WPCc H\|6BNWʎޖ".Bu,~D ?8PQV +o҈0C_Ýb.s-1~ń Bm҄ϙf{u21 2W<4v ۳;D89 ۚ JѼzBZ'ܘ^;ZiJoDSeK@(;q؞#$&GoT@?"i-=5]\J8P<؋fٽ7ϥU4>Gk%?_ nV-$o1jl.HAP!jΌh3"<z=Ad= ?0]o5N{KKT8l Txv܈KU$Fo*R^.-wĻj'HK%}X*+?+w2p 2,ĐKXWA@/rX,n**lFl%97P#8tf 0~ 0x 0k 0k 0` 0~ 0x 0I 0- 0 0  0 01 0C# 0Vf 0 0 0/ 0 0 0R 0  0 0U., %ZU.` 0z 0  0= 0F: 0P 1 0c 1< 0A 0$E$O$ 0&& D+&' 0' 0J( AM(o8)@ FU.F C G:G 0H BH 1IInI 0MNzN^ |NNwN4N mN#NfzPa|PfPaPPUUfUaUU(,U5VVVVVVUN=X=XU:XU:XU :X AQ9YY 0PZ 0D[ AZ[ D5\\\\U ::\-t\U:\@\oK\p'.(> (> ( > ( > ( = ( < ( < (!< (!< (!< (!: (!: (!: (": (": ("9 ("8 ("8(#8(#8 (#8 (#7(#6(#6($6($ (  (# (% ('  ((   (*  !(+  "',  #2- $2- %2. &2/ ' 2/  ' 20  ) 21  )  21  * 21  + 22  + 22 ,23 ,23 -23  -24  .24  /24  /25  /2   2   2 2 2     2    2 \2 \( \( \(\(\(\(\(\(\((( ( ( (  ( ( ( ( ( ((( (  ( ( (  (  (  (  (  (   '   45 45 45 44 44)44)43(43'43'42%42%41$41#40!4/! 4/ 4.!4-"4,"4+#4*$4)%4'&4% '4#"")4%$ &WPWin 6.0/OLE 1.0 Prefix Information MarkerPBrush-BM->(l-??????????????????????????????????????????????????????????????xxx000??????????? :!` + X`X MK  ` +T(X8   _XTX()&  X,84(X%X%(GR/1O?;z (` ``@ Pr@EX2`2r`2   X X  X X   '. &-1%  MKK&%%&-1STEP1 z  Enterthecompliance ) I  yearandATSaccount    number.      STEP2   Checktheappropriate   box. = ]  STEP3   Entertheserial Jj  numbersofthe  allowancestobe  deducted. Ww Youmayspecify  single d allowancesora 3 series  ofallowances.Inthe q totalcolumn,enter  @ the  totalnumberof ~  allowancestobe -M! deducted.Enter " separateseriesor # serieswithadifferent :Z$ usedateona  % separateline. & STEP4 7'W%7 Readthecertification '&8 statement,andsign (&9 anddate.#&-1%%K&n## MK %&-1O#  D)d':  ȃ  MK2ȃȃK,2ȃKE K,UnitedStates#K, KE\#K"K, : #K,K"ϫ#KE K,EnvironmentalProtectionAgency#K, KE#K"K,xx%OMBNo.20600258 ; #K,K"c#KE K,AcidRainProgram#K, KE#K"K,%%% <  ?6(' @ @dE ? 2>  #K,K"1 #KE K,AllowanceDeduction(Optional)  @ #K, KE #K"K,Formoreinformation,seeinstructionsandreferto40_CFR_Ԁ72.90 'GB *B6C ddd Xdd Xdd X % %,dd , dd ,A dd +  UuDUu ComplianceYear   G ATSAccountNumber   J FacilityName  M Thisdeductionisfor: #K,K"o #KE K,$ l __#K, KE #K"K, AnnualCompliance #K,K"! #KE K,__l Ԁ#K, KE #K"K, ExcessEmissionsOffsetPlan l N  /      7      ? _Immediate_ԀDeduction H h O *D6Ed ddd  dd A dd A B6C % %,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd ,dd +  v Qv  Allowance  R Year  q S  -6 T  -StartNumber *  U6 * -6 V  -EndNumber ' W6 'Total   X    Y    Z    [    \ Є $ ]  $   ^    _    `    a    b    c    d    e Є $ f  $   g    h    i    j    k    l    m    n    o   5p   5q   5r   5s Є $5t  $  5u   5v   5w   5x   5y   5z   5{   5| Є $5}  $  5~   5   5   5   5   5   5   5   5   g   g   g   g Є $g  $  g   g   g   g   g   g   g   g Є $g  $  g   g   g   g   g   g   g   g   g             Є $  $                        Є $  $                              +    +    +    + Є $ +  $   +    +    +    +    +    +    +    + Є $ +  $   +    +    +    +    +    +    +    +    +   ]}   ]}   ]}   ]} Є $]}  $  ]}   ]}   ]}   ]}   ]}   ]}   ]}   ]} Є $]}  $  ]}   ]}   ]}   ]}   ]}   ]}   ]}   ]}   ]}             Є $  $                        Є $  $                             !   !   !   ! Є $!  $  !   !   !   !   !   !   !   ! Є $!  $  !   !    !    !    !    !    !   !   !   Ss   Ss   Ss   Ss Є $Ss  $  Ss   Ss   Ss   Ss   Ss   Ss   Ss   Ss Є $Ss  $  Ss   Ss    Ss!   Ss"   Ss#   Ss$   Ss%   Ss&   Ss'   (   )   *   + Є $,  $  -   .   /   0   1   2   3   4 Є $5  $  6   7   8   9   :   ;   <   =   >   ?   @   A   B Є $C  $  D   E   F   G   H   I   J   K Є $L  $  M   N   O   P   Q   R   S   T   U   IiV   IiW   IiX   IiY Є $IiZ  $  Ii[   Ii\   Ii]   Ii^   Ii_   Ii`   Iia   Iib Є $Iic  $  Iid   Iie   Iif   Iig   Iih   Iii   Iij   Iik   Iil   m   n   o   p Є $q  $  r   s   t   u   v   w   x   y Є $z  $  {   |   }   ~                                Є $   $                                Є $   $                                      ?"_    ?"_    ?"_    ?"_  Є $?"_   $  ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    ?"_  Є $?"_   $  ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    ?"_    #!   #!   #!   #! Є $#!  $  #!   #!   #!   #!   #!   #!   #!   #! Є $#!  $  #!   #!   #!   #!   #!   #!   #!   #!   #!   $#   $#   $#   $# Є $$#  $  $#   $#   $#   $#   $#   $#   $#   $# Є $$#  $  $#   $#   $#   $#   $#   $#   $#   $#  $#  *I6J dddd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd D6E % %, dd ,dd +  h&$h&$  Certification  &$ Iamauthorizedtomakethissubmissiononbehalfoftheownersandoperatorsofthe j'% affectedsourceoraffectedunitsforwhichthesubmissionismade.Icertifyunderpenaltyof (!& lawthatIhavepersonallyexamined,andamfamiliarwith,thestatementsandinformation (& submittedinthisdocumentandallitsattachments.Basedonmyinquiryofthoseindividuals /)O' withprimaryresponsibilityforobtainingtheinformation,Icertifythatthestatementsand )' informationaretothebestofmyknowledgeandbelieftrue,accurate,andcomplete.Iam ]*}( awarethattherearesignificantpenaltiesforsubmittingfalsestatementsandinformationor *) omittingrequiredstatementsandinformation,includingthepossibilityoffineorimprisonment.  +) Signature   .+, Date S   .+,  @]+Page$/=-.-#K,K" #KK,__#K,Kd<#K"K,Ԁof$A/a-/=-#K,K"Ϩ<#KK,__#K,K=#Ԁ A/a- GR G G  XX(@N N (  8,   sXXaw`8b"bdd8(#(#(#   =*|X4` XsX*  m[c9)%`|0+R `wZERRO:Om}WF6666A1-h|AN p@Ett[ } (#(#                         (#(#WL6666G73l|  p@E{ ttd" ߰)0 4  K&%K,Step1 4 EntertheComplianceYear,theAllowanceTrackingSystem(ATS)AccountNumber   ofthefacility(i.e.,plant)fromwhichallowancesaretobededucted,andtheFacility   Name.+K4(#4(# Q1X4` hp x (#|X4` XQ0 4  Step2 4 Marktheappropriateboxtoindicatethetypeofdeductionforwhichthisformisbeing } submitted. Markonlyonebox .Youmustsubmitaseparateformforeachtypeof &F  deduction.!4(#4(# 0 4  Step3 4 Listbyserialnumbertheallowancestobededucted.Youmayspecifysingle 'G# allowancesoraseriesofallowances.Inthetotalcolumn,enterthetotalnumberof $ allowancestobededucted.y%4(#4(# N1X` hp x (#X4` XNE1X4` hp x (#XXE0 4   4 