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 NumberPRODUCT SPECIFIC06-Mar-2015ID # PDCI-069111-309392. Case # and Name0350 ADBACChemical # and Name069111Alkyl* dimethyl ethylbenzyl ammonium chloride*(50%C12, 30%C14, 17%C16, 3%C18)5. 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__________________________________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. GuidelineRequirementNumber5. Study Title1. Company Name and AddressPage 1 of 4OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #PRODUCT SPECIFIC06-Mar-2015PDCI-069111-309392. Case # and Name0350 ADBAC8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321Product Chemistry Data Requirements (Antimicrobial)(1)830.15508EP; MP; TGAIProduct Identity and compositionI, K, A, C, N, O, F, G, LN(2)830.16008EP; MP; TGAIDescription of materials used to produce the productI, K, A, C, N, O, F, G, LN(3)830.16208EP; TGAIDescription of production processI, K, A, C, N, O, F, G, LN(4)830.16508EP; MP; TGAIDescription of formulation processI, K, A, C, N, O, F, G, LN(5)830.16708EP; MP; TGAIDiscussion of formation of impuritiesI, K, A, C, N, O, F, G, LN(6 ,7)830.17008EP; MP; TGAIPreliminary analysisI, K, A, C, N, O, F, G, LN830.17508EP; MP; TGAICertified limitsI, K, A, C, N, O, F, G, LN830.18008EP; MP; TGAIEnforcement analytical methodI, K, A, C, N, O, F, G, LN(8)830.63028MP; TGAIColorI, K, A, C, N, O, F, G, LN(9)830.63038EP; MP; TGAIPhysical stateI, K, A, C, N, O, F, G, LN(10)830.63048MP; TGAIOdorI, K, A, C, N, O, F, G, LN12. 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. DateINSTRUCTIONS: 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 4OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #PRODUCT SPECIFIC06-Mar-2015PDCI-069111-309392. Case # and Name0350 ADBAC8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321(11)830.63138TGAIStability to normal and elevated temperatures,metals, and metal ionsI, K, A, C, N, O, F, G, LN(12)830.63148EP; MP; TGAIOxidizing or reducing actionI, K, A, C, N, O, F, G, LN(13)830.63158EP; MPFlammabilityI, K, A, C, N, O, F, G, LN(14)830.63168EP; MPExplodabilityI, K, A, C, N, O, F, G, LN(15 ,16 ,17)830.631716EP; MPStorage stabilityI, K, A, C, N, O, F, G, LN(18)830.63198EP; MPMiscibilityI, K, A, C, N, O, F, G, LN(19 ,20 ,21)830.632016EP; MPCorrosion characteristicsI, K, A, C, N, O, F, G, LN(22 ,23)830.63218EPDielectric breakdown voltageI, K, A, C, N, O, F, G, LN(24 ,25)830.70008EP; MP; TGAIpHI, K, A, C, N, O, F, G, LN(26)830.70508TGAIUV/Visible absorptionI, K, A, C, N, O, F, G, LN(27)830.71008EP; MPViscosityI, K, A, C, N, O, F, G, LN(28)830.72008TGAIMelting point/melting rangeI, K, A, C, N, O, F, G, LNInitial to indicate certificationas to information on this page (fulltext of certification is on page one).DateINSTRUCTIONS: 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 3 of 4OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #PRODUCT SPECIFIC06-Mar-2015PDCI-069111-309392. Case # and Name0350 ADBAC8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321(29)830.72208TGAIBoiling point/boiling rangeI, K, A, C, N, O, F, G, LN(30 ,31)830.73008EP; MP; TGAIDensity/relative densityI, K, A, C, N, O, F, G, LN(32)830.73708TGAIDissociation constants in waterI, K, A, C, N, O, F, G, LN(33)830.75508TGAIPartition coefficient (n-octanol/water), shake flaskmethodI, K, A, C, N, O, F, G, LN(42)830.75608TGAIPartition coefficient (n-octanol/water), generatorcolumn methodI, K, A, C, N, O, F, G, LN(34)830.75708TGAIPartition coefficient (n-octanol/water), estimation byliquid chromatographyI, K, A, C, N, O, F, G, LN(35)830.78408TGAIWater solubility: Column elution method, shake flaskmethodI, K, A, C, N, O, F, G, LN(36)830.78608TGAIWater solubility, generator column methodI, K, A, C, N, O, F, G, LN(37)830.79508TGAIVapor pressureI, K, A, C, N, O, F, G, LNToxicology Data Requirements (Antimicrobial)870.11008EP; MP; TGAIAcute Oral ToxicityI, K, A, C, N, O, F, G, LNInitial to indicate certificationas to information on this page (fulltext of certification is on page one).DateINSTRUCTIONS: 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 4 of 4OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #PRODUCT SPECIFIC06-Mar-2015PDCI-069111-309392. Case # and Name0350 ADBAC8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321(38)870.12008EP; MP; TGAIAcute dermal toxicityI, K, A, C, N, O, F, G, LN870.13008EP; MP; TGAIAcute inhalation toxicityI, K, A, C, N, O, F, G, LN(40)870.25008EP; MP; TGAIAcute dermal irritationI, K, A, C, N, O, F, G, LN(41)870.26008EP; MP; TGAISkin sensitizationI, K, A, C, N, O, F, G, LN(39)870.24008EP; MP; TGAIAcute eye irritationI, K, A, C, N, O, F, G, LN(43)810.21008EPSterilantsI, K, A, C, N, O, F, G, LN(44)810.22008EPDisinfectants for Use on Hard SurfacesI, K, A, C, N, O, F, G, LN(45)810.23008EPSanitizers for Use on Hard SurfacesI, K, A, C, N, O, F, G, LN(46)810.24008EPDisinfectants and Sanitizers for Use on Fabrics andTextilesI, K, A, C, N, O, F, G, LN(47)810.25008EPAir SanitizersI, K, A, C, N, O, F, G, LN(48)810.26008EPDisinfectants for Use in WaterI, K, A, C, N, O, F, G, LNInitial to indicate certificationas to information on this page (fulltext of certification is on page one).