| AGENCY USE ONLY | |||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
OMB Control No.: 2060-0226 EPA Form No. 1265-14 (Revised January 2020) |
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| TSCA/SNAP ADDENDUM for Significant New Alternatives |
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 |
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| Part I: Introduction and CBI Information | |||||||||
| Section A: Introduction | |||||||||
| GENERAL INSTRUCTIONS This form may be used in conjunction with the Premanufacture Notice (PMN) for new chemical substances (EPA Form 7710-25 (Rev. 1-19)) to submit chemicals for review under the Significant New Alternatives Policy (SNAP) program as alternatives to Class I and II ozone-depleting substances. In addition to the information provided in the Premanufacture Notice, the Agency is requesting submitters provide information on the following topics. This information will assist EPA in assessing the acceptability of the chemical as an alternative to ozone-depleting substances as required by Section 612 of the Clean Air Act. Please see the Instructions for the TSCA/SNAP Addendum (“Instructions”) for guidance on completing this form. The Instructions document is available at http://www.epa.gov/ozone/snap/submit/index.html. To facilitate Agency review of alternatives, both this form and the complete PMN form (including the physical and chemical properties worksheet) must be filled out as completely as possible. Please provide all information requested to the extent that it is known or reasonably ascertainable. Make reasonable estimates if actual data are unavailable. Be sure to provide the PMN form as an attachment when submitting the TSCA/SNAP Addendum. 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. |
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| 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 TSCA/SNAP Addendum. | |||||||||
| Sector(s) | End-Use(s) | If you chose "Other" as an end-use, please specify here. | CBI | ||||||
| 3. PMN Form. Is the PMN form provided as an attachment to this TSCA/SNAP Addendum? | CBI | ||||||||
| Yes | |||||||||
| If no, please provide an explanation. | No | ||||||||
| 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 notice, 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). |
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| 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. |
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| 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. | |||||||||
| X | ||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| TSCA/SNAP ADDENDUM | ||||||||
| 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 VII 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. | ||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| TSCA/SNAP ADDENDUM | ||||||||||||||
| Part III: General Information | ||||||||||||||
| Section A: Alternative-Specific Information | ||||||||||||||
| 1. Identify Proposed Substitute | ||||||||||||||
| (a) Chemical name (preferably IUPAC nomenclature) | (b) Percent composition (by weight) | (c) Chemical Abstracts Service (CAS) registry number | (d) Molecular formula | 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. 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). Reference the source of this information and attach any supporting documentation. | Supporting documentation attached? | Attachment name | CBI | |||||||||||
| 5. Global Warming Characteristics: Provide the alternative's global warming potential relative to carbon dioxide over a 100-year time horizon and atmospheric lifetime. 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 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 | Information sources | CBI | ||||||||||
| (c) Provide any additional data on the GWP of the alternative, including infrared absorption spectrum and infrared absorption capacity. | Supporting documentation attached? | (d) 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 | ||||||||||
| 6. 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, including the maximum incremental reactivity in grams of O3 per gram of VOC and the kOH (298 K) value. | CBI | |||||||||||||
| Proposed Substitute/Component | MIR (g O3/g VOC) | kOH (298 K) value | Other | References | ||||||||||
| 7. 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 | |||||||||
| 8. 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 | |||||||||
| Section B: End-Use and Application Information | ||||||||||||||
| 1. Specific End-Use(s): Identify each end-use that may be reasonably anticipated for the alternative. If the alternative is a refrigerant, indicate whether the refrigerant is a candidate for use in retrofits of existing equipment, for use in new equipment only, or both. Identify the ODS and 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/snap-substitutes-sector. 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. | ||||||||||||||
| Sector | End-Use | Application | Mark all end-uses and applications that apply | (a) New (N) Equipment, Retrofit (R)Equipment, or both (N,R)? Please disregard if proposed substitute is not a refrigerant. | (b) ODS (and/or other substances) being replaced | (c) Replacement ratio (lb: lb) |
CBI | |||||||
| Refrigeration and Air Conditioning | 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 °C) (e.g., self-contained equipment such as individual reach-in coolers, glass door merchandisers) | ||||||||||||||
| Medium Temperature Stand-alone Units (>0 °C) (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)) | ||||||||||||||
| Foam Blowing | Rigid Polyurethane: Appliance | |||||||||||||
| Rigid Polyurethane: Spray | ||||||||||||||
| 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) | ||||||||||||||
| Cleaning Solvents | Metal cleaning | |||||||||||||
| Electronics cleaning | ||||||||||||||
| Precision cleaning | ||||||||||||||
| Fire Suppression and Explosion Protection | Total Flooding Agents | Normally Occupied Areas | ||||||||||||
| Normally Unoccupied Areas | ||||||||||||||
| Streaming Applications | ||||||||||||||
| Aerosols | Propellants | Consumer | ||||||||||||
| Technical | ||||||||||||||
| Medical | ||||||||||||||
