipment (e.g., assembly of generators)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(b) Installation and servicing (e.g., accidental discharge during servicing of fire suppression equipment)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(c) Are exposure concentrations based on a proxy compound or blend?
(d) If yes, what is the proxy compound or blend?
(e) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?





Is supporting documentation (e.g., personal monitoring data) attached?





















3. Provide information on training materials related to manufacture of the proposed substitute and/or fire suppression equipment and installation and servicing of fire suppression equipment. Are any training materials attached? CBI


























4. Exposure during Use of Equipment













(a) Identify and explain the activity in which end-user exposure to the proposed substitute is expected to be the highest (e.g., discharge of fire suppression agent). CBI









(b) Identify who is anticipated to be exposed to the substitute at the end-use (e.g., consumers, workers)? (c) Provide (1) typical and (2) maximum exposure concentration estimates (ppm). If monitoring data is available, please provide it as an attachment. CBI



Typical Maximum





ppm
ppm




Is supporting documentation (e.g., personal monitoring data) attached?





















Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.



Sheet 8: Part VIII Aerosols




































United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460








Part VIII: AEROSOLS-SPECIFIC INFORMATION
























Section A: Aerosol Use Profile


























1. Specific End-Use: Identify each end-use and application that may be reasonably anticipated for the alternative. Identify the ODS (and/or other alternatives) used in the end-use or application and the quantity of proposed substitute needed to replace it for each end use (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-aerosols. The end-uses and applications for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2.







End-Use Application (a) Mark all that apply (b) ODS (and/or other substances) being replaced (c) Replacement Ratio
(lb: lb)
CBI







Propellants Consumer











Technical











Medical











Solvents Consumer











Technical











Medical






























2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, in what type of products will the substitute be used (e.g., personal care, automotive, electrical contact cleaner, degreaser, medical adhesive spray, MDI)? CBI




































3. Technology Changes and Costs: Describe any new equipment technology changes and associated costs that will be necessary in order to use the proposed substitute.









End-Use Application (a) Technology changes, including material compatibility issues (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs. (d) Ongoing operational costs CBI







































































4. Production: Provide estimated information on production of the proposed substitute or equipment using the proposed substitute by end-use.











End-Use Application (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) CBI

































































5. Market Share: If possible, estimate the percentage of the market that is anticipated to be captured by this proposed substitute.











End-Use Application (a) Years until maximum market penetration (b) Maximum annual production at market penetration (c) Anticipated market share at market penetration (%) CBI




































































6. Application of Proposed Substitute. Please provide information on the amount of the substitute to be used per can and associated aerosols can size anticipated for the proposed substitute in each proposed end-use.








End-Use Application (a) Typical amount of substitute per can (g) (b) Maximum amount of substitute per can (g) (c) Typical total weight of aerosol can (g) (d) Maximum total weight of aerosol can (g) CBI







































































7. Consumer Use: Please indicate whether the proposed substitute will be used for consumer use. If yes, describe the anticipated consumer applications. CBI




































8. End-Use Specific Standards: List any standard-setting organizations (U.S. or ANSI/ISO) that have or will evaluate the proposed substitute and/or equipment in the proposed end-use(s) and identify the associated standard.







Standard-Setting Organization (a) Standard Number and Title  (b) Status (e.g., under development, final) CBI


















































Section B: Aerosol-Specific Physical and Chemical Properties


























1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in aerosol end-uses.
CBI







(a) Solubility
g/L








(b) Viscosity
Pa s








(c) Vapor pressure @ 20 °C
atm








Please also provide vapor pressure-temperature curve (for aerosol propellants): Attached?









(d) Dissociation Constant










(e) Volatilization from soil










(f) Volatilization from water










(g) pH










(h) Henry's Law constant
specify units



























Section C: Flammability


























1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute in aerosol end-uses.












