INSTRUCTIONS: 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 Product

Registration

United States Environmental Protection 

Agency Washington, D.C. 20460

DATA CALL-IN RESPONSE

3. Date and Type of DCI 

GENERIC23-Dec-2014ID # GDCI-06914

2. Case # and Name

0350 ADBACChemical # and Name 069140Alkyl* dimethyl benzyl ammonium chloride *(61% C12, 

23% C14, 11% C16, 2.5% C18 2.5% C10 and trace of 

5. I wish to cancel this product registration voluntarily

6. Generic Data 7. Product Specific Data

7a. My product is an MUP andI agree to satisfy the MUP requirements on the attached form entitled "Requirements Status and Registrant's Response."

6a. I am claiming a GenericData Exemption because I obtain the active ingredient from the source EPA registration number listed below.

6b. I agree to satisfy Generic Data requirements as indicated on the attached form entitled "Requirements Status and Registrant's Response."

10. Name of Company 11. Phone Numb

9. Date 8. Certification I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law.

Signature and Title of Company's Authorized Representative__________________________________
Alkyl* dimethyl benzyl ammonium chloride *(61% C12, 

23% C14, 11% C16, 2.5% C18 2.5% C10 and trace of 

C8)

INSTRUCTIONS: 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. Guideline Requirement Number

5. Study Title

1. Company Name and Address

United States Environmental Protection 

Agency Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

3. Date and Type of DC

ID #GENERIC23-Dec-2014

GDCI-06914

2. Case # and Name

0350 ADBAC

Chemical # and Name 069140

7. Test 

Substance

6. Use Pattern

P

R

O

T

O

C

O

L

Progress

Reports

1 2 3

Applicator Exposure Data Requirements (Antimicrobial)

875.1100 Dermal exposure--outdoor (1 ,2) Y H, I, A, B, J, G TEP 875.1200 Dermal exposure--Indoor (3 ,4) Y H, I, A, B, J, G TEP 875.1300 Inhalation exposure--outdoor (5 ,6) Y H, I, A, B, J, G TEP 875.1400 Inhalation exposure--indoor (7 ,8) Y H, I, A, B, J, G TEP 

Postapplication Exposure Data Requirements (Antimicrobial)

875.2800 Description of human activity N H, I, A, B, J, G N/A 

875.2300 Indoor surface residue dissipation (13 ,14) Y H, I, A, B, J, G TEP 

Toxicology Data Requirements (Antimicrobial)

870.3465 90-day inhalation toxicity N H, I, A, B, J, G TGAI 850.1300 Daphnid chronic toxicity test N H, I, A, B, J, G TGAI 

12. Name of Company 13. Phone NumbSignature and Title of Company's Authorized Representative__________________________________10. Certification I certify that the statements made on this form and all attachments are true, accurate, and complete. I acknowledge that any knowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law

11. Date
Alkyl* dimethyl benzyl ammonium chloride *(61% C12, 

23% C14, 11% C16, 2.5% C18 2.5% C10 and trace of 

C8)

INSTRUCTIONS: 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. Guideline Requirement Number

5. Study Title

1. Company Name and Address

United States Environmental Protection 

Agency Washington, D.C. 20460

REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE

3. Date and Type of DC

ID #GENERIC23-Dec-2014

GDCI-06914

2. Case # and Name

0350 ADBAC

Chemical # and Name 069140

7. Test 

Substance

6. Use Pattern

P

R

O

T

O

C

O

L

Progress

Reports

1 2 3

850.3020 Honey bee acute contact toxicity (18) N H, I, A, B, J, G TGAI 850.4225 Seedling emergence, Tier II (9) N H, I, A, B, J, G TEP 850.4250 Vegetative vigor, Tier II (10) N H, I, A, B, J, G TEP 850.4400 Aquatic plant toxicity test using Lemna spp. Tiers I (11) TGAI 

and II

N H, I, A, B, J, G

850.5400 Algal toxicity, Tiers 1 and II (12) N H, I, A, B, J, G TGAI SS Special Aquatic Leaching Study on Wood (15 ,16 ,17) Y H, I, A, B, J, G TEP SS-ADBAC Dietary Residue in Food from Treating Countertops (19) TEP 

with ADBAC

Y H, I, A, B, J, G

Initial to indicate certification as to information on this page (fulltext of certification is on page one).