| Solvents | Consumer | |||||||||||||
| Technical | ||||||||||||||
| Medical | ||||||||||||||
| Sterilization | Sterilant | |||||||||||||
| Adhesives, Coatings, and Inks | Adhesives | |||||||||||||
| Coatings | ||||||||||||||
| Inks | ||||||||||||||
| Tobacco Expansion | Tobacco Expansion | |||||||||||||
| 2. End-Use Specific Standards: List any standard-setting organizations (U.S. or ANSI/ISO) that will evaluate the proposed substitute and/or equipment in the proposed end-use(s) and identify the associated standard. | ||||||||||||||
| Standard-Setting Organization | End-Use | Application | Standard number and title | 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)), National Fire Protection Association (NFPA) | ||||||||||||||
| 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 to use alternative and address 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 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 commercially available (or note if currently available) | (b) Anticipated annual production for the end-use in the first year (kg) | (c) Years until maximum market penetration | (d) Maximum annual production at market penetration | (e) Anticipated market share at maximum market penetration (%) | CBI | |||||||
| 5. Energy Efficiency: Provide the alternative’s impact on energy efficiency relative to the substance it is replacing in similar applications for refrigeration, air conditioning, or foam blowing. Attach documentation, if available. | ||||||||||||||
| End-Use | Application | Energy efficiency (+/- X%) relative to substance(s) being replaced | 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. Please note: If a property is only required for specific sectors, it is noted in parentheses. Also, if any parameter has also been provided in the PMN form, it does not need to be repeated here. | CBI | |||||||||||||
| (a) Lower flammability limit (LFL) (using ASTM E681) | ppm or % | |||||||||||||
| (b) Upper flammability limit (UFL) (using ASTM E681) | ppm or % | |||||||||||||
| (c) Flashpoint | °C | |||||||||||||
| (d) Heat of combustion | kJ/kg | |||||||||||||
| (e) Maximum pressure of combustion (refrigeration and air conditioning, and cleaning solvents only) | atm | |||||||||||||
| (f) Maximum rate of pressure increase during combustion (refrigeration and air conditioning only for refrigerants designated as ASHRAE flammability class 2, 2L, or 3) | ||||||||||||||
| (g) Minimum ignition energy (refrigeration and air conditioning only) | Joules | |||||||||||||
| (h) Critical temperature (refrigeration and air conditioning only) | °C | |||||||||||||
| (i) Critical pressure (refrigeration and air conditioning only) | atm | |||||||||||||
| (j) Explosive range (LEL/UEL) (cleaning solvents, aerosols, sterilants, and adhesives coatings and inks only) | ppm or % | |||||||||||||
| (k) Vapor pressure (cleaning solvents, aerosols, sterilants and adhesives, coatings, and inks only) | @ 20°C | |||||||||||||
| 2. Flammability Assessments and Test Data. | ||||||||||||||
| For All Flammable Substitutes | Summary of results | Attached? | CBI | |||||||||||
| (a) Results of ASTM E681 for flammability limits in air (include temperature at which test was conducted in summary of results) | ||||||||||||||
| (b) Additional analyses (optional) | ||||||||||||||
| For Refrigerants Only | ||||||||||||||
| (c) Fault Tree Analysis or Failure Mode and Effects Analysis (Required for each end-use if flammable) | ||||||||||||||
| (d) Risk assessment for all end-uses, consumer and occupational (technician) exposure (Required if flammable) | ||||||||||||||
| (e) 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. | 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 | Attached? | |||||||||||||
| (c) Additional information on flammability concerns and mitigation measures: | ||||||||||||||
| 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. | ||||||||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
N | Yes | ||||||||||||||||
| TSCA/SNAP ADDENDUM | R | No | ||||||||||||||||
| Part IV: Sector-Specific Information | ||||||||||||||||||
| Section A: Refrigeration and Air Conditioning | yes | X | N/A | |||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use in the refrigeration and air-conditioning sector (as specified in Part III, Section B, Number 1), please provide information on the equipment lifetime, charge size, associated room size, and associated equipment size anticipated. Note: If personal monitoring data is provided, you are not required to respond to questions (d) through (f) below. | ||||||||||||||||||
| 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) | ||||||||||||||||||
| End-Use | Application | (d) Typical room size (m3) | (e) Minimum room size (m3) | (f) Anticipated room air exchange rate (ACH) | CBI | |||||||||||||
| 1) cont'd | ||||||||||||||||||
| 2) cont'd | ||||||||||||||||||
| 3) cont'd | ||||||||||||||||||
| 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. Compressor Oil: If the proposed substitute is a refrigerant, 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 | |||||||||||||||||
| Section B: Foam Blowing | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use in the foam blowing sector (as specified in Part III, Section B, Number 1), please provide information on the amount of blowing agent, associated room size, and associated equipment size anticipated. Note: If you provide personal monitoring data, you are not required to respond to questions (c) through (e) below. | ||||||||||||||||||
| 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) Anticipated room air exchange rate (ACH) | CBI | ||||||||||||
| 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 | |||||||||||||||||
| Section C: Cleaning Solvents | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use the cleaning solvent sector (as specified in Part III, Section B, Number 1), please provide information on the following. Note: If you provide personal monitoring data, you are not required to respond to questions (a) through (b) below. | ||||||||||||||||||
| End-Use | (a) Provide information on the leak-tightness of the equipment (e.g., typical and maximum leak rate of equipment) | (b) Anticipated room air exchange rate (ACH) | CBI | |||||||||||||||