Propellant Solvent CBI







(a) Heat of combustion
kJ/mol
kJ/mol








(b) Critical temperature
°C
°C








(c) Critical Pressure
atm
atm








(d) Explosive Range (LEL/UEL)
ppm or %
ppm or %



























2. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. CBI







(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:









(b) Additional information on flammability concerns and mitigation measures:




























Section D: Exposure


























1. Exposure Media and Release Information









(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm). CBI



















(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI






































2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute is expected to be the highest for each scenario in (a) through (c).








Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI







Typical Maximum Typical Maximum







(a) Manufacture and filling of aerosol cans (e.g., filling cans)

hours/day
hours/day
ppm
ppm









day/year
day/year
%
%








(b) Use of aerosol product

hours/day
hours/day
ppm
ppm









day/year
day/year
%
%








(c) Disposal (e.g., collection of spent aerosol solvent)

hours/day
hours/day
ppm
ppm









day/year
day/year
%
%








(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?
(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?









Is supporting documentation (e.g., personal monitoring data) attached?




























3. Estimate typical and maximum number of aerosol cans a worker would (a) manufacture and/or fill, (b) use, and (c) dispose per day.








Scenario Typical number of cans per day Maximum number of cans per day CBI







(a) Manufacture and filling of aerosol cans










(b) Use of aerosol product











(c) Disposal





























4. Estimate typical and maximum (a) delivery rate and (b) release rate for the aerosol can.









Scenario Typical Maximum CBI







(a)  Estimate the typical and maximum delivery rate for the aerosol product, in terms of grams/second
grams/sec
grams/sec








(b)  Estimate the typical and maximum release rates in terms of (1) ppm and/or (2) percent of aerosol can.
ppm
ppm









%
%



























5. For aerosol solvents (e.g., degreasers, flux removers), describe disposal practices of aerosol container and contents (e.g., collected and sent to incinerator, recycling). CBI




































6. Provide information on training materials related to manufacture and filling and disposal of aerosol cans. If the proposed substitute is flammable, describe how these guidelines differ from training for non-flammable aerosols. Are any training materials attached? CBI





































Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.






































































































Sheet 9: Part IX Sterilants




























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460




Part IX: STERILANTS-SPECIFIC INFORMATION
















Section A: Sterilants Use Profile


















1. Specific End-Use: Identify the ODS (and/or other alternatives) used in the end-use or application and the quantity of proposed substitute needed to replace it for each end use (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-sterilants. The end-use for which you are applying is highlighted in yellow based on selections in Part I, Section B, Number 2.



End-Use (a) ODS (and/or other substances) being replaced (b) Replacement Ratio (lb: lb) CBI



Sterilant



















2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, provide information on how the sterilant is applied (e.g., sterilization chambers)? CBI
























3. Technology Changes and Costs: Describe any new equipment and use profiles and associated costs that will be necessary in order to use the proposed substitute.





End-Use (a) Technology changes to use alternative (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs (d) Ongoing operational costs CBI
















































4. Production and Market Share: Provide estimated information on production of the proposed substitute by end-use. If possible, estimate the percentage of the market held by the ODS being replaced that will be captured by this proposed substitute.



End-Use (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) (c) Years until maximum market penetration (d) Maximum annual production at market penetration (e) Anticipated market share at market penetration (%) CBI



















































5. Application of Proposed Substitute. Please provide information on the application of the substitute in the proposed end-use(s).





End-Use (a) Provide information on the leak-tightness of the equipment (e.g., maximum and typical leak rate of equipment) (b) Anticipated room air exchange rate (ACH) CBI
































6. Has the Proposed Substitute been submitted for registration under FIFRA.
CBI






















Section B: Sterilant-Specific Physical and Chemical Properties


















1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in sterilization. CBI



(a) Solubility
g/L



















Section C: Flammability


















1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute when used in sterilization. CBI



(a) Vapor pressure @ 20 °C
atm




(b) Flashpoint
°C




(c) Explosive range (LEL/UEL)
ppm or %



















2. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. CBI



(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:





(b) Additional information on flammability concerns and mitigation measures:




















Section D: Exposure


















1. Exposure Media and Release Information





(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm or percent of charge). CBI











(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI











(g) Describe disposal practices of used sterilant (e.g., sterilant collected and sent to a wastewater treatment facility, recycling). CBI
























2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which worker exposure to the proposed substitute is expected to be the highest for each scenario in (a) through (c).




Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI



Typical Maximum Typical Maximum



(a) Manufacture and charging of equipment (e.g., filling)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(b) Use of sterilant or associated equipment containing sterilant

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(c) Disposal (e.g., of sterilant or associated equipment containing the sterilant)

hours/day
hours/day
ppm
ppm





day/year
day/year
%
%




(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?
(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?





Is supporting documentation (e.g., personal monitoring data) attached?




















3. Training Materials





(a) Provide information on training materials related to manufacture and disposal. If the proposed substitute is flammable, describe how these guidelines differ from training for non-flammable sterliants. Are any training materials attached? CBI

























Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.
















































Sheet 10: Part X Adhesives Coatings Inks






































United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460







Yes

Part X: ADHESIVES, COATINGS, AND INKS-SPECIFIC INFORMATION












No




Adhesives, Coatings, and Inks





Section A: Adhesives, Coatings, and Inks Use Profile




























1. Specific End-Use: Identify each end-use that may be reasonably anticipated for the alternative. Identify the ODS (and/or other alternatives) used in the end-use or application and the quantity of proposed substitute needed to replace it for each end use (i.e., the replacement ratio). For an explanation of each end-use and application visit the SNAP website: https://www.epa.gov/snap/substitutes-adhesives-coatings-and-inks. The end-uses for which you are applying are highlighted in yellow based on selections in Part I, Section B, Number 2.








End-Use (a) ODS (and/or other substances) being replaced (b) Replacement Ratio (lb: lb) CBI








Adhesives











Coatings











Inks































2. Additional End-Use Description: Please describe the specific use for which you are applying. For example, in what type of products will the substitute be used for adhesives (e.g., laminate, hardwood flooring, flexible foam, tire patch, metal to rubber, marine); coatings (e.g., metal coatings, wood stains, aerospace coating), or inks (e.g., flexographic printing, rotogravure printing)? What is the application method (e.g., spray gun, aerosol can, dip tank)? CBI







































3. Technology Changes and Costs: Describe any new equipment technology changes and associated costs that will be necessary in order to use the proposed substitute.










End-Use (a) Technology Changes to Use Alternative and Address Material Compatibility Issues (b) Capital costs associated with proposed substitute, alternative process, new equipment, and/or new materials (c) Changes in labor and energy costs. (d) Ongoing Operational costs CBI









































































4. Production and Market Share: Provide estimated information on production of the proposed substitute by end-use. If possible, estimate the percentage of the market held by the ODS being replaced that will be captured by this proposed substitute.








End-Use (a) Year proposed substitute or technology will be available (or note if currently available) (b) Anticipated first year annual production for end-use (kg) (c) Years until maximum market penetration (d) Maximum annual production at market penetration (e) Anticipated market share at market penetration (%) CBI












































































5. Application of Proposed Substitute. Please provide information on the charge size and associated dispenser size (i.e., total weight of contents) anticipated for the proposed substitute in the proposed end-use(s).









End-Use (a) Typical amount per dispenser (g or %) (b) Maximum amount per dispenser (g or %) (c) Typical total weight of dispenser (g) (d) Maximum total weight of dispenser (g) CBI









































































6. Consumer Use: Please indicate whether the proposed substitute will be used for consumer use. If yes, describe the anticipated consumer applications. CBI







































Section B: Adhesives, Coatings, and Inks-Specific Physical and Chemical Properties




























1. Physical and Chemical Properties: Provide information on the physical and chemical properties relevant to evaluating the proposed substitute in adhesives, coatings, and inks end-uses.
CBI








(a) Solubility
g/L









(b) Dissociation Constant











(c) Volatilization from soil











(d) Volatilization from water











(e) pH











(f) Vapor pressure @ 20 °C
atm









(f) Viscosity
Pa·s









(h) Henry's Law constant
specify units





























Section C: Flammability




























1. Flammability-Related Physical and Chemical Properties. Provide information on the physical and chemical properties relevant to evaluating the flammability of the proposed substitute in adhesives, coatings, and inks end-uses. CBI