Date
The following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. These fo

test notes included in 40 CFR Part 158 with respect to the particular data requirement

Case # and Name: 0350 ADBAC

DCI Number: GDCI-069140-30904

Footnotes:Key:

United States Environmental Protection

Agency Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; N/A = Not applicable

Use Categories Key:

A - 

B - G - 

Terrestrial food cropTerrestrial feed crop

Aquatic non-food residential

H - I - J - 

Greenhouse food cropGreenhouse nonfood cropForestry use

1 Indoor hard surfaces (mop, wipe, trigger pump spray, aerosol spray, and liquid pour); Air deodorization (aerosol spray); carpets (low pressure spray); use

products; dehumidifiers; low and high pressure sprays for disinfectants (such as vehicle treatment); non-pressure treatment of wood (e.g., industrial sapsfor existing structures); and pressure treatment of wood.

2 A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

3 Indoor hard surfaces (mop, wipe, trigger pump spray, aerosol spray, and liquid pour); Air deodorization (aerosol spray); carpets (low pressure spray); use

products; dehumidifiers; low and high pressure sprays for disinfectants (such as vehicle treatment); non-pressure treatment of wood (e.g., industrial sapsfor existing structures); and pressure treatment of wood.

4 A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

5 Indoor hard surfaces (mop, wipe, trigger pump spray, aerosol spray, and liquid pour); Air deodorization (aerosol spray); carpets (low pressure spray); use

products; dehumidifiers; low and high pressure sprays for disinfectants (such as vehicle treatment); non-pressure treatment of wood (e.g., industrial sapsfor existing structures); and pressure treatment of wood.

6 A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

7 Indoor hard surfaces (mop, wipe, trigger pump spray, aerosol spray, and liquid pour); Air deodorization (aerosol spray); carpets (low pressure spray); use

products; dehumidifiers; low and high pressure sprays for disinfectants (such as vehicle treatment); non-pressure treatment of wood (e.g., industrial sapsfor existing structures); and pressure treatment of wood.

8 A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

9 Data are needed only for rice (Oryza sativa).10 Data are needed only for rice (Oryza sativa).
The following footnotes are referenced in column two (5. Study Title) of the Requirements Status and Registrant's Response form. These fo

test notes included in 40 CFR Part 158 with respect to the particular data requirement

Case # and Name: 0350 ADBAC

DCI Number: GDCI-069140-30904

Footnotes:Key:

United States Environmental Protection

Agency Washington, D.C. 20460

FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTS

TEP = Typical End Use Product [TEP]; TGAI = Technical Grade Active Ingredient [TGAI]; N/A = Not applicable

Use Categories Key:

A - 

B - G - 

Terrestrial food cropTerrestrial feed crop

Aquatic non-food residential

H - I - J - 

Greenhouse food cropGreenhouse nonfood cropForestry use

11 Data are required if algal studies show toxicity at less than 1 ppm.12 Data are required on 4 species: Anabaena flosaquae, Navicula pelliculosa, Skeletonema costatum, and Selenastrum capricornutum.13 Carpets, flooring, textiles (laundered clothing/diapers), treated wood; and musical instruments (mouthpiece/reed). Note: 100% residue transfer will be us

14

A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

15 Results from a study conducted according to American Wood Protection Association (AWPA) Standard E11-06 or E11-12 (Standard Method of Determin

Preservatives) will satisfy this data requirement.

16

A protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agency within 90 days 

17 For wood treatment uses only.18 For wood treatment uses only.19

A residue transfer protocol must be submitted to the Agency for approval prior to the start of the study. The draft protocol must be submitted to the Agen