| 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. Compatibility: Provide information on the compatibility of the proposed substitute with metals and plastics. | CBI | |||||||||||||||||
| Section D: Fire Suppression | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use in the fire suppression and explosion protection sector (as specified in Part III, Section B, Number 1), please provide information on the charge size, associated room size, and associated equipment size anticipated. Note: If personal monitoring data is provided, you are not required to respond to questions (d) through (f) below. | ||||||||||||||||||
| End-Use | Application | (a) Typical charge size (kg) |
(b) Maximum charge size (kg) |
(c) Identify the discharge rate (g/s) of the fire extinguishing device | CBI | |||||||||||||
| End-Use | Application | (d) Typical room size (m3) |
(e) Minimum room size (m3) | (f) Anticipated room air exchange rate (ACH) | CBI | |||||||||||||
| 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 | |||||||||||||||||
| Section E: Aerosols | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use in the aerosols sector (as specified in Part III, Section B, Number 1), please provide information on the charge size and associated aerosols can size anticipated. | ||||||||||||||||||
| 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 | ||||||||||||
| 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. Consumer Use: Please indicate whether the proposed substitute will be used for consumer use. If yes, describe the anticipated consumer applications. | CBI | |||||||||||||||||
| Section F: Sterilants | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for use in the sterilants sector (as specified in Part III, Section B, Number 1), please provide information on the amount and associated room size anticipated. | ||||||||||||||||||
| 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 | |||||||||||||||
| 2. Additional End-Use Description: Please describe the specific uses for which you are applying. For example, how is the sterilant applied (e.g., sterilization chambers)? | CBI | |||||||||||||||||
| Section G: Adhesives, Coatings & Inks | ||||||||||||||||||
| 1. Application of Proposed Substitute. If the substitute is proposed for the adhesives, coatings, and inks sector (as specified in Part III, Section B, Number I), please provide information on the associated dispenser size anticipated for the proposed substitute in the proposed end-use(s). | ||||||||||||||||||
| End-Use | Application | (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 | ||||||||||||
| 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. Consumer Use: Please indicate whether the proposed substitute will be used for consumer use. If yes, describe the anticipated consumer applications. | 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. | ||||||||||||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| Part V: 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. | ||||||||||
| X | |||||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| TSCA/SNAP ADDENDUM | |||||||||||
| Part VI: 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. |
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| # | Attachment Name/Citation | Associated Section of TSCA/SNAP Addendum (Part/Section/Question) | Number of Pages | CBI | |||||||
| Pre-manufacture Notice or Significant New Use Notice | |||||||||||
| Claim of TSCA CBI information as "Clean Air Act Confidential Business Information" | |||||||||||
| 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. | |||||||||||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| 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 I: Introduction and CBI Information | ||||
| Section B: Identification of Alternatives | Please fill out: 1. Name of Alternative 2. Indicate the sector and end-use for which you are submitting this TSCA/SNAP Addendum. 3. PMN Form. | |||
| Section C: CONFIDENTIALITY CLAIMS | Please fill out: 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? | |||
| Part II: Contact Information | ||||
| Section A - Submitter Contact Information | Please fill out: 1. Person Submitting Notice (in U.S.) 2. Agent (if applicable) 3. Technical Contact (in U.S.) 4. Joint Submitter (if applicable) | |||
| Part III: General Information | ||||
| Section A: Alternative-Specific Information | Please fill out: 1. Identify Proposed Substitute 2. Commercial/trade name(s) of alternative 3. Generic name4. Ozone-depletion potential (ODP)5. Global Warming Characteristics6. VOC Status Information 7. Byproducts 8. Degradation Products | |||
| Section B: End-Use and Application Information | Please fill out: 2. End-Use Specific Standards 3. Technology Changes and Costs 4. Production and Market Share 5. Energy Efficiency | |||
| Section C: Flammability | Please fill out: 1. Flammability-Related Physical and Chemical Properties 2. Flammability Assessments and Test Data. For All Flammable Substitutes 2. Flammability Assessments and Test Data. For Refrigerants Only 3. Flammability Concerns and Mitigation | |||
| Part IV: Sector-Specific Information | ||||
| Section A: Refrigeration and Air Conditioning | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section B: Foam Blowing | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section C: Cleaning Solvents | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section D: Fire Suppression | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section E: Aerosols | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section F: Sterilants | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| Section G: Adhesives, Coatings & Inks | This sector was not selected for the proposed substitute in Part I, Section B, Number 2. | |||
| United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 |
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| TSCA/SNAP ADDENDUM | |||
| Part VII: 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. |
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| 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 | ||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |