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 NumberGENERIC22-Sep-2011ID # GDCI-025003-302282. Case # and Name0139 Coal Tar/CreosoteChemical # and Name025003Creosote oil (Note: Derived from any source)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."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__________________________________Creosote oil (Note: Derived from any source)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 1OMB Approval 2070-174United States Environmental ProtectionAgency Washington, D.C. 20460REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE3. Date and Type of DCI and NumberID #GENERIC22-Sep-2011GDCI-025003-302282. Case # and Name0139 Coal Tar/Creosote025003Chemical # and Name8. TimeFrame(Months)9. RegistrantResponse7. TestSubstance6. UsePatternPROTOCOLProgressReports321Applicator Exposure Data Requirements (Antimicrobial)(1 ,11)875.110024BBDermal exposure--outdoor(2 ,12)875.120024BBDermal exposure--Indoor(3 ,13)875.130024BBInhalation exposure--outdoor(4 ,14)875.140024BBInhalation exposure--indoor(5 ,15)875.160012BBApplication exposure monitoring data reporting(6)875.170012BBProduct Use Information(8 ,9)SS-SedimentConc24BBSediment concentration, Aquatic structures(7 ,10)SS-WoodLeach12BBWood leaching study12. 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. DateCase # and Name:0139 Coal Tar/CreosoteDCI Number:GDCI-025003-30228Page 1 of 2[The following notes are referenced in column two (5. Study File) of the REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE form.]Footnotes:Key:United States Environmental ProtectionAgency Washington, D.C. 20460FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTSUse Categories Key:BB - Wood preservatives1Please see 40 CFR Sections 158 and/or 161 for additional information.2Please see 40 CFR Sections 158 and/or 161 for additional information.3Please see 40 CFR Sections 158 and/or 161 for additional information.4Please see 40 CFR Sections 158 and/or 161 for additional information.5Please see 40 CFR Sections 158 and/or 161 for additional information.6Please see 40 CFR Sections 158 and/or 161 for additional information.7Please see 40 CFR Sections 158 and/or 161 for additional information.8Please see 40 CFR Sections 158 and/or 161 for additional information.9Field study or simulated study for aquatic structures, sediment concentration data for warm southern conditions, and water column concentrations from microcosm studies. Data collected innorthern conditions cannot be used to satisfy this requirement. A protocol must be submitted for review and approval by the Agency prior to initiating this study. The draft protocol must besubmitted to the Agency within 90 days of receipt of this DCI.10Aprotocol must be submitted for review and approval by the Agency prior to initiating this study. The draft protocol must be submitted to the Agency within 90 days of receipt of this DCI.11Prior to initiation of the study, protocols must be submitted for review and approval by the Agency. Studies involving intentional exposure of human subjects must be submitted for review byEPA and then the Human Studies Review Board (HSRB) according to 40 CFR 26.1125. Examples of proposed human study research can be found in various reviews provided by the HumanStudies Review Board (http://www.epa.gov/osa/hsrb/index.htm). The draft protocol must be submitted to the Agency within 90 days of receipt of this DCI.12Prior to initiation of the study, protocols must be submitted for review and approval by the Agency. Studies involving intentional exposure of human subjects must be submitted for review byEPA and then the Human Studies Review Board (HSRB) according to 40 CFR 26.1125. Examples of proposed human study research can be found in various reviews provided by the HumanStudies Review Board (http://www.epa.gov/osa/hsrb/index.htm). The draft protocol must be submitted to the Agency within 90 days of receipt of this DCI.13Prior to initiation of the study, protocols must be submitted for review and approval by the Agency. Studies involving intentional exposure of human subjects must be submitted for review byEPA and then the Human Studies Review Board (HSRB) according to 40 CFR 26.1125. Examples of proposed human study research can be found in various reviews provided by the HumanStudies Review Board (http://www.epa.gov/osa/hsrb/index.htm). The draft protocol must be submitted to the Agency within 90 days of receipt of this DCI.Case # and Name:0139 Coal Tar/CreosoteDCI Number:GDCI-025003-30228Page 2 of 2[The following notes are referenced in column two (5. Study File) of the REQUIREMENTS STATUS AND REGISTRANT'S RESPONSE form.]Footnotes:Key:United States Environmental ProtectionAgency Washington, D.C. 20460FOOTNOTES AND KEY DEFINITIONS FOR GUIDELINE REQUIREMENTSUse Categories Key:BB - Wood preservatives14Prior to initiation of the study, protocols must be submitted for review and approval by the Agency. Studies involving intentional exposure of human subjects must be submitted for review byEPA and then the Human Studies Review Board (HSRB) according to 40 CFR 26.1125. Examples of proposed human study research can be found in various reviews provided by the HumanStudies Review Board (http://www.epa.gov/osa/hsrb/index.htm). The draft protocol must be submitted to the Agency within 90 days of receipt of this DCI.15In accordance with 40 CFR 158.1020, OPPTS Guideline 875.1600 is required to accompany OPPTS Guidelines 875.1100 (Dermal OutdoorExposure), 875.1200 (Dermal Indoor Exposure),875.1300 (Inhalation Outdoor Exposure), and 875.1400 (Inhalation Indoor Exposure). When all four GLNs are listed, the registrant is only required to perform two of the four tests, one dermalexposure and one inhalation exposure.United States Environmental ProtectionAgency Washington, D.C. 20460LIST OF ALL REGISTRANTS SENT THIS DATA CALL-IN NOTICECo. Nr.Company NameAgent ForAddressCity & StateZipCase # and Name:0139,Coal Tar/CreosoteKMG-BERNUTH, INC9555 W. SAM HOUSTON PKWY SOUTH, SUITE600HOUSTONTX7709961483