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:0350 ADBACDCI Number:PDCI-069111-30939Page 1 of 5Footnotes: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; MP; TGAI = Manufacturing Use Product; Technical Grade Active Ingredient; EP; MP = End UseProduct, Manufacturing Use Product; EP = End Use Product [EP]; TGAI = Technical Grade Active Ingredient [TGAI]; EP; TGAI = EndUse Product; Technical Grade Active IngredientUse Categories Key:A-C -F -Terrestrial food cropTerrestrial nonfood cropAquatic nonfood industrial useG -I -K -Aquatic non-food residentialGreenhouse nonfood cropResidentialL -N -O -Indoor food useIndoor medical useResidential Indoor use1The Confidential Statement of Formula (CSF) form may be referenced.2In addition to guideline information, providing the MSDS for each component in formulation is recommended.3Waiver may be requested if the product is a non-integrated system.4Providing a flow chart for the formulation process is recommended.5Waiver may be requested if the product is a non-integrated system.6Waiver may be requested if the product is a non-integrated system.7For an integrated system, a five batch analysis is preferred. The analysis must be based on the product to assay the active ingredient (AI). If the product is solely AI, then the certificate ofanalysis (COA) may be used in place of the five batch analysis. A COA for each supplier must be provided.8The method that was used must be provided.Provide the temperature when the study was conducted.9The method that was used must be provided.Provide the temperature when the study was conducted.10The method that was used must be provided.Provide the temperature when the study was conducted.11The method that was used must be provided.Provide the temperature when the study was conducted.The 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:0350 ADBACDCI Number:PDCI-069111-30939Page 2 of 5Footnotes: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; MP; TGAI = Manufacturing Use Product; Technical Grade Active Ingredient; EP; MP = End UseProduct, Manufacturing Use Product; EP = End Use Product [EP]; TGAI = Technical Grade Active Ingredient [TGAI]; EP; TGAI = EndUse Product; Technical Grade Active IngredientUse Categories Key:A-C -F -Terrestrial food cropTerrestrial nonfood cropAquatic nonfood industrial useG -I -K -Aquatic non-food residentialGreenhouse nonfood cropResidentialL -N -O -Indoor food useIndoor medical useResidential Indoor use12The method that was used must be provided.Provide the temperature when the study was conducted.13The method that was used must be provided.Provide the temperature when the study was conducted.14The method that was used must be provided.Provide the temperature when the study was conducted.15The method that was used must be provided.Provide the temperature when the study was conducted.16The 16-month deadline for submission of this study applies if you are conducting a new study to satisfy this requirement. You are then required to submit a progress report to the Agency within 3months following the 90-Day response deadline for this PDCI. Further information appears on page 7 of the Generic and Product Specific Data Call-In Notice. If you intend to submit an existingstudy or cite previously submitted data, they must be submitted with your 90-Day Response. Alternatively, a combined, abbreviated, non-guideline, 14-day study at elevated temperatures maybe conducted and, if found acceptable, may be used to replace the one-year study.17Accelerated (temperature between 40 to 55 oC) storage stability can be reported to be equivalent to this guideline as long as: the AI meets the EPA Standard Certified Limits; data must bereported at the initial, in between, and at the end of the study for 14 or 30 days. If the study does not pass, then the applicant must conduct the one-year study at room temperature.18The method that was used must be provided.Provide the temperature when the study was conducted.19The 16-month deadline for submission of this study applies if you are conducting a new study to satisfy this requirement. You are then required to submit a progress report to the Agency within 3months following the 90-Day response deadline for this PDCI. Further information appears on page 7 of the Generic and Product Specific Data Call-In Notice. If you intend to submit an existingstudy or cite previously submitted data, they must be submitted with your 90-Day Response. Alternatively, a combined, abbreviated, non-guideline, 14-day study at elevated temperatures maybe conducted and, if