(a) Heat of combustion
kJ/mol









(b) Explosive Range (LEL/UEL)
% or ppm





























2. Flammability Concerns and Mitigation: Provide any information on flammability concerns and mitigation measures. CBI








(a) Detail any abatement techniques that are used to minimize the risks associated with flammable substances or mixtures:










(b) Additional information on flammability concerns and mitigation measures:






























Section D: Exposure




























1. Exposure Media and Release Information










(a) Identify the media(s) to which the proposed substitute is released (e.g., indoor air, outdoor air, water, land). (b) Indicate the physical form of chemicals at the time of handling/exposure (e.g., solid, liquid, gas). (c) If releases occur outdoors (e.g., outdoor air, water, land), provide information or estimates of the magnitude of release (ppm or percent of dispenser). CBI





















(d) Identify engineering controls used to reduce or prevent releases to the environment (e.g., safety valves, gas scrubbers). (e) Identify the contact pathway (e.g., ingestion, inhalation, dermal). (f) Describe any protective equipment and engineering controls used to protect workers (e.g., goggles, gloves, chemical hoods). CBI









































2. Identify and explain the activities, duration of activities, and typical and maximum exposure concentrations in which exposure to the proposed substitute is expected to be the highest for each scenario in (a) through (c).










Scenario Identify activities with typical and maximum potential for exposure Duration of Activity Exposure Concentration CBI








Typical Maximum Typical Maximum








(a) Manufacture and filling of dispensers (e.g., filling dispensers)

hours/day
hours/day
ppm
ppm










day/year
day/year
%
%









(b) Use of adhesives, coatings, and inks product

hours/day
hours/day
ppm
ppm










day/year
day/year
%
%









(c) Disposal (e.g., disposing of spent dispensers)

hours/day
hours/day
ppm
ppm










day/year
day/year
%
%









(d) Are exposure concentrations based on a proxy compound or blend?
(e) If yes, what is the proxy compound or blend?
(f) Explain why the proxy compound or blend is appropriate for estimating exposures to the proposed substitute?










Is supporting documentation (e.g., personal monitoring data) attached?






























3. Estimate typical and maximum number of adhesives, coatings, and inks dispensers a worker would (a) manufacture and/or fill, (b) use, and (c) dispose per day.










Scenario Typical number of products per day Maximum number of products per day CBI








(a) Manufacture and filling











(b) Use of adhesives, coatings, and inks product











(c) Disposal































4. Estimate typical and maximum (a) delivery rate and (b) release rate for the adhesives, coatings, and inks dispenser.










Scenario Typical Maximum CBI








(a)  Estimate the typical and maximum delivery rate for the dispenser product, in terms of grams/second
grams/sec
grams/sec









(b)  Estimate the typical and maximum release rates in terms of (1) ppm and/or (2) percent of dispenser.
ppm
ppm










%
%





























5. Provide information on training materials related to manufacture/filling and disposal of adhesives, coatings, and inks. Are any training materials attached? CBI








































Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.




































































































































































































































































































































































































































































































































































Sheet 11: Part XI Tobacco Expansion














United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460



Part XI: TOBACCO EXPANSION-SPECIFIC INFORMATION


No additional information is needed for this sector.

Sheet 12: Part XII Toxicology Studies
























United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460







Part XII: RECOMMENDED TOXICOLOGY STUDIES













GENERAL INSTRUCTIONS

This Part of the form includes recommended toxicological studies for each sector:
-Refrigeration and Air Conditioning
-Foam Blowing; Aerosols; Solvents; Adhesives, Coatings, and Inks; Sterilants
-Fire Suppression

Please review and complete the appropriate table(s) given the sector(s) selected in Part I, Section B, Number 2.

Note: "Required" studies are required in order for your submission to be complete and in order for EPA to review your substitute. "Needed for complete database" are studies that provide EPA with information allowing them to use less conservative assumptions when assessing toxicity of the substitute. "Useful but not always required" studies will give EPA the most complete understanding of the substitute's toxicity; if you have this information available, please include it in your submission.




















