Page 1 of 1INSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form.Use additional sheet(s) if necessary.1. Company Name and Address4. EPA ProductRegistrationOMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460DATA CALL-IN RESPONSE3. Date and Type of DCI and NumberGENERIC01-Sep-2015ID # GDCI-067002-308612. Case # and Name3113 Pine oilsChemical # and Name067002Pine oil5. I wish tocancel thisproduct registration voluntarily6. Generic Data7. Product Specific Data7a. My product is an MUP andI agree to satisfy the MUPrequirements on the attachedform entitled "RequirementsStatus and Registrant'sResponse."7b. My product is an EUP andI agree to satisfy the EUPrequirements on the attachedform entitled "RequirementsStatus and Registrant'sResponse."6a. I am claiming a GenericData Exemption because Iobtain the active ingredientfrom the source EPA registration number listed below.6b. I agree to satisfy GenericData requirements as indicatedon the attached form entitled"Requirements Status andRegistrant's Response."10. Name of Company11. Phone Number9. Date8. Certification I certify that the statements made on thisform and all attachments are true, accurate, and complete. I acknowledge that anyknowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.Signature and Title of Company'sAuthorized Representative__________________________________Pine oilINSTRUCTIONS: Please type or print in ink. Please read carefully the attached instructions and supply the information requested on this form.Use additional sheet(s) if necessary.4. GuidelineRequirementNumber5. Study Title1. Company Name and AddressPage 1 of 1OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #GENERIC01-Sep-2015GDCI-067002-308612. Case # and Name3113 Pine oils067002Chemical # and Name8. TimeFrame(Months)9. RegistrantResponse7.TestSubstance6. UsePatternPROTOCOLProgressReports321Applicator Exposure Data Requirements (Antimicrobial)(3)875.120012TEPDermal exposure--IndoorV, R, U, T, SN(1)875.140024TEPInhalation exposure--indoorV, R, U, T, SNPostapplication Exposure Data Requirements (Antimicrobial)875.280024TEPDescription of human activityV, R, U, T, SNToxicology Data Requirements (Antimicrobial)870.260012EP; MP; TGAISkin sensitizationV, R, U, T, SN870.537524TGAIIn vitro mammalian chromosome aberration testV, R, U, T, SN(2)SS-Pine Oils24TGAIDietary Residue in Food from Treating CountertopsV, R, U, T, SY12. Name of Company13. Phone NumberSignature and Title of Company'sAuthorized Representative__________________________________10. Certification I certify that the statements made on this form and all attachments are true, accurate, and complete. Iacknowledge that anyknowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law11. DateThe following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. These footnotes apply in addition to anytest notes included in 40 CFR Part 158 with respect to the particular data requirementCase # and Name:3113 Pine oilsDCI Number:GDCI-067002-30861Page 1 of 1Footnotes:Key:United States Environmental ProtectionAgency Washington, D.C. 20460FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTSEP; MP; TGAI = End Use Product; Manufacturing Use Product; Technical Grade Active Ingredient; TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]Use Categories Key:R -S -T -Agricultural premises and equipmFood handling/storage establishCommercial, institutional and indU -V -Residential and public access prMedical premises and equipmen1Data needed for the following scenarios: Food handling/storage establishments, premises and equipment; 2 Commercial, Institutional and Industrial premises and equipment; 3 Residential andpublic access premises; and 4 Medical premises and equipment2Dietary-Residues on Food from Treating Countertops with Pine Oil (FDA Wipe Study Methodology)3Data needed for the following scenarios: Food handling/storage establishments, premises and equipment; 2 Commercial, Institutional and Industrial premises and equipment; 3 Residential andpublic access premises; and 4 Medical premises and equipment