found acceptable, may be used to replace the one-year study.20An accelerated equivalent study may be conducted in conjunction with 830.6317.The 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:0350 ADBACDCI Number:PDCI-069111-30939Page 3 of 5Footnotes: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; MP; TGAI = Manufacturing Use Product; Technical Grade Active Ingredient; EP; MP = End UseProduct, Manufacturing Use Product; EP = End Use Product [EP]; TGAI = Technical Grade Active Ingredient [TGAI]; EP; TGAI = EndUse Product; Technical Grade Active IngredientUse Categories Key:A-C -F -Terrestrial food cropTerrestrial nonfood cropAquatic nonfood industrial useG -I -K -Aquatic non-food residentialGreenhouse nonfood cropResidentialL -N -O -Indoor food useIndoor medical useResidential Indoor use21The method that was used must be provided.Provide the temperature when the study was conducted.22The method that was used must be provided.Provide the temperature when the study was conducted.23Waiver may be requested if the product is not intended to be use near electric outlet.24The value must be reflected on the CSF form.25The method that was used must be provided.Provide the temperature when the study was conducted.26The method that was used must be provided.Provide the temperature when the study was conducted.27The method that was used must be provided.Provide the temperature when the study was conducted.28The method that was used must be provided.Provide the temperature when the study was conducted.29The method that was used must be provided.Provide the temperature when the study was conducted.30The value must be reflected on the CSF form.31The method that was used must be provided.Provide the temperature when the study was conducted.The 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:0350 ADBACDCI Number:PDCI-069111-30939Page 4 of 5Footnotes: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; MP; TGAI = Manufacturing Use Product; Technical Grade Active Ingredient; EP; MP = End UseProduct, Manufacturing Use Product; EP = End Use Product [EP]; TGAI = Technical Grade Active Ingredient [TGAI]; EP; TGAI = EndUse Product; Technical Grade Active IngredientUse Categories Key:A-C -F -Terrestrial food cropTerrestrial nonfood cropAquatic nonfood industrial useG -I -K -Aquatic non-food residentialGreenhouse nonfood cropResidentialL -N -O -Indoor food useIndoor medical useResidential Indoor use32The method that was used must be provided.Provide the temperature when the study was conducted.33The method that was used must be provided.Provide the temperature when the study was conducted.34The method that was used must be provided.Provide the temperature when the study was conducted.35The method that was used must be provided.Provide the temperature when the study was conducted.36The method that was used must be provided.Provide the temperature when the study was conducted.37The method that was used must be provided.Provide the temperature when the study was conducted.38Waiver may be requested if test material is corrosive to skin or has pH < 2 or >11.5; such product will be classified as Toxicity Category 1 on the basis of potential dermal toxicity.39Waiver may be requested if test material is corrosive to skin or has pH < 2 or >11.5; such product will be classified as Toxicity Category 1 on the basis of potential eye irritation.40Waiver may be requested if test material is corrosive to skin or has pH < 2 or >11.5; such product will be classified as Toxicity Category 1 on the basis of potential dermal irritation.41Waiver may be requested if test material is corrosive to skin or has pH < 2 or >11.5; such product will be classified as a dermal sensitizer.42The method that was used must be provided.Provide the temperature when the study was conducted.The 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:0350 ADBACDCI Number:PDCI-069111-30939Page 5 of 5Footnotes: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; MP; TGAI = Manufacturing Use Product; Technical Grade Active Ingredient; EP; MP = End UseProduct, Manufacturing Use Product; EP = End Use Product [EP]; TGAI = Technical Grade Active Ingredient [TGAI]; EP; TGAI = EndUse Product; Technical Grade Active IngredientUse Categories Key:A-C -F -Terrestrial food cropTerrestrial nonfood cropAquatic nonfood industrial useG -I -K -Aquatic non-food residentialGreenhouse nonfood cropResidentialL -N -O -Indoor food useIndoor medical useResidential Indoor use43Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.44Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.45Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.46Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.47Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.48Refer to the Product Performance Test Guideline 810.2000 on general considerations for testing antimicrobial products.