5900-591 Refrigeration System Manufacturers Corporate Reporting F

OMB Control No.:2060-0702

Expiration Date: MM/DD/YYYY

~ Confidential Business Information ~

Refrigeration System Manufacturers Corporate Reporting Form

This form is to be completed by all GreenChill partners that manufacture refrigeration systems by March 31st following the end of each reporting year. NOTE: All information provided will be treated as confidential business information (CBI), as stipulated under Clean Air Act provisions. EPA will only share total aggregated data for sales of specific system types.

1. General Partner Information

Company Name:      

Partner Base Year (Note: this is the first year for which data is reported):      

Partner Reporting Year:      

2. Common System Types

• Centralized Direct Expansion (DX): A system composed of several compressors connected in parallel, sharing a common discharge line and suction line that run throughout the store, feeding refrigerant to the cases and coolers. The compressors are located in a central equipment room or on the building roof. The compressors are connected to one or more larger condensers, and share a number of other components including a single oil-management system.

• Distributed Direct Expansion (DX): A system that uses the same technology as a centralized DX system but instead of having a central compressor system, the system uses an array of compressor racks that are located near the refrigerated cases. To be considered a distributed system, a system must be marketed by the OEM as distributed.
  
  

• Micro-Distributed: A system with the compressor and condenser directly attached to the display case(s). These systems can be air- or water-cooled. These systems are intended for use in a “line-up” application, not a standalone spot merchandiser. Note that for the purposes of GreenChill data reporting, partners only report sales of water-cooled micro-distributed systems.

• CO₂ Transcritical: A system in which carbon dioxide operates on a transcritical cycle, evaporating in the subcritical region and rejecting heat at temperatures above the critical point in a gas cooler instead of a condenser.

• CO₂ Cascade: A system in which a carbon dioxide compressor raises the gas from low-temperature conditions up to an inter­mediate temperature while a separate refrigerating system uses a different refrigerant to condense the carbon dioxide.

• Secondary Loop: A system which uses a chiller to cool a secondary fluid. This secondary fluid is then circulated through the store to cases and coolers.

3. Reporting Units

With the exception of micro-distributed systems, the unit of measure used for reporting system sales to the GreenChill program is a rack. A “rack” is defined as:

“A single physical structure housing multiple compressors (not a single one) operating and piped in parallel with common suction and discharge refrigeration lines. Racks come in different dimensions – the number of compressors mounted on racks varies. Some racks include only one suction group (e.g., medium-temperature), while others contain multiple (e.g., low-temperature and medium-temperature). Racks may also be referred to as skids or packs.”

For the purposes of reporting sales of micro-distributed systems, partners should report the following information for water-cooled systems only.

• The number of cases sold for in-store installation.

• The number of condensing units sold for backroom installation (e.g., for walk-in coolers).

4. Sales

Please complete the table below regarding the number of refrigeration racks or, for micro-distributed systems, cases/units sold by your company and installed in the United States for retail grocery applications during the specified reporting year, by system type.

System Type	Number of Units Sold
Centralized DX	      racks
Distributed DX	      racks
CO2 Transcritical	      racks
CO2 Cascade	      racks
CO2 Secondary Loop	      racks
Glycol Secondary Loop	      racks
Brine Secondary Loop	      racks
Other	      racks
Micro-Distributed (in-store)	      cases
Micro-Distributed (backroom)	      units

If “Other” racks are listed, please specify:      

5. Signature of Reporting Company’s Authorized Representative

The data reported herein represent the Reporting Party’s best estimates and are the result of a good faith effort to obtain and report accurate information. (Please print and sign the report)

Reporting Company:      

Name (please print):      

Signature: Date:      

6. Submitting Completed Forms

Please send completed forms by March 31^st to Marissa Hoer at Abt Associates (EPA-GreenChill@abtassoc.com).

Please contact Kersey Manliclic (Manliclic.Kersey@epa,gov or 202-566-9981) or Marissa Hoer (EPA-GreenChill@abtassoc.com or 919-624-8328) if you have any questions.

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0702). Responses to this collection of information are voluntary (Clean Air Act). 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 5 to 8 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, 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.

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EPA Form No.: 5900-591