Verifytheaccuracyofyourentriesbycomputingoneofthefollowingsimpleequations:'4(#4(# N1X` hp x (#X4` XN0  0` (#(#      `  ` (#` (# 0  0` (#(#      `  StartNumber=EndNumberTotal+1=)` (#` (#    `     h or o+ 0  0` (#(#      `  EndNumber=StartNumber+Total1-` (#` (# 0  0` (#(# NOTE:Iftheserialnumberrangedoesnotcorrespondwiththefigureforthe 3/ totalnumberofallowances,thenEPAwillrelyontheserialnumberrangeand 0 notthetotalnumber. q1` (#` (# E1X4` hp x (#XXE0 4   4 Youmaycopytheformtolistadditionalallowancestobededucted.Whenyouhave 3 completedtheform,foreachATSaccountnumberindicatethepageorderandtotal r4 numberofpages(e.g.,1of4,2of4,etc.)intheboxesinthelowerlefthandcornerof  ;5 eachpage. 64(#4(# N1X4` hp x (#X4` XN>0 4 3X4` XX4` X3ExceptforExcessEmissionsOffsetPlanImmediateDeductions,thecomplianceuse "6 8 dateinthefirstfourdigitsoftheserialnumbersofallowancestobedeductedmust " 9 bethesameas,orayearpriorto,thecomplianceyearlistedinStep1.Allowances h#!: identifiedforExcessEmissionsOffsetPlanImmediateDeductionmusthavea $1"; complianceusedatethatisfortheyearimmediatelyfollowingthecomplianceyear. @#  @#  @# $"<4(#4(# Q1X` hp x (#X4` XQE1X4` hp x (#XXE0 4   4 Ifyoudonotidentifyenoughallowancesbyserialnumber,EPAwilldeductany  &,$> additionalallowancesnecessaryonafirstin,firstout(FIFO)basisstartingwith &$? thoseallowanceswiththeearliestdateof_recordation_Ԁintothecomplianceaccount ^'~%@ (generally,allowancesoriginallyallocatedbyEPAtotheunitwillhavetheearliest ('&A dateof_recordation_).(&B4(#4(# N1X` hp x (#X4` XNE1X4` hp x (#XXE0 4   4 Ifyouidentifymorethanenoughallowances,EPAwilldeducttheallowancesinthe *"(D orderlistedontheform.EPAwillnotdeductmoreallowancesthannecessaryfor *(E compliance.T+t)F4(#4(# N1X` hp x (#X4` XN0  0` (#(#      `  ` (#` (# E1X4` hp x (#XXE0 4 0` 4(#4(# 4  Step4 4 ReadtheCertifications,sign,anddate.,*H` (#` (# aw` a8b"bdbd8 a   MailingInstructions0 MailthisformtoEPAatoneofthefollowingaddresses: (# (#  4 forregularorcertifiedmail:    forovernightmail:   4 U.S.EPA    h     U.S.EPA -M  4 AcidRainProgram(6204J)     p  AcidRainProgram(6204J)   4 Attention:AnnualReconciliation    Attention:AnnualReconciliation   4 1200PennsylvaniaAvenue,NW    1310LStreet,_NW.,_ (H  4 Washington,DC20460 h     SecondFloor    4 0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#Washington,DC20005z (#(#  4  `     h     Phone:2023439150 # C   PaperworkBurdenEstimate#K,%K&eC#K"K,   >  Thepublicreportingand_recordkeeping_Ԁburdenforthiscollectionofinformationisestimatedtoaverage3 d  hoursperresponse.  SendcommentsontheAgency'sneedforthisinformation,theaccuracyofthe    providedburdenestimates,andanysuggestedmethodsforminimizingrespondentburden,including   throughtheuseofautomatedcollectiontechniquestotheDirector,CollectionStrategiesDivision,U.S. )I  EnvironmentalProtectionAgency(2822T),1200PennsylvaniaAve.,NW,Washington,D.C.20460.   IncludetheOMBcontrolnumberinanycorrespondence. Donotsendthecompletedformtothis Ww  address.   #K,K"ϗ[#K"K,#27m$K"=#K"$27m0 4   4(#4(# #K,K" _##2ȃK,N_#