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 NumberGENERIC05-Oct-2011ID # GDCI-054901-301972. Case # and Name2340 Irgasan (*)Chemical # and Name054901Triclosan5. 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."N.A.N.A.10. Name of Company11. Phone Number9. Date8. Certification I certify that the statements made on this form 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's Authorized Representative__________________________________TriclosanINSTRUCTIONS: 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 2OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #GENERIC05-Oct-2011GDCI-054901-301972. Case # and Name2340 Irgasan (*)054901Chemical # and Name8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321Applicator Exposure Data Requirements (Antimicrobial)(3 ,19 ,20 ,21,34)875.120024EP; MPU, X, FDermal exposure--Indoor(4 ,22 ,23 ,24,25 ,33)875.140024EP; MPU, X, FInhalation exposure--indoor(5 ,26 ,32)875.160024ALLU, X, FApplication exposure monitoring data reporting(27)875.170012ALLU, X, FProduct Use InformationEnvironmental Fate Data Requirements (Antimicrobial)(13 ,14 ,35)835.440024PAIRA; TGAIU, X, FAnaerobic aquatic metabolism(9 ,10 ,11,37)850.173012PAIRA; TGAIU, X, FFish BCFPost-Application Exposure Data Requirements (ConventionalChemical)(29)875.290024ALLU, X, FData reporting and calculationsPostapplication Exposure Data Requirements (Antimicrobial)(28)875.280012ALLU, X, FDescription of human activity12. Name of Company13. Phone NumberSignature 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. Iacknowledge that anyknowingly false or misleading statement may be punishable by fine, imprisonment or both under applicable law11. DateTriclosanINSTRUCTIONS: 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 2 of 2OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #GENERIC05-Oct-2011GDCI-054901-301972. Case # and Name2340 Irgasan (*)054901Chemical # and Name8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321(15)875.270012ALLU, X, FProduct Use Information(6 ,7 ,16 ,17,18)875.230024EPU, X, FIndoor surface residue dissipationTerrestrial and Aquatic Nontarget Organisms DataRequirements (Antimicrobial)(12 ,36)850.171012PAIRA; TGAIU, X, FOyster BCF(9 ,10 ,11,37)850.173012PAIRA; TGAIU, X, FFish BCF(8)850.185024PAIRA; TGAIU, X, FAquatic food chain transfer(30 ,31)SS-124MP; PAI; TGAIU, X, FSurface water monitoring program(1 ,2)ssSediment124MP; PAI; TGAIU, X, FChronic Sediment ToxicityInitial to indicate certification as to information on this page (fulltext of certification is on page one).DateUnited States Environmental ProtectionAgency Washington, D.C. 20460LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICECo. Nr.Company NameAgent ForAddressCity & StateZipCase # and Name:2340,Irgasan (*)MICROBAN PRODUCTS COMPANY11400 VANSTORY DRIVEHUNTERSVILLENC2807842182TROY CHEMICAL CORPPO Box 955 8 VREELAND ROADFLORHAM PARKNJ0793242005383THOMSON RESEARCHASSOCIATESLAIRD'S REGULATORY CONSULTANTSINCSHENSTONE EST. 17804 BRAEMAR PL.LEESBURGVA20176704610466