Refrigeration and Air Conditioning





Identify toxicology studies below.
The following toxicological studies are recommended for a critical toxicity review of chemicals submitted to the SNAP program as proposed substitutes in the Refrigeration and Air Conditioning sector. The studies identified below are not necessary if a refrigerant is already listed under American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) Standard 34 and exposure limits have already been established.






Required? Study Category Study Name Attached? CBI





Required Critical Toxicology Studies Acute inhalation study (4-hour study for LC50)







Subacute repeat-exposure inhalation study (28-day study)







Prenatal developmental inhalation study







Cardiac sensitization assay







Genetic Toxicity Assays Bacterial reverse mutation assay (Ames test)







In vitro chromosome aberration study







In vivo micronucleus







Unscheduled DNA synthesis







Acute Irritation Assays Dermal irritation study







Eye irritation study







Needed for Complete Database
Subchronic inhalation study (90-day study)







Fish acute toxicity test







Daphnia acute immobilization test







Freshwater algae growth inhibition test







Bioconcentration test







Useful (but not always required)
Acute oral dose study (LD50)







Subacute repeat-exposure oral study (28-day study)







Reproductive study




























Foam Blowing; Aerosols; Solvents; Adhesives, Coatings, and Inks; Sterilants





Identify toxicology studies below.
The following toxicological studies are recommended for a critical toxicity review of chemicals submitted to the SNAP program as proposed substitutes in the Foam Blowing; Aerosols; Solvents; and Adhesives, Coatings, and Inks sectors. The studies identified below are not necessary if exposure limits have already been established.






Required? Study Category Study Name Attached? CBI





Required Critical Toxicology Studies Acute inhalation study (4-hour study for LC50)







Subacute repeat-exposure inhalation study (28-day study)







Prenatal developmental inhalation study







Genetic Toxicity Assays Bacterial reverse mutation assay (Ames test)







In vitro chromosome aberration study







In vivo micronucleus







Unscheduled DNA synthesis







Acute Irritation Assays Dermal irritation study







Eye irritation study







Needed for Complete Database
Subchronic inhalation study (90-day study)







Fish acute toxicity test







Daphnia acute immobilization test







Freshwater algae growth inhibition test







Bioconcentration test







Useful (but not always required)
Acute oral dose study (LD50)







Subacute repeat-exposure oral study (28-day study)







Reproductive study







Cardiac sensitization assay



































Fire Suppression Sector





Identify toxicology studies below.
The following toxicological studies are recommended for a critical toxicity review of chemicals submitted to the SNAP program as proposed substitutes in the Fire Suppression sector. The studies identified below are not necessary if exposure limits have already been established.

Additional information on EPA's methods for evaluating short-term exposures for each type of fire suppression agent is available at https://www.epa.gov/sites/production/files/2014-11/documents/riskscreenfire.pdf.






Alternative Type In-kind Not-in-kind Attached? CBI





Alternative Halocarbon Gaseous Halocarbon Gaseous Powdered Aerosols Foam







End-Use Streaming Flooding Flooding Streaming







Acute inhalation study (4-hour study for LC50) ü ü a ü a,b ü







Subacute inhalation study (28-day study) ü ü ã ã







Cardiac sensitization study ü ü a x x







Bacterial reverse mutation assay (Ames test) ü ü ü ü







In vitro chromosome aberration study ü ü ü ü







In vivo micronucleus study ü ü ü ü







Unscheduled DNA synthesis ü ü ü ü







Dermal irritation study







Eye irritation study ü a ü







Subchronic inhalation study (90-day study) ü ã ã ã







Fish acute toxicity test ã ã ã ã







Daphnia acute mobilization test ã ã ã ã







Freshwater algae growth inhibition test ã ã ã ã







Bioconcentration test ã ã ã ã







Reproductive study







Acute oral dose study (LD50) x x







Subacute repeat-exposure oral study (28-day study)







ü Required





ã Needed for Complete Database





Useful (but not always required)





x Not required





a Not required for unoccupied spaces.





b 15-minute static inhalation assay with the compound at the design application density is preferred.



















Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.





Sheet 13: Part XIII Addtnl Information





















United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460







Part XIII: ADDITIONAL INFORMATION






Please provide any additional information in this section.
























































































































Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.





Sheet 14: Part XIV Attachments





















United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460







Part XIV: ATTACHMENTS






Identify attachments below.
Select (X) in the CBI box next to any attachment that contains information you claim as confidential. The public version of the submission form must include the attachment name/citation at a minimum. All claims of confidentiality must be substantiated in Part I, Section C.






# Attachment Name/Citation Associated Section of Information Notice (Part/Section/Question) Number of Pages CBI














































































































































































































































































































Note: Information claimed as confidential should be placed in [brackets] and marked as CBI. If information is claimed as CBI, then a public version of the submission must be submitted with the bracketed information redacted or removed.





Sheet 15: Response Checker











United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460



RESPONSE CHECKER



This checker identifies questions that are missing responses. Please review the questions that are missing responses carefully to ensure that all required information is provided before submitting this form to EPA. Please note that this checker is not an indicator of whether EPA will consider the submission complete, but rather, this checker is an indicator of whether all applicable questions have been answered prior to submission. You may determine that some questions are not applicable to your application, in which case it may be appropriate for the response checker to determine such questions to be incomplete.






Part IV: REFRIGERATION AND AIR CONDITIONING-SPECIFIC INFORMATION


This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Refrigeration and Air-Conditioning Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Refrigeration and Air Conditioning Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part V: FOAM BLOWING-SPECIFIC INFORMATION


This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Foam Blowing Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Foam Blowing Agent Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part VI: CLEANING SOLVENT-SPECIFIC INFORMATION



This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Cleaning Solvent Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Cleaning Solvent-Specific Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part VII: FIRE SUPPRESSION AND EXPLOSION PROTECTION-SPECIFIC INFORMATION



This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Fire Suppression Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Fire Suppression Agent Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Fire Suppression Agent Toxicity and Hazard Information This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part VIII: AEROSOLS-SPECIFIC INFORMATION



This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Aerosol Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Aerosol-Specific Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part IX: STERILANTS-SPECIFIC INFORMATION



This sector was not selected for the proposed substitute in Part I, Section B, Number 2.



Section A: Sterilants Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Sterilant-Specific Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.







Part X: ADHESIVES, COATINGS, AND INKS-SPECIFIC INFORMATION



This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section A: Adhesives, Coatings, and Inks Use Profile This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section B: Adhesives, Coatings, and Inks-Specific Physical and Chemical Properties This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section C: Flammability This sector was not selected for the proposed substitute in Part I, Section B, Number 2.


Section D: Exposure This sector was not selected for the proposed substitute in Part I, Section B, Number 2.
















































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 16: Part XV Certification









United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460


Part XV: CERTIFICATION


I certify to the best of my knowledge and belief that:

1. All information provided in this notice is complete and truthful as of the date of the submission.

2. I am submitting with this notice all test data in my possession or control and a description of all other data known to or reasonably ascertainable by me.

3. If this is a submission of a new alternative, the company named in Part I, Question 1a of this notice:
(a) intends to manufacture, formulate, import, market, or use a new alternative to a Class I or Class II ozone-depleting substance which is identified in
Part I, Section B, Question 2.
(b) seeks an acceptability determination on a new alternative(s) to a Class I or Class II ozone-depleting substance, which is identified in Part I,
Section B, Question 2.

4. The accuracy of the statements made in this notice reflects my best prediction of the anticipated facts regarding the alternative described herein. Any knowing and willful misinterpretation is subject to criminal penalty pursuant to section 113(c) of the Clean Air Act and 18 U.S.C.§1001.


A printed copy of this signature page, with original signature, must be submitted with CD, USB drive, or paper submission.





Signature of Authorized Official (Original Signature Required):   Date





Print Name and Title of Authorized Official:   Date





Signature of Agent  (Where Applicable): Date





Print Name and Title of Authorized Official